| Ground mileage, per statute mile | $24.30 | $9.92 | 2.5x | 0.92x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $199.31 | $102.63 | 1.9x | 0.73x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $55.47 | $20.97 | 2.6x | 0.80x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $134.84 | $74.31 | 1.8x | 0.72x |
| Insertion of needle into vein for collection of blood sample | $15.76 | $8.46 | 1.9x | 0.72x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $139.82 | $70.74 | 2.0x | 0.69x |
| Therapy procedure using functional activities | $63.75 | $28.29 | 2.3x | 0.86x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $27.29 | $7.57 | 3.6x | 0.74x |
| 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 | $33.50 | $14.63 | 2.3x | 0.77x |
| Pathology examination of tissue using a microscope, intermediate complexity | $109.46 | $43.56 | 2.5x | 0.59x |
| Destruction of precancer skin growth, 2-14 growths | $15.13 | $5.30 | 2.9x | 0.69x |
| 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 | $1.24 | $1.06 | 1.2x | 0.72x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $58.59 | $24.48 | 2.4x | 0.81x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $31.08 | $7.38 | 4.2x | 0.69x |
| Detection test by nucleic acid for organism, amplified probe technique | $67.42 | $34.36 | 2.0x | 1.06x |
| Blood test, comprehensive group of blood chemicals | $45.01 | $10.30 | 4.4x | 0.73x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $220.85 | $106.76 | 2.1x | 0.68x |
| Therapy procedure using manual technique, each 15 minutes | $53.11 | $18.97 | 2.8x | 0.78x |
| X-ray of chest, 1 view | $31.82 | $7.95 | 4.0x | 0.61x |
| Rotary wing air mileage, per statute mile | $353.12 | $39.02 | 9.0x | 0.99x |
| Injection of drug or substance under skin or into muscle | $47.45 | $12.13 | 3.9x | 0.86x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $58.80 | $36.18 | 1.6x | 0.97x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $305.38 | $140.64 | 2.2x | 0.75x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $205.34 | $94.47 | 2.2x | 0.74x |
| Administration of influenza virus vaccine | $48.83 | $26.40 | 1.8x | 1.20x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $395.60 | $156.15 | 2.5x | 0.70x |
| Detection test for candida species (yeast), amplified probe technique | $64.05 | $34.33 | 1.9x | 1.06x |
| Automated urinalysis test | $10.46 | $2.19 | 4.8x | 0.69x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $37.22 | $8.01 | 4.6x | 0.96x |
| X-ray of chest, 2 views | $45.37 | $15.45 | 2.9x | 0.63x |
| Test for allergy using allergenic extract | $12.05 | $2.98 | 4.0x | 0.91x |
| Established patient complete exam of visual system | $195.61 | $110.96 | 1.8x | 0.86x |
| Emergency department visit with high level of medical decision making | $1,319.78 | $158.62 | 8.3x | 1.07x |
| Special stained specimen slides to examine tissue including interpretation and report | $56.60 | $25.60 | 2.2x | 0.44x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $192.99 | $92.19 | 2.1x | 0.73x |
| Blood test, lipids (cholesterol and triglycerides) | $60.89 | $13.06 | 4.7x | 0.63x |
| Hemoglobin a1c level | $34.15 | $9.44 | 3.6x | 0.59x |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $360.78 | $79.89 | 4.5x | 0.76x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $178.63 | $86.97 | 2.1x | 0.85x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $300.37 | $145.59 | 2.1x | 0.74x |