| Basic metabolic panelCPT 80048 | $3,858 | $8 | 45598% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $278 | $369 | 75% | — | 1 |
| CT head without contrastCPT 70450 | $86 | $111 | 78% | — | 1 |
| CT pelvis with contrastCPT 72193 | $222 | $186 | 119% | — | 1 |
| Cardiac stress testCPT 93017 | $50 | $228 | 22% | — | 1 |
| Cataract surgery with IOL insertionCPT 66984 | $615 | $2,442 | 25% | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $236 | $1,266 | 19% | — | 1 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $301 | $1,266 | 24% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $297 | $1,266 | 23% | — | 1 |
| Colonoscopy, diagnosticCPT 45378 | $164 | $984 | 17% | — | 1 |
| Complete blood count with differentialCPT 85025 | $1,173 | $8 | 15096% | — | 1 |
| Complete blood count, automatedCPT 85027 | $3,933 | $6 | 60782% | — | 1 |
| Comprehensive metabolic panelCPT 80053 | $8,375 | $11 | 79307% | — | 1 |
| Diagnostic mammography, both breastsCPT 77066 | $142 | — | — | — | 1 |
| Diagnostic mammography, one breastCPT 77065 | $111 | — | — | — | 1 |
| ED visit, level 3CPT 99283 | $93 | $289 | 32% | — | 1 |
| ED visit, level 4CPT 99284 | $158 | $441 | 36% | — | 1 |
| ED visit, level 5CPT 99285 | $229 | $630 | 36% | — | 1 |
| Echocardiogram, completeCPT 93306 | $166 | $578 | 29% | — | 1 |
| Electrocardiogram with interpretationCPT 93000 | $20 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $99 | $936 | 11% | — | 1 |
| Excision of breast lesionCPT 19120 | $527 | $4,143 | 13% | — | 1 |
| Family psychotherapy, with patientCPT 90847 | $143 | $188 | 76% | — | 1 |
| Family psychotherapy, without patientCPT 90846 | $138 | $188 | 73% | — | 1 |
| Group psychotherapyCPT 90853 | $34 | $107 | 31% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $655 | $3,788 | 17% | — | 1 |
| Kidney function panelCPT 80069 | $79 | $9 | 907% | — | 1 |
| Knee arthroscopy with meniscectomyCPT 29881 | $670 | $3,462 | 19% | — | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $815 | $6,396 | 13% | — | 1 |
| Laparoscopic radical prostatectomyCPT 55866 | $1,436 | $11,246 | 13% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $830 | $3,430 | 24% | — | 1 |
| Lipid panelCPT 80061 | $2,445 | $13 | 18259% | — | 1 |
| Liver function panelCPT 80076 | $1,870 | $8 | 22888% | — | 1 |
| Lumbar epidural steroid injectionCPT 62323 | $119 | $747 | 16% | — | 1 |
| MRI brain with and without contrastCPT 70553 | $272 | $369 | 74% | — | 1 |
| MRI lower extremity joint (knee)CPT 73721 | $182 | $252 | 72% | — | 1 |
| MRI lumbar spine without contrastCPT 72148 | $158 | $252 | 63% | — | 1 |
| OB global care, VBAC deliveryCPT 59610 | $2,973 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $3,158 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $2,844 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $114 | $111 | 103% | — | 1 |
| Obstetric blood test panelCPT 80055 | $3,933 | $48 | 8226% | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $78 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $114 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $96 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $157 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $215 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $182 | $18 | 987% | — | 1 |
| Partial thromboplastin timeCPT 85730 | $89 | $6 | 1487% | — | 1 |
| Physical therapy, therapeutic exerciseCPT 97110 | $39 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $69 | $4 | 1598% | — | 1 |
| Psychotherapy, 30 minutesCPT 90832 | $97 | $188 | 51% | — | 1 |
| Psychotherapy, 45 minutesCPT 90834 | $128 | $188 | 68% | — | 1 |
| Psychotherapy, 60 minutesCPT 90837 | $188 | $188 | 100% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $117 | — | — | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $193 | — | — | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $712 | $909 | 78% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $2,849 | $17 | 16958% | — | 1 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $343 | $6,263 | 5% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $133 | $936 | 14% | — | 1 |
| Ultrasound, abdomen, completeCPT 76700 | $99 | $111 | 89% | — | 1 |
| Ultrasound, transvaginalCPT 76830 | $109 | $111 | 99% | — | 1 |
| Upper GI endoscopy with biopsyCPT 43239 | $164 | $960 | 17% | — | 1 |
| Upper GI endoscopy, diagnosticCPT 43235 | $147 | $960 | 15% | — | 1 |
| Urinalysis, automated, with microscopyCPT 81001 | $44 | $3 | 1378% | — | 1 |
| Urinalysis, automated, without microscopyCPT 81003 | $49 | $2 | 2191% | — | 1 |
| Urinalysis, manual, with microscopyCPT 81000 | $95 | $4 | 2367% | — | 1 |
| Urinalysis, manual, without microscopyCPT 81002 | $75 | $3 | 2153% | — | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $52 | $111 | 47% | — | 1 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $363 | $582 | 62% | — | 1 |