| Psychotherapy 60 minutes CPT 90837 • Mental Health | $191 | $191 | $191 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $163 | $163 | $163 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $198 | $198 | $198 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $96 | $96 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $155 | $155 | $155 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $160 | $160 | $160 |
| Group psychotherapy CPT 90853 • Mental Health | $38 | $38 | $38 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $8 | $8 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $238 | $238 | $238 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $202 | $202 | $202 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $159 | $159 | $159 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $522 | $522 | $522 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $595 | $595 | $595 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $78 | $78 | $78 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $249 | $249 | $249 |
| EMG needle each extremity complete CPT 95886 • Neurology | $70 | $70 | $70 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $61 | $61 | $61 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $74 | $74 | $74 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $119 | $119 | $119 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $115 | $115 | $115 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $283 | $283 | $283 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $99 | $104 | $110 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $146 | $153 | $159 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $162 | $189 | $245 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $153 | $212 | $251 |
| Office visit established patient minimal CPT 99211 • Office Visits | $30 | $31 | $32 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $58 | $61 | $64 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $76 | $86 | $95 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $91 | $114 | $159 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $165 | $180 | $196 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $137 | $144 | $150 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $192 | $198 | $204 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $170 | $251 | $301 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $57 | $58 | $58 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $103 | $105 | $107 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $147 | $151 | $154 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $108 | $108 | $108 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $159 | $159 | $159 |
| Consultation office low complexity CPT 99243 • Office Visits | $185 | $185 | $185 |
| Consultation office high complexity CPT 99245 • Office Visits | $335 | $335 | $335 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $932 | $932 | $932 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $82 | $82 | $82 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,771 | $1,771 | $1,771 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $517 | $517 | $517 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,826 | $1,826 | $1,826 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $958 | $958 | $958 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $450 | $450 | $450 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,226 | $1,226 | $1,226 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $985 | $985 | $985 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $156 | $156 | $156 |