| Basic metabolic panelCPT 80048 | $173 | $8 | 2045% | — | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,578 | $356 | 1004% | — | 16 |
| Cardiac stress testCPT 93017 | $1,064 | $221 | 482% | — | 16 |
| Cataract surgery with IOL insertionCPT 66984 | $4,218 | $2,358 | 179% | — | 16 |
| Colonoscopy with polyp removalCPT 45385 | $553 | $1,223 | 45% | — | 15 |
| Complete blood count with differentialCPT 85025 | $87 | $8 | 1119% | — | 16 |
| Complete blood count, automatedCPT 85027 | $68 | $6 | 1044% | — | 16 |
| Comprehensive metabolic panelCPT 80053 | $216 | $11 | 2041% | — | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $247 | — | — | — | 16 |
| Diagnostic mammography, one breastCPT 77065 | $197 | — | — | — | 16 |
| ED visit, level 3CPT 99283 | $899 | $279 | 322% | — | 16 |
| ED visit, level 4CPT 99284 | $1,471 | $426 | 345% | — | 16 |
| ED visit, level 5CPT 99285 | $2,375 | $608 | 390% | — | 16 |
| Kidney function panelCPT 80069 | $181 | $9 | 2089% | — | 16 |
| Lipid panelCPT 80061 | $170 | $13 | 1271% | — | 16 |
| Liver function panelCPT 80076 | $171 | $8 | 2094% | — | 16 |
| Lumbar epidural steroid injectionCPT 62323 | $1,916 | $721 | 266% | — | 16 |
| MRI brain with and without contrastCPT 70553 | $6,168 | $356 | 1730% | — | 16 |
| Office visit, established patient, level 3CPT 99213 | $158 | — | — | — | 15 |
| Office visit, established patient, level 4CPT 99214 | $243 | — | — | — | 16 |
| Office visit, new patient, level 3CPT 99203 | $239 | — | — | — | 15 |
| Office visit, new patient, level 4CPT 99204 | $344 | — | — | — | 15 |
| Office visit, new patient, level 5CPT 99205 | $410 | — | — | — | 15 |
| PSA (prostate specific antigen), totalCPT 84153 | $171 | $18 | 931% | — | 16 |
| Partial thromboplastin timeCPT 85730 | $80 | $6 | 1324% | — | 16 |
| Physical therapy, therapeutic exerciseCPT 97110 | $83 | — | — | — | 16 |
| Prothrombin timeCPT 85610 | $54 | $4 | 1251% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $209 | — | — | — | 16 |
| Sleep study (polysomnography)CPT 95810 | $2,946 | $877 | 336% | — | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $142 | $17 | 848% | — | 16 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $875 | $6,048 | 14% | — | 16 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,845 | $904 | 204% | — | 16 |
| Urinalysis, automated, with microscopyCPT 81001 | $67 | $3 | 2101% | — | 16 |
| Urinalysis, automated, without microscopyCPT 81003 | $32 | $2 | 1400% | — | 16 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,536 | $562 | 273% | — | 16 |