| behavioral |
| Psychiatric diagnostic evaluation | CPT | 90791 | 0 | $81.75 | $80.12 | — | — | — |
| Psychotherapy 30 minutes | CPT | 90832 | 0 | $163.5 | $160.23 | — | — | — |
| Psychotherapy 45 minutes | CPT | 90834 | 0 | $245.24 | $240.34 | — | — | — |
| Psychotherapy 60 minutes | CPT | 90837 | 0 | $326.99 | $320.45 | — | — | — |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 0 | $326.99 | $320.45 | — | — | — |
| imaging |
| MRI brain without contrast | CPT | 70551 | 0 | $710.26 | $696.05 | — | — | — |
| Chest X-ray single view | CPT | 71045 | 0 | $167.12 | $163.78 | — | — | — |
| Chest X-ray 2 views | CPT | 71046 | 0 | $208.9 | $204.72 | — | — | — |
| Lumbosacral spine X-ray | CPT | 72100 | 0 | $292.46 | $286.61 | — | — | — |
| Shoulder X-ray | CPT | 73030 | 0 | $208.9 | $204.72 | — | — | — |
| Humerus X-ray | CPT | 73060 | 0 | $250.68 | $245.67 | — | — | — |
| Hand X-ray 3 views | CPT | 73130 | 0 | $250.68 | $245.67 | — | — | — |
| Knee X-ray 1-2 views | CPT | 73560 | 0 | $250.68 | $245.67 | — | — | — |
| Ankle X-ray 3 views | CPT | 73610 | 0 | $250.68 | $245.67 | — | — | — |
| Abdominal ultrasound complete | CPT | 76700 | 0 | $960.94 | $941.72 | — | — | — |
| Abdominal ultrasound limited | CPT | 76705 | 0 | $752.04 | $737 | — | — | — |
| Retroperitoneal ultrasound complete | CPT | 76770 | 0 | $919.16 | $900.78 | — | — | — |
| Transvaginal ultrasound | CPT | 76830 | 0 | $1,044.5 | $1,023.61 | — | — | — |
| Pelvic ultrasound complete | CPT | 76856 | 0 | $877.38 | $859.83 | — | — | — |
| Scrotal ultrasound | CPT | 76870 | 0 | $417.8 | $409.44 | — | — | — |
| EKG tracing only | CPT | 93005 | 0 | $225.24 | $220.74 | — | — | — |
| Transthoracic echocardiogram complete | CPT | 93306 | 0 | $1,126.2 | $1,103.68 | — | — | — |
| Transthoracic echocardiogram | CPT | 93307 | 0 | $844.65 | $827.76 | — | — | — |
| Stress echocardiogram | CPT | 93350 | 0 | $1,126.2 | $1,103.68 | — | — | — |
| lab |
| Basic metabolic panel (BMP) | CPT | 80048 | 0 | $56.55 | $55.42 | — | — | — |
| Electrolyte panel | CPT | 80051 | 0 | $30.16 | $29.56 | — | — | — |
| Comprehensive metabolic panel | CPT | 80053 | 0 | $56.55 | $55.42 | — | — | — |
| Lipid panel | CPT | 80061 | 0 | $71.63 | $70.2 | — | — | — |
| Renal function panel | CPT | 80069 | 0 | $45.24 | $44.34 | — | — | — |
| Hepatic function panel | CPT | 80076 | 0 | $41.47 | $40.64 | — | — | — |
| Urinalysis automated | CPT | 81003 | 0 | $15.08 | $14.78 | — | — | — |
| Hemoglobin A1c | CPT | 83036 | 0 | $75.4 | $73.89 | — | — | — |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 0 | $56.55 | $55.42 | — | — | — |
| Complete blood count with automated differential | CPT | 85025 | 0 | $37.7 | $36.95 | — | — | — |
| Urine culture identification | CPT | 87088 | 0 | $37.7 | $36.95 | — | — | — |
| office |
| Office visit, new patient, 15-29 min | CPT | 99202 | 0 | $68.31 | $66.94 | — | — | — |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 0 | $233.5 | $228.83 | — | — | — |
| Office visit, new patient, 45-59 min | CPT | 99204 | 0 | $113.85 | $111.57 | — | — | — |
| Office visit, new patient, 60-74 min | CPT | 99205 | 0 | $136.62 | $133.89 | — | — | — |
| Office visit, established patient, 5 min | CPT | 99211 | 0 | $45.54 | $44.63 | — | — | — |
| Office visit, established patient, 10-19 min | CPT | 99212 | 0 | $68.31 | $66.94 | — | — | — |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 0 | $91.08 | $89.26 | — | — | — |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 0 | $113.85 | $111.57 | — | — | — |
| Office visit, established patient, 40-54 min | CPT | 99215 | 0 | $136.62 | $133.89 | — | — | — |
