| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $83 | $83 | $83 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $85 | $85 | $85 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $79 | $79 | $79 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $172 | $172 | $172 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $139 | $139 | $139 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $165 | $165 | $165 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $65 | $65 | $65 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $110 | $110 | $110 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $135 | $135 | $135 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $25 | $25 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $181 | $181 | $181 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $200 | $200 | $200 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $178 | $178 | $178 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $55 | $55 | $55 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $94 | $94 | $94 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $97 | $97 | $97 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $37 | $37 | $37 |
| EMG needle each extremity complete CPT 95886 • Neurology | $59 | $59 | $59 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $38 | $38 | $38 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $76 | $76 | $76 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $90 | $90 | $90 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $121 | $121 | $121 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $130 | $130 | $130 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $74 | $74 | $74 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $134 | $134 | $134 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $179 | $179 | $179 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $274 | $274 | $274 |
| Office visit established patient minimal CPT 99211 • Office Visits | $29 | $29 | $29 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $43 | $43 | $43 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $55 | $55 | $55 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $86 | $86 | $86 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $157 | $157 | $157 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $111 | $111 | $111 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $130 | $130 | $130 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $225 | $225 | $225 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $67 | $67 | $67 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $64 | $64 | $64 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $119 | $119 | $119 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $84 | $84 | $84 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $121 | $121 | $121 |
| Consultation office low complexity CPT 99243 • Office Visits | $157 | $157 | $157 |
| Consultation office high complexity CPT 99245 • Office Visits | $285 | $285 | $285 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $663 | $663 | $663 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $70 | $70 | $70 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,145 | $1,145 | $1,145 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $327 | $327 | $327 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,508 | $1,508 | $1,508 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $581 | $581 | $581 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $426 | $426 | $426 |