| Basic metabolic panelCPT 80048 | $112 | $8 | 1324% | — | 10 |
| COPD with MCCMS-DRG 190 | $10,596 | $7,377 | 144% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,513 | $356 | 705% | — | 10 |
| CT head without contrastCPT 70450 | $2,513 | $107 | 2353% | — | 10 |
| CT pelvis with contrastCPT 72193 | $2,513 | $179 | 1403% | — | 10 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,868 | $3,269 | 149% | — | 1 |
| Cardiac stress testCPT 93017 | $1,018 | $221 | 461% | — | 10 |
| Cellulitis, no MCCMS-DRG 603 | $7,409 | $5,675 | 131% | — | 1 |
| Complete blood count with differentialCPT 85025 | $19 | $8 | 239% | — | 10 |
| Complete blood count, automatedCPT 85027 | $86 | $6 | 1337% | — | 10 |
| Comprehensive metabolic panelCPT 80053 | $191 | $11 | 1808% | — | 10 |
| Diagnostic mammography, both breastsCPT 77066 | $685 | — | — | — | 10 |
| Diagnostic mammography, one breastCPT 77065 | $549 | — | — | — | 10 |
| ED visit, level 3CPT 99283 | $763 | $279 | 274% | — | 10 |
| ED visit, level 4CPT 99284 | $1,276 | $426 | 299% | — | 10 |
| ED visit, level 5CPT 99285 | $1,789 | $608 | 294% | — | 10 |
| Echocardiogram, completeCPT 93306 | $1,519 | $558 | 272% | — | 10 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,168 | $904 | 129% | — | 10 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $6,627 | $4,899 | 135% | — | 1 |
| Excision of breast lesionCPT 19120 | $3,562 | $4,000 | 89% | — | 10 |
| Family psychotherapy, with patientCPT 90847 | $243 | $181 | 134% | — | 10 |
| Family psychotherapy, without patientCPT 90846 | $160 | $181 | 88% | — | 9 |
| Heart failure and shock, with CCMS-DRG 292 | $6,642 | $5,927 | 112% | — | 1 |
| Heart failure with MCCMS-DRG 291 | $12,804 | $8,962 | 143% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $6,930 | $5,238 | 132% | — | 1 |
| Kidney function panelCPT 80069 | $72 | $9 | 828% | — | 10 |
| Left heart catheterization, diagnosticCPT 93452 | $15,164 | $3,312 | 458% | — | 10 |
| Lipid panelCPT 80061 | $168 | $13 | 1254% | — | 10 |
| Liver function panelCPT 80076 | $133 | $8 | 1625% | — | 10 |
| Lumbar epidural steroid injectionCPT 62323 | $1,484 | $721 | 206% | — | 10 |
| MRI brain with and without contrastCPT 70553 | $5,262 | $356 | 1476% | — | 10 |
| MRI lower extremity joint (knee)CPT 73721 | $3,643 | $244 | 1494% | — | 10 |
| MRI lumbar spine without contrastCPT 72148 | $2,457 | $244 | 1008% | — | 10 |
| Medical back problems, no MCCMS-DRG 552 | $5,972 | $6,142 | 97% | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $320 | $107 | 299% | — | 10 |
| Obstetric blood test panelCPT 80055 | $232 | $48 | 486% | — | 10 |
| Office consultation, comprehensiveCPT 99244 | $326 | — | — | — | 9 |
| Office consultation, moderateCPT 99243 | $233 | — | — | — | 9 |
| Office visit, established patient, level 3CPT 99213 | $154 | — | — | — | 10 |
| Office visit, established patient, level 4CPT 99214 | $181 | — | — | — | 10 |
| Office visit, new patient, level 3CPT 99203 | $145 | — | — | — | 10 |
| Office visit, new patient, level 4CPT 99204 | $212 | — | — | — | 10 |
| Office visit, new patient, level 5CPT 99205 | $332 | — | — | — | 10 |
| PSA (prostate specific antigen), totalCPT 84153 | $168 | $18 | 912% | — | 10 |
| Partial thromboplastin timeCPT 85730 | $23 | $6 | 381% | — | 10 |
| Physical therapy, therapeutic exerciseCPT 97110 | $118 | — | — | — | 10 |
| Prothrombin timeCPT 85610 | $15 | $4 | 355% | — | 10 |
| Psychotherapy, 30 minutesCPT 90832 | $209 | $181 | 115% | — | 10 |
| Psychotherapy, 45 minutesCPT 90834 | $219 | $181 | 121% | — | 10 |
| Psychotherapy, 60 minutesCPT 90837 | $241 | $181 | 133% | — | 10 |
| Renal failure, with CCMS-DRG 683 | $9,571 | $5,892 | 162% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $311 | — | — | — | 10 |
| Sepsis with MCCMS-DRG 871 | $15,888 | $13,837 | 115% | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $8,604 | $5,177 | 166% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $8,749 | $3,679 | 238% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $10,737 | $6,559 | 164% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $98 | $17 | 583% | — | 10 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,912 | $904 | 212% | — | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $1,565 | $107 | 1465% | — | 10 |
| Ultrasound, transvaginalCPT 76830 | $521 | $107 | 488% | — | 10 |
| Urinalysis, automated, with microscopyCPT 81001 | $43 | $3 | 1364% | — | 10 |
| Urinalysis, automated, without microscopyCPT 81003 | $33 | $2 | 1468% | — | 10 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 284% | — | 10 |
| X-ray, lower back, 4+ viewsCPT 72110 | $942 | $107 | 882% | — | 10 |