| Psychotherapy 60 minutes CPT 90837 • Mental Health | $131 | $131 | $131 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $87 | $87 | $87 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $126 | $126 | $126 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $61 | $61 | $61 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $82 | $82 | $82 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $85 | $85 | $85 |
| Group psychotherapy CPT 90853 • Mental Health | $19 | $19 | $19 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $212 | $212 | $212 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $139 | $139 | $139 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $189 | $189 | $189 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $350 | $350 | $350 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $46 | $46 | $46 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $58 | $58 | $58 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $66 | $66 | $66 |
| EMG needle each extremity complete CPT 95886 • Neurology | $37 | $37 | $37 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $78 | $78 | $78 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $54 | $54 | $54 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $117 | $117 | $117 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $67 | $67 | $67 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $96 | $96 | $96 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $52 | $52 | $52 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $82 | $82 | $82 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $80 | $80 | $80 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $111 | $111 | $111 |
| Office visit established patient minimal CPT 99211 • Office Visits | $17 | $17 | $17 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $42 | $42 | $42 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $66 | $66 | $66 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $58 | $58 | $58 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $134 | $134 | $134 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $52 | $52 | $52 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $80 | $80 | $80 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $107 | $107 | $107 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $30 | $30 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $48 | $48 | $48 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $73 | $73 | $73 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $51 | $51 | $51 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $73 | $73 | $73 |
| Consultation office low complexity CPT 99243 • Office Visits | $78 | $78 | $78 |
| Consultation office high complexity CPT 99245 • Office Visits | $144 | $144 | $144 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $378 | $378 | $378 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $34 | $34 | $34 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $886 | $886 | $886 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $153 | $153 | $153 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $842 | $842 | $842 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $402 | $402 | $402 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $181 | $181 | $181 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $564 | $564 | $564 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $413 | $413 | $413 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $103 | $103 | $103 |