| Occupational therapy (therapeutic activities) CPT Code: 97530 | $63 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $28 | — | — | — |
| Drug screening test HCPCS Code: G0480 | $72 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $139 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $525 | — | — | — |
| X-ray, foot CPT Code: 73630 | $116 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $38 | — | — | — |
| X-ray, hip CPT Code: 73502 | $72 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $118 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $65 | — | — | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $185 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $36 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $246 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $53 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $109 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $250 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $62 | — | — | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $117 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $30 | — | — | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $154 | — | — | — |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $218 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $56 | — | — | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $126 | — | — | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $173 | — | — | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $143 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $114 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $78 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $66 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $63 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $147 | — | — | — |
| Family therapy session CPT Code: 90847 | $126 | — | — | — |
| Prosthetic fitting and training CPT Code: 97761 | $57 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $83 | — | — | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $43 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $20 | — | — | — |
| Breast lump removal CPT Code: 19120 | $838 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $29 | — | — | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $190 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $208 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $81 | — | — | — |
| X-ray, hand CPT Code: 73130 | $119 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $114 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $44 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $75 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $64 | — | — | — |
| Culture, blood CPT Code: 87040 | $91 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $46 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $44 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $136 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $121 | — | — | — |
| Blood antibody screen CPT Code: 86850 | $66 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $30 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $187 | — | — | — |
| Upper endoscopy with biopsy CPT Code: 43239 | $945 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $79 | — | — | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $45 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $146 | — | — | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $143 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $84 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $38 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $42 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $126 | — | — | — |
| Flu vaccine injection HCPCS Code: G0008 | $6 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $422 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $33 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $31 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $93 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $224 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $39 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $94 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $136 | — | — | — |
| Group therapy session CPT Code: 90853 | $34 | — | — | — |