| Psychotherapy 60 minutes CPT 90837 • Mental Health | $171 | $171 | $171 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $136 | $136 | $136 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $184 | $184 | $184 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $82 | $82 | $82 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $125 | $125 | $125 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $130 | $130 | $130 |
| Group psychotherapy CPT 90853 • Mental Health | $31 | $31 | $31 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $160 | $160 | $160 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $171 | $171 | $171 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $137 | $137 | $137 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $404 | $404 | $404 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $486 | $486 | $486 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $65 | $65 | $65 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $104 | $104 | $104 |
| EMG needle each extremity complete CPT 95886 • Neurology | $69 | $69 | $69 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $68 | $68 | $68 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $60 | $60 | $60 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $73 | $73 | $73 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $92 | $92 | $92 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $239 | $239 | $239 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $62 | $62 | $62 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $106 | $124 | $142 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $212 | $212 | $213 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $280 | $280 | $280 |
| Office visit established patient minimal CPT 99211 • Office Visits | $29 | $29 | $29 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $46 | $46 | $46 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $85 | $100 | $115 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $162 | $162 | $162 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $229 | $229 | $229 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $127 | $127 | $127 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $171 | $171 | $171 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $250 | $250 | $250 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $49 | $49 | $49 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $90 | $90 | $90 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $129 | $129 | $129 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $91 | $91 | $91 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $132 | $132 | $132 |
| Consultation office low complexity CPT 99243 • Office Visits | $120 | $120 | $120 |
| Consultation office high complexity CPT 99245 • Office Visits | $239 | $239 | $239 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $692 | $692 | $692 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $46 | $46 | $46 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,470 | $1,470 | $1,470 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $257 | $257 | $257 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,362 | $1,362 | $1,362 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $627 | $627 | $627 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $295 | $295 | $295 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $930 | $930 | $930 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $678 | $678 | $678 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $115 | $115 | $115 |