| Psychotherapy 60 minutes CPT 90837 • Mental Health | $181 | $181 | $181 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $128 | $128 | $128 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $154 | $154 | $154 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $86 | $86 | $86 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $117 | $117 | $117 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $123 | $123 | $123 |
| Group psychotherapy CPT 90853 • Mental Health | $33 | $33 | $33 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $72 | $72 | $72 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $158 | $158 | $158 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $157 | $157 | $157 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $448 | $448 | $448 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $450 | $450 | $450 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $129 | $129 | $129 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $184 | $184 | $184 |
| EMG needle each extremity complete CPT 95886 • Neurology | $52 | $52 | $52 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $104 | $104 | $104 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $53 | $53 | $53 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $91 | $91 | $91 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $202 | $202 | $202 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $330 | $330 | $330 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $50 | $59 | $62 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $59 | $87 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $94 | $178 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $106 | $193 |
| Office visit established patient minimal CPT 99211 • Office Visits | $25 | $25 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $60 | $60 | $60 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $47 | $97 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $48 | $104 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $193 | $193 | $193 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $88 | $88 | $88 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $30 | $66 | $139 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $69 | $185 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $53 | $53 | $53 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $54 | $84 | $100 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $126 | $126 | $126 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $86 | $86 | $86 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $122 | $122 | $122 |
| Consultation office low complexity CPT 99243 • Office Visits | $120 | $120 | $120 |
| Consultation office high complexity CPT 99245 • Office Visits | $225 | $225 | $225 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $635 | $635 | $635 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $44 | $44 | $44 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,353 | $1,353 | $1,353 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $281 | $281 | $281 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,254 | $1,254 | $1,254 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $580 | $580 | $580 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $271 | $271 | $271 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $854 | $854 | $854 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $623 | $623 | $623 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $130 | $130 | $130 |