| Psychotherapy 60 minutes CPT 90837 • Mental Health | $166 | $166 | $166 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $129 | $129 | $129 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $156 | $156 | $156 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $75 | $75 | $75 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $121 | $121 | $121 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $125 | $125 | $125 |
| Group psychotherapy CPT 90853 • Mental Health | $30 | $30 | $30 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $168 | $168 | $168 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $141 | $141 | $141 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $161 | $161 | $161 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $69 | $174 | $383 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $447 | $447 | $447 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $63 | $63 | $63 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $106 | $106 | $106 |
| EMG needle each extremity complete CPT 95886 • Neurology | $61 | $61 | $61 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $65 | $65 | $65 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $81 | $81 | $81 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $77 | $77 | $77 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $99 | $99 | $99 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $136 | $136 | $136 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $56 | $73 | $90 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $116 | $122 | $128 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $121 | $165 | $196 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $173 | $199 | $223 |
| Office visit established patient minimal CPT 99211 • Office Visits | $25 | $26 | $27 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $46 | $50 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $76 | $82 | $89 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $78 | $107 | $129 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $133 | $144 | $155 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $122 | $122 | $122 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $153 | $159 | $164 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $200 | $221 | $241 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $29 | $38 | $47 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $82 | $84 | $86 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $113 | $124 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $80 | $87 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $121 | $123 | $128 |
| Consultation office low complexity CPT 99243 • Office Visits | $147 | $147 | $147 |
| Consultation office high complexity CPT 99245 • Office Visits | $230 | $230 | $230 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $736 | $736 | $736 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $55 | $55 | $55 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,412 | $1,412 | $1,412 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $295 | $295 | $295 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,306 | $1,306 | $1,306 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $601 | $601 | $601 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $358 | $358 | $358 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $895 | $895 | $895 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $652 | $652 | $652 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $121 | $121 | $121 |