| Psychotherapy 60 minutes CPT 90837 • Mental Health | $127 | $127 | $127 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $124 | $124 | $124 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $186 | $186 | $186 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $96 | $96 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $98 | $98 | $98 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $119 | $119 | $119 |
| 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 | $68 | $68 | $68 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $172 | $172 | $172 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $112 | $112 | $112 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $61 | $61 | $61 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $61 | $61 | $61 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $92 | $92 | $92 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $88 | $88 | $88 |
| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $97 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $104 | $104 | $104 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $55 | $55 | $55 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $66 | $66 | $66 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $86 | $86 | $86 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $209 | $209 | $209 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $48 | $48 | $48 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $73 | $73 | $73 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $109 | $109 | $109 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $175 | $175 | $175 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $9 | $9 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $25 | $25 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $36 | $36 | $36 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $60 | $60 | $60 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $121 | $121 | $121 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $69 | $69 | $69 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $115 | $115 | $115 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $160 | $160 | $160 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $35 | $35 | $35 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $57 | $57 | $57 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $81 | $81 | $81 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $72 | $72 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $98 | $98 | $98 |
| Consultation office low complexity CPT 99243 • Office Visits | $123 | $123 | $123 |
| Consultation office high complexity CPT 99245 • Office Visits | $225 | $225 | $225 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $581 | $581 | $581 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $64 | $64 | $64 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,051 | $1,051 | $1,051 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $316 | $316 | $316 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $947 | $947 | $947 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $508 | $508 | $508 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $372 | $372 | $372 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $915 | $915 | $915 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $689 | $689 | $689 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $203 | $203 | $203 |