| Psychotherapy 60 minutes CPT 90837 • Mental Health | $138 | $138 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $119 | $119 | $119 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $131 | $131 | $131 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $63 | $63 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $102 | $102 | $102 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $105 | $105 | $105 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $28 | $28 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $62 | $62 | $62 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $130 | $130 | $130 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $129 | $129 | $129 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $348 | $348 | $348 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $58 | $58 | $58 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $116 | $116 | $116 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $84 | $84 | $84 |
| EMG needle each extremity complete CPT 95886 • Neurology | $48 | $48 | $48 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $39 | $39 | $39 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $67 | $67 | $67 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $142 | $142 | $142 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $186 | $186 | $186 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $108 | $108 | $108 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $74 | $74 | $74 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $20 | $62 | $104 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $157 | $158 | $160 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $203 | $203 | $203 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $22 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $20 | $32 | $44 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $20 | $47 | $73 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $20 | $65 | $106 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $142 | $142 | $142 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $100 | $100 | $100 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $136 | $136 | $136 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $200 | $200 | $200 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $39 | $39 | $39 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $71 | $71 | $71 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $103 | $103 |
| 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 | $105 | $105 | $105 |
| Consultation office low complexity CPT 99243 • Office Visits | $121 | $121 | $121 |
| Consultation office high complexity CPT 99245 • Office Visits | $191 | $191 | $191 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $535 | $535 | $535 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $36 | $36 | $36 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,157 | $1,157 | $1,157 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $241 | $241 | $241 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,067 | $1,067 | $1,067 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $489 | $489 | $489 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $291 | $331 | $371 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $733 | $889 | $1,045 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $534 | $660 | $787 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $97 | $97 | $97 |