| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $258.03 | $116.86 | 2.2x | 0.94x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $182.87 | $82.28 | 2.2x | 0.97x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $68.29 | $22.01 | 3.1x | 0.99x |
| Therapy procedure using functional activities | $75.87 | $30.17 | 2.5x | 1.02x |
| Insertion of needle into vein for collection of blood sample | $16.55 | $8.47 | 2.0x | 0.76x |
| Ground mileage, per statute mile | $23.10 | $9.65 | 2.4x | 0.87x |
| Blood test, comprehensive group of blood chemicals | $54.72 | $10.34 | 5.3x | 0.89x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $71.03 | $25.66 | 2.8x | 0.98x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $31.24 | $7.60 | 4.1x | 0.84x |
| Therapy procedure using manual technique, each 15 minutes | $65.78 | $19.93 | 3.3x | 0.97x |
| Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | $1.71 | $1.08 | 1.6x | 0.98x |
| Destruction of precancer skin growth, 2-14 growths | $17.72 | $6.08 | 2.9x | 0.81x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $256.76 | $112.03 | 2.3x | 0.79x |
| Blood test, lipids (cholesterol and triglycerides) | $76.35 | $13.10 | 5.8x | 0.79x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $177.31 | $74.07 | 2.4x | 0.87x |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | $38.04 | $15.33 | 2.5x | 0.87x |
| Blood test, thyroid stimulating hormone (tsh) | $82.10 | $16.45 | 5.0x | 0.86x |
| Pathology examination of tissue using a microscope, intermediate complexity | $161.26 | $53.55 | 3.0x | 0.87x |
| Hemoglobin a1c level | $63.88 | $9.50 | 6.7x | 1.10x |
| Detection test by nucleic acid for organism, amplified probe technique | $47.94 | $34.38 | 1.4x | 0.76x |
| Test for allergy using allergenic extract | $13.14 | $3.34 | 3.9x | 0.99x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $386.28 | $154.20 | 2.5x | 0.95x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $71.63 | $37.73 | 1.9x | 1.18x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $356.33 | $162.24 | 2.2x | 0.88x |
| Professional service for preparation and provision of 1 or more antigens | $26.30 | $13.18 | 2.0x | 0.89x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $43.41 | $13.54 | 3.2x | 0.63x |
| Creatinine level to test for kidney function or muscle injury | $33.38 | $5.07 | 6.6x | 0.73x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $260.42 | $100.40 | 2.6x | 0.98x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $260.66 | $120.50 | 2.2x | 0.94x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $480.73 | $163.15 | 2.9x | 0.85x |
| Measurement of antibody (ige) to allergic substance, crude allergen extract, each | $33.91 | $5.11 | 6.6x | 1.11x |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $106.70 | $57.63 | 1.9x | 0.95x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $189.43 | $94.38 | 2.0x | 0.90x |
| Destruction of precancer skin growth, 1 growth | $145.73 | $47.49 | 3.1x | 0.94x |
| Thyroxine (thyroid chemical), free | $85.11 | $8.83 | 9.6x | 0.98x |
| Vitamin d-3 level | $192.46 | $28.96 | 6.6x | 1.04x |
| X-ray of chest, 1 view | $79.64 | $8.64 | 9.2x | 1.52x |
| Manual urinalysis test with examination using microscope, automated | $32.39 | $3.11 | 10.4x | 1.01x |
| Imaging of retina | $87.67 | $39.12 | 2.2x | 0.71x |
| Administration of influenza virus vaccine | $34.50 | $27.63 | 1.2x | 0.85x |