| Psychotherapy 60 minutes | CPT | 90837 | 5 | $139.78 |
| Hospital discharge, >30 min | CPT | 99239 | 5 | $104.61 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 5 | $78.73 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 5 | $111.15 |
| Initial hospital care, low complexity | CPT | 99221 | 5 | $75.05 |
| Initial hospital care, high complexity | CPT | 99223 | 5 | $155.82 |
| Hospital discharge, <30 min | CPT | 99238 | 5 | $73.46 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 5 | $153.74 |
| Psychiatric eval with medical services | CPT | 90792 | 5 | $172.27 |
| Psychotherapy 30 minutes | CPT | 90832 | 5 | $71.62 |
| Psychotherapy 45 minutes | CPT | 90834 | 5 | $79.69 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $5,606.47 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $3,033.88 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $2,721.02 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $4,432.88 |
| COPD w CC | MS-DRG | 191 | 4 | $3,580.04 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $3,113.98 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $22,212 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $943.64 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $10,415 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | $147.48 |
| Total hip replacement | CPT | 27130 | 4 | $1,105.8 |
| Total knee replacement | CPT | 27447 | 4 | $1,104.47 |
| Hip hemiarthroplasty | CPT | 27125 | 4 | $975.49 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | $1,209.12 |
| Knee revision arthroplasty all components | CPT | 27487 | 4 | $1,506.65 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $2,036.88 |
| ACL reconstruction | CPT | 29888 | 4 | $2,498.19 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $3,585.33 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $2,808.47 |
