| Psychotherapy 60 minutes CPT 90837 • Mental Health | $186 | $186 | $186 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $146 | $146 | $146 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $179 | $179 | $179 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $79 | $79 | $79 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $120 | $120 | $120 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $125 | $125 | $125 |
| Group psychotherapy CPT 90853 • Mental Health | $34 | $34 | $34 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $74 | $74 | $74 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $161 | $161 | $161 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $161 | $161 | $161 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $459 | $459 | $459 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $67 | $67 | $67 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $72 | $72 | $72 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $188 | $188 | $188 |
| EMG needle each extremity complete CPT 95886 • Neurology | $113 | $113 | $113 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $44 | $44 | $44 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $54 | $54 | $54 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $159 | $159 | $159 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $83 | $83 | $83 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $338 | $338 | $338 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $79 | $97 | $102 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $82 | $119 | $152 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $139 | $189 | $216 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $183 | $229 | $275 |
| Office visit established patient minimal CPT 99211 • Office Visits | $25 | $25 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $43 | $56 | $62 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $28 | $73 | $99 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $130 | $133 | $141 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $132 | $167 | $190 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $90 | $109 | $128 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $143 | $143 | $143 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $190 | $190 | $190 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $54 | $54 | $54 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $86 | $86 | $86 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $130 | $130 | $130 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $89 | $89 | $89 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $125 | $125 | $125 |
| Consultation office low complexity CPT 99243 • Office Visits | $123 | $123 | $123 |
| Consultation office high complexity CPT 99245 • Office Visits | $231 | $231 | $231 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $651 | $827 | $913 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $71 | $101 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,386 | $1,386 | $1,386 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $197 | $295 | $496 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,285 | $1,285 | $1,285 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $594 | $594 | $594 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $351 | $526 | $585 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $715 | $935 | $1,437 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $28 | $708 | $1,082 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $28 | $68 | $109 |