| Tissue exam by pathologist level IV | CPT | 88305 | 30 | $318.92 |
| Urine culture bacterial | CPT | 87086 | 30 | $128.58 |
| MRI brain with and without contrast | CPT | 70553 | 30 | $2,685.77 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 30 | $160.66 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 30 | $212.86 |
| Lipid panel | CPT | 80061 | 30 | $105.98 |
| Complete blood count with automated differential | CPT | 85025 | 30 | $103.35 |
| Office visit, established patient, 5 min | CPT | 99211 | 30 | $109.31 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 30 | $130.71 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 30 | $260.73 |
| ED visit level 1 | CPT | 99281 | 30 | $288.48 |
| ED visit level 2 | CPT | 99282 | 30 | $478.19 |
| ED visit level 3 | CPT | 99283 | 30 | $809.41 |
| ED visit level 4 | CPT | 99284 | 30 | $1,219.18 |
| ED visit level 5 | CPT | 99285 | 30 | $3,410.29 |
| Critical care, first hour | CPT | 99291 | 30 | $2,703.09 |
| Abdominal ultrasound limited | CPT | 76705 | 30 | $807.32 |
| Transvaginal ultrasound | CPT | 76830 | 30 | $952.57 |
| Pelvic ultrasound complete | CPT | 76856 | 30 | $929.18 |
| Chest X-ray 2 views | CPT | 71046 | 30 | $377.66 |
| EKG tracing only | CPT | 93005 | 30 | $300.97 |
| Renal function panel | CPT | 80069 | 30 | $206.9 |
| Hepatic function panel | CPT | 80076 | 30 | $154.48 |
| Urinalysis automated | CPT | 81003 | 30 | $60.69 |
| Glucose quantitative | CPT | 82947 | 30 | $44.59 |
| Hemoglobin A1c | CPT | 83036 | 30 | $119.81 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 30 | $162.36 |
| Complete blood count without differential | CPT | 85027 | 30 | $95.63 |
| Colonoscopy with polyp removal | CPT | 45385 | 29 | $2,539.17 |
| Transthoracic echocardiogram complete | CPT | 93306 | 29 | $2,175.06 |