| Psychotherapy 60 minutes CPT 90837 • Mental Health | $151 | $151 | $151 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $119 | $119 | $119 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $129 | $129 | $129 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $64 | $64 | $64 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $98 | $98 | $98 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $103 | $103 | $103 |
| Group psychotherapy CPT 90853 • Mental Health | $24 | $24 | $24 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $146 | $146 | $146 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $130 | $130 | $130 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $149 | $149 | $149 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $323 | $323 | $323 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $57 | $57 | $57 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $51 | $51 | $51 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $80 | $80 | $80 |
| EMG needle each extremity complete CPT 95886 • Neurology | $98 | $98 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $53 | $53 | $53 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $46 | $46 | $46 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $135 | $135 | $135 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $177 | $177 | $177 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $289 | $289 | $289 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $49 | $49 | $49 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $113 | $113 | $113 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $168 | $168 | $168 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $184 | $184 | $184 |
| Office visit established patient minimal CPT 99211 • Office Visits | $23 | $23 | $23 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $57 | $57 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $67 | $67 | $67 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $129 | $129 | $129 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $181 | $181 | $181 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $84 | $84 | $84 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $132 | $132 | $132 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $177 | $177 | $177 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $50 | $50 | $50 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $81 | $81 | $81 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $121 | $121 | $121 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $82 | $82 | $82 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $116 | $116 | $116 |
| Consultation office low complexity CPT 99243 • Office Visits | $5 | $5 | $5 |
| Consultation office high complexity CPT 99245 • Office Visits | $5 | $5 | $5 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $606 | $606 | $606 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $43 | $43 | $43 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,290 | $1,290 | $1,290 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $269 | $269 | $269 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,194 | $1,194 | $1,194 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $552 | $552 | $552 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $327 | $327 | $327 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $814 | $814 | $814 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $595 | $595 | $595 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $124 | $124 | $124 |