| Diagnostic mammography unilateral | CPT | 77065 | 12 | $606.78 |
| Transthoracic echocardiogram complete | CPT | 93306 | 12 | $2,595.95 |
| Screening mammography bilateral | CPT | 77067 | 12 | $586.82 |
| EKG tracing only | CPT | 93005 | 12 | $473.55 |
| General health panel | CPT | 80050 | 12 | $1,026.95 |
| Tissue exam by pathologist level IV | CPT | 88305 | 12 | $645.84 |
| ED visit level 5 | CPT | 99285 | 11 | $3,344.59 |
| ED visit level 4 | CPT | 99284 | 11 | $2,416.08 |
| Colonoscopy with polyp removal | CPT | 45385 | 10 | $5,666.68 |
| Colonoscopy diagnostic | CPT | 45378 | 10 | $5,354.78 |
| Diagnostic mammography bilateral | CPT | 77066 | 10 | $702.99 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 10 | $4,269.68 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 10 | $4,715.98 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 10 | $2,292.01 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 10 | $2,729.3 |
| Colonoscopy with biopsy | CPT | 45380 | 10 | $5,975.48 |
| CT cervical spine without contrast | CPT | 72125 | 9 | $4,022.89 |
| MRI brain with and without contrast | CPT | 70553 | 9 | $5,221 |
| MRI lumbar spine without contrast | CPT | 72148 | 9 | $4,319.33 |
| MRI brain with contrast | CPT | 70552 | 9 | $4,779.56 |
| MRI cervical spine without contrast | CPT | 72141 | 9 | $4,366.22 |
| MRI thoracic spine without contrast | CPT | 72146 | 9 | $4,426.22 |
| MRI cervical spine with and without contrast | CPT | 72156 | 9 | $6,003.78 |
| CT head with contrast | CPT | 70460 | 9 | $3,439.11 |
| CT head with and without contrast | CPT | 70470 | 9 | $4,640.44 |
| CT neck with contrast | CPT | 70491 | 9 | $3,665.89 |
| MRI brain without contrast | CPT | 70551 | 9 | $4,065.78 |
| CT thoracic spine without contrast | CPT | 72128 | 9 | $3,781.78 |
| CT lumbar spine without contrast | CPT | 72131 | 9 | $3,694 |
| Lumbosacral spine X-ray | CPT | 72100 | 9 | $1,043.78 |