| Psychotherapy 45 minutes CPT 90834 • Mental Health | $79 | $79 | $79 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $66 | $66 | $66 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $116 | $116 | $116 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $106 | $106 | $106 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $132 | $132 | $132 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $63 | $63 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $94 | $94 | $94 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $112 | $112 | $112 |
| 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 | $143 | $143 | $143 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $167 | $167 | $167 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $117 | $117 | $117 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $85 | $85 | $85 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $98 | $98 | $98 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $55 | $55 | $55 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $89 | $89 | $89 |
| EMG needle each extremity complete CPT 95886 • Neurology | $46 | $46 | $46 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $50 | $50 | $50 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $48 | $48 | $48 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $75 | $75 | $75 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $74 | $74 | $74 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $179 | $179 | $179 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $58 | $58 | $58 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $86 | $99 | $113 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $125 | $144 | $163 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $158 | $158 | $158 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $19 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $34 | $44 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $56 | $65 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $74 | $85 | $96 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $110 | $110 | $110 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $68 | $68 | $68 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $111 | $111 | $111 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $152 | $182 | $212 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $34 | $34 | $34 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $55 | $55 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $77 | $77 | $77 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $65 | $65 | $65 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $87 | $87 |
| Consultation office low complexity CPT 99243 • Office Visits | $111 | $111 | $111 |
| Consultation office high complexity CPT 99245 • Office Visits | $207 | $207 | $207 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $614 | $614 | $614 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $176 | $176 | $176 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $954 | $954 | $954 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $358 | $358 | $358 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $902 | $902 | $902 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $484 | $484 | $484 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $337 | $337 | $337 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $835 | $835 | $835 |