| Psychiatric diagnostic evaluation | CPT 90791 | $192.9 |
| Psychiatric eval with medical services | CPT 90792 | $217.6 |
| Psychotherapy 30 minutes | CPT 90832 | $123.38 |
| Psychotherapy 45 minutes | CPT 90834 | $153.33 |
| Psychotherapy 60 minutes | CPT 90837 | $166.13 |
| Crisis psychotherapy 60 minutes | CPT 90839 | $215.99 |
| CT head without contrast | CPT 70450 | $137.12 |
| CT head with contrast | CPT 70460 | $198.57 |
| CT head with and without contrast | CPT 70470 | $238.89 |
| MRI brain without contrast | CPT 70551 | $302.36 |
| MRI brain with contrast | CPT 70552 | $404.18 |
| MRI brain with and without contrast | CPT 70553 | $479.94 |
| Chest X-ray single view | CPT 71045 | $32.15 |
| Chest X-ray 2 views | CPT 71046 | $43.67 |
| Chest X-ray 3 views | CPT 71047 | $55.19 |
| CT chest without contrast | CPT 71250 | $171.05 |
| CT chest with contrast | CPT 71260 | $234.42 |
| Lumbosacral spine X-ray | CPT 72100 | $54.54 |
| CT cervical spine without contrast | CPT 72125 | $172.97 |
| MRI thoracic spine without contrast | CPT 72146 | $299.91 |
| MRI lumbar spine without contrast | CPT 72148 | $297.7 |
| MRI lumbar spine with and without contrast | CPT 72149 | $408.02 |
| CT pelvis without contrast | CPT 72192 | $171.05 |
| CT pelvis with contrast | CPT 72193 | $334.8 |
| Shoulder X-ray | CPT 73030 | $47.51 |
| Humerus X-ray | CPT 73060 | $45.59 |
| Hand X-ray 3 views | CPT 73130 | $52.62 |
| MRI upper extremity joint without contrast | CPT 73221 | $312.66 |
| Knee X-ray 1-2 views | CPT 73560 | $49.43 |
| Ankle X-ray 3 views | CPT 73610 | $53.27 |
| MRI lower extremity joint without contrast | CPT 73721 | $312.34 |
| CT abdomen without contrast | CPT 74150 | $169.13 |
| CT abdomen with contrast | CPT 74160 | $334.17 |
| Abdominal ultrasound complete | CPT 76700 | $133.1 |
| Abdominal ultrasound limited | CPT 76705 | $117.92 |
| Retroperitoneal ultrasound complete | CPT 76770 | $133.1 |
| Transvaginal ultrasound | CPT 76830 | $133.1 |
| Pelvic ultrasound complete | CPT 76856 | $96.11 |
| Scrotal ultrasound | CPT 76870 | $132.37 |
| EKG tracing only | CPT 93005 | $31.3 |
| EKG interpretation only | CPT 93010 | $8.87 |
| Initial hospital care, low complexity | CPT 99221 | $85.61 |
| Initial hospital care, moderate complexity | CPT 99222 | $106.89 |
| Initial hospital care, high complexity | CPT 99223 | $157.41 |
| Hospital discharge, <30 min | CPT 99238 | $57.34 |
| Basic metabolic panel (BMP) | CPT 80048 | $12.33 |
| Electrolyte panel | CPT 80051 | $10.02 |
| Comprehensive metabolic panel | CPT 80053 | $15.4 |
| Lipid panel | CPT 80061 | $19.57 |
| Renal function panel | CPT 80069 | $12.33 |
| Hepatic function panel | CPT 80076 | $11.93 |
| Urinalysis automated | CPT 81003 | $2.81 |
| Glucose quantitative | CPT 82947 | $5.73 |
| Hemoglobin A1c | CPT 83036 | $13.85 |
| Thyroid stimulating hormone (TSH) | CPT 84443 | $24.25 |
| Complete blood count with automated differential | CPT 85025 | $9.71 |
| Complete blood count without differential | CPT 85027 | $9.23 |
| Urine culture identification | CPT 87088 | $11.54 |
| Tissue exam by pathologist level IV | CPT 88305 | $57.11 |
| Office visit, new patient, 15-29 min | CPT 99202 | $75.25 |
| Office visit, new patient, 30-44 minutes | CPT 99203 | $151.7 |
| Office visit, new patient, 45-59 min | CPT 99204 | $245.93 |
| Office visit, new patient, 60-74 min | CPT 99205 | $226.98 |
| Office visit, established patient, 5 min | CPT 99211 | $13.43 |
| Office visit, established patient, 10-19 min | CPT 99212 | $54.11 |
| Office visit, established patient, 20-29 minutes | CPT 99213 | $101.71 |
| Office visit, established patient, 30-39 minutes | CPT 99214 | $177.41 |
| Office visit, established patient, 40-54 min | CPT 99215 | $180.25 |
