| Psychotherapy 60 minutes CPT 90837 • Mental Health | $136 | $136 | $136 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $126 | $126 | $126 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $135 | $135 | $135 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $67 | $67 | $67 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $85 | $85 | $85 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $102 | $102 | $102 |
| Group psychotherapy CPT 90853 • Mental Health | $29 | $29 | $29 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $155 | $155 | $155 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $125 | $125 | $125 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $133 | $133 | $133 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $220 | $220 | $220 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $167 | $167 | $167 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $87 | $87 | $87 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $40 | $40 | $40 |
| EMG needle each extremity complete CPT 95886 • Neurology | $45 | $45 | $45 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $59 | $59 | $59 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $74 | $74 | $74 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $72 | $72 | $72 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $211 | $211 | $211 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $137 | $137 | $137 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $64 | $77 | $89 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $69 | $100 | $131 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $40 | $114 | $158 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $40 | $156 | $247 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $16 | $24 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $23 | $38 | $52 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $61 | $74 | $87 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $40 | $57 | $92 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $125 | $148 | $171 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $88 | $105 | $123 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $143 | $165 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $40 | $153 | $241 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $42 | $47 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $65 | $75 | $85 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $93 | $108 | $122 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $67 | $76 | $85 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $90 | $104 | $126 |
| Consultation office low complexity CPT 99243 • Office Visits | $98 | $117 | $149 |
| Consultation office high complexity CPT 99245 • Office Visits | $206 | $234 | $267 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $550 | $550 | $550 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $60 | $60 | $60 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,075 | $1,075 | $1,075 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $294 | $294 | $294 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $988 | $988 | $988 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $525 | $525 | $525 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $381 | $381 | $381 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $904 | $904 | $904 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $642 | $642 | $642 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $186 | $186 | $186 |