| Psychiatric diagnostic evaluation | CPT 90791 | — |
| Psychiatric eval with medical services | CPT 90792 | $124.44 |
| Psychotherapy 30 minutes | CPT 90832 | — |
| Psychotherapy 45 minutes | CPT 90834 | — |
| Psychotherapy 60 minutes | CPT 90837 | — |
| Crisis psychotherapy 60 minutes | CPT 90839 | — |
| CT head without contrast | CPT 70450 | — |
| CT head with contrast | CPT 70460 | — |
| CT head with and without contrast | CPT 70470 | — |
| MRI brain without contrast | CPT 70551 | — |
| MRI brain with contrast | CPT 70552 | — |
| MRI brain with and without contrast | CPT 70553 | — |
| Chest X-ray single view | CPT 71045 | — |
| Chest X-ray 2 views | CPT 71046 | — |
| Chest X-ray 3 views | CPT 71047 | — |
| CT chest without contrast | CPT 71250 | — |
| CT chest with contrast | CPT 71260 | — |
| CT chest with and without contrast | CPT 71270 | — |
| Lumbosacral spine X-ray | CPT 72100 | — |
| CT cervical spine without contrast | CPT 72125 | — |
| CT thoracic spine without contrast | CPT 72128 | — |
| CT lumbar spine without contrast | CPT 72131 | — |
| MRI cervical spine without contrast | CPT 72141 | — |
| MRI thoracic spine without contrast | CPT 72146 | — |
| MRI lumbar spine without contrast | CPT 72148 | — |
| MRI lumbar spine with and without contrast | CPT 72149 | — |
| MRI cervical spine with and without contrast | CPT 72156 | — |
| MRI lumbar spine with contrast | CPT 72158 | — |
| CT pelvis without contrast | CPT 72192 | — |
| CT pelvis with contrast | CPT 72193 | — |
| Shoulder X-ray | CPT 73030 | — |
| Humerus X-ray | CPT 73060 | — |
| Hand X-ray 3 views | CPT 73130 | — |
| MRI upper extremity joint without contrast | CPT 73221 | — |
| MRI upper extremity joint with and without contrast | CPT 73223 | — |
| Knee X-ray 1-2 views | CPT 73560 | — |
| MRI lower extremity joint without contrast | CPT 73721 | — |
| MRI lower extremity joint with and without contrast | CPT 73723 | — |
| CT abdomen without contrast | CPT 74150 | — |
| CT abdomen with contrast | CPT 74160 | — |
| CT abdomen with and without contrast | CPT 74170 | — |
| Abdominal ultrasound complete | CPT 76700 | — |
| Abdominal ultrasound limited | CPT 76705 | — |
| Retroperitoneal ultrasound complete | CPT 76770 | — |
| Pelvic ultrasound complete | CPT 76856 | — |
| EKG complete | CPT 93000 | — |
| EKG tracing only | CPT 93005 | — |
| Transthoracic echocardiogram complete | CPT 93306 | — |
| Transthoracic echocardiogram | CPT 93307 | — |
| Initial hospital care, low complexity | CPT 99221 | $61.76 |
| Initial hospital care, moderate complexity | CPT 99222 | $88.82 |
| Initial hospital care, high complexity | CPT 99223 | $121.97 |
| Hospital discharge, <30 min | CPT 99238 | $54.59 |
| Hospital discharge, >30 min | CPT 99239 | $77.02 |
| Basic metabolic panel (BMP) | CPT 80048 | — |
| Electrolyte panel | CPT 80051 | — |
| Comprehensive metabolic panel | CPT 80053 | — |
| Lipid panel | CPT 80061 | — |
| Renal function panel | CPT 80069 | — |
| Hepatic function panel | CPT 80076 | — |
| Urinalysis non-automated | CPT 81002 | — |
| Glucose quantitative | CPT 82947 | — |
| Hemoglobin A1c | CPT 83036 | — |
| Thyroid stimulating hormone (TSH) | CPT 84443 | — |
| Complete blood count with automated differential | CPT 85025 | — |
| Urine culture bacterial | CPT 87086 | — |
| Urine culture identification | CPT 87088 | — |
| Office visit, new patient, 15-29 min | CPT 99202 | $32.21 |
| Office visit, new patient, 30-44 minutes | CPT 99203 | $55.95 |
| Office visit, new patient, 45-59 min | CPT 99204 | $90.81 |
| Office visit, new patient, 60-74 min | CPT 99205 | $123.49 |
| Office visit, established patient, 5 min | CPT 99211 | $8.44 |
| Office visit, established patient, 10-19 min | CPT 99212 | $24.25 |
| Office visit, established patient, 20-29 minutes | CPT 99213 | $44.67 |
| Office visit, established patient, 30-39 minutes | CPT 99214 | $65.79 |
| Office visit, established patient, 40-54 min | CPT 99215 | $97.69 |
| Upper GI endoscopy diagnostic | CPT 43235 | — |
| Upper GI endoscopy with biopsy | CPT 43239 | — |
| Colonoscopy diagnostic | CPT 45378 | — |
| Colonoscopy with biopsy | CPT 45380 | — |
