| Tissue exam by pathologist level IV | CPT | 88305 | 29 | $179.03 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 29 | $94.22 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 29 | $125.87 |
| Lipid panel | CPT | 80061 | 29 | $58.79 |
| Complete blood count with automated differential | CPT | 85025 | 29 | $59.26 |
| Office visit, established patient, 5 min | CPT | 99211 | 29 | $61.78 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 29 | $77.13 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 29 | $154.46 |
| ED visit level 1 | CPT | 99281 | 29 | $167.21 |
| ED visit level 2 | CPT | 99282 | 29 | $279.32 |
| ED visit level 3 | CPT | 99283 | 29 | $476.45 |
| ED visit level 4 | CPT | 99284 | 29 | $717.13 |
| ED visit level 5 | CPT | 99285 | 29 | $1,955.43 |
| Critical care, first hour | CPT | 99291 | 29 | $1,643.94 |
| Abdominal ultrasound limited | CPT | 76705 | 29 | $443.23 |
| Transvaginal ultrasound | CPT | 76830 | 29 | $509.14 |
| Pelvic ultrasound complete | CPT | 76856 | 29 | $497.92 |
| Urine culture bacterial | CPT | 87086 | 29 | $71.36 |
| MRI brain with and without contrast | CPT | 70553 | 29 | $1,111.84 |
| Chest X-ray 2 views | CPT | 71046 | 29 | $209.72 |
| EKG tracing only | CPT | 93005 | 29 | $170.37 |
| Renal function panel | CPT | 80069 | 29 | $114.82 |
| Hepatic function panel | CPT | 80076 | 29 | $85.51 |
| Urinalysis automated | CPT | 81003 | 29 | $35.73 |
| Glucose quantitative | CPT | 82947 | 29 | $25.87 |
| Hemoglobin A1c | CPT | 83036 | 29 | $68.36 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 29 | $91.92 |
| Complete blood count without differential | CPT | 85027 | 29 | $53.94 |
| Transthoracic echocardiogram | CPT | 93307 | 28 | $801.07 |
| Stress echocardiogram | CPT | 93350 | 28 | $1,184.79 |
