| Tissue exam by pathologist level IV | CPT | 88305 | 3 | $49.42 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 3 | $56.77 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 3 | $16.8 |
| Complete blood count without differential | CPT | 85027 | 3 | $6.47 |
| Urine culture identification | CPT | 87088 | 3 | $8.09 |
| Comprehensive metabolic panel | CPT | 80053 | 3 | $10.56 |
| Complete blood count with automated differential | CPT | 85025 | 3 | $7.77 |
| Office visit, new patient, 15-29 min | CPT | 99202 | 3 | $32.87 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 3 | $56.77 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 3 | $56.77 |
| Office visit, established patient, 5 min | CPT | 99211 | 3 | $32.87 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 3 | $32.87 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 3 | $56.77 |
| Basic metabolic panel (BMP) | CPT | 80048 | 3 | $8.46 |
| General health panel | CPT | 80050 | 3 | $45.54 |
| Electrolyte panel | CPT | 80051 | 3 | $7.01 |
| Hepatic function panel | CPT | 80076 | 3 | $8.17 |
| Urinalysis non-automated | CPT | 81002 | 3 | $3.28 |
| Urinalysis automated | CPT | 81003 | 3 | $2.25 |
| Glucose quantitative | CPT | 82947 | 3 | $3.93 |
| Hemoglobin A1c | CPT | 83036 | 3 | $9.71 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 2 | $37.83 |
| Urine culture bacterial | CPT | 87086 | 2 | $8.07 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 2 | $37.83 |
