| Percutaneous coronary stent single vessel CPT 92928 • Cardiology | $573 | $573 | $573 |
| Electrocardiogram (ECG) 12-lead CPT 93000 • Cardiology | $14 | $14 | $14 |
| Cardiovascular stress test CPT 93015 • Cardiology | $69 | $69 | $69 |
| Holter monitor up to 48 hours CPT 93224 • Cardiology | $72 | $72 | $72 |
| Echocardiography transthoracic limited CPT 93303 • Cardiology | $63 | $63 | $63 |
| Echocardiography transthoracic complete CPT 93306 • Cardiology | $69 | $69 | $69 |
| Echocardiography transesophageal CPT 93312 • Cardiology | $30 | $30 | $30 |
| Stress echocardiography CPT 93350 • Cardiology | $30 | $30 | $30 |
| Left heart catheterization CPT 93458 • Cardiology | $1,041 | $1,041 | $1,041 |
| Left heart catheterization with ventriculography CPT 93459 • Cardiology | $795 | $795 | $795 |
| Duplex scan extracranial arteries CPT 93880 • Cardiology | $38 | $38 | $38 |
| Non-invasive physiologic study extremity arteries CPT 93922 • Cardiology | $79 | $79 | $79 |
| Duplex scan lower extremity arteries CPT 93925 • Cardiology | $236 | $236 | $236 |
| Duplex scan extremity veins complete CPT 93970 • Cardiology | $183 | $183 | $183 |
| Auto-added CPT 32557 • General | $901 | $901 | $901 |
| Auto-added CPT 93016 • General | $21 | $21 | $21 |
| Auto-added CPT 93018 • General | $14 | $14 | $14 |
| Auto-added CPT 93308 • General | $30 | $30 | $30 |
| Auto-added CPT 93351 • General | $228 | $228 | $228 |
| Auto-added CPT 95806 • General | $38 | $38 | $38 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $30 | $30 | $30 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $323 | $323 | $323 |
| Venipuncture (routine blood draw) CPT 36415 • Lab | $2 | $2 | $2 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $53 | $53 | $53 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $30 | $30 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $30 | $30 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $30 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $30 | $30 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $30 | $30 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $30 | $30 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $30 | $30 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $30 | $30 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $30 | $30 | $30 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $30 | $30 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $130 | $130 | $130 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $130 | $130 | $130 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $130 | $130 | $130 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,307 | $1,307 | $1,307 |