| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $249.80 | $114.44 | 2.2x | 0.91x |
| X-ray of chest, 1 view | $53.51 | $8.64 | 6.2x | 1.02x |
| X-ray of chest, 2 views | $84.07 | $14.26 | 5.9x | 1.17x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $241.29 | $78.79 | 3.1x | 1.19x |
| Therapy procedure using functional activities | $103.24 | $30.93 | 3.3x | 1.38x |
| Emergency department visit with high level of medical decision making | $1,217.62 | $175.95 | 6.9x | 0.99x |
| Screening 3d breast mammography | $165.51 | $41.06 | 4.0x | 1.20x |
| Screening mammography | $329.38 | $81.98 | 4.0x | 1.33x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $194.38 | $87.61 | 2.2x | 0.92x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $170.62 | $79.75 | 2.1x | 0.91x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $65.83 | $7.81 | 8.4x | 1.47x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $76.38 | $21.23 | 3.6x | 1.10x |
| Ct scan head or brain without contrast | $183.21 | $41.36 | 4.4x | 0.74x |
| Pathology examination of tissue using a microscope, intermediate complexity | $202.04 | $51.74 | 3.9x | 1.09x |
| Ct scan of abdomen and pelvis with contrast | $446.07 | $110.50 | 4.0x | 0.72x |
| Emergency department visit with moderate level of medical decision making | $788.94 | $123.43 | 6.4x | 1.00x |
| 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 | $35.18 | $15.70 | 2.2x | 0.81x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $319.56 | $125.17 | 2.6x | 0.98x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $210.35 | $115.39 | 1.8x | 0.76x |
| Critical care, first 30-74 minutes | $1,315.07 | $217.80 | 6.0x | 1.25x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $75.25 | $26.68 | 2.8x | 1.04x |
| Ct scan of chest without contrast | $362.41 | $78.67 | 4.6x | 0.87x |
| Therapy procedure using manual technique, each 15 minutes | $74.91 | $20.33 | 3.7x | 1.10x |
| Detection test by immunoassay with direct visual observation for influenza virus | $42.98 | $16.22 | 2.6x | 0.98x |
| Psychotherapy, 1 hour | $167.22 | $110.43 | 1.5x | 0.80x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $735.53 | $171.58 | 4.3x | 1.29x |
| Ultrasound scan of head and neck soft tissue | $390.30 | $60.56 | 6.4x | 1.62x |
| Dxa bone density measurement of hip, pelvis, spine | $271.77 | $40.99 | 6.6x | 1.74x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $239.42 | $96.86 | 2.5x | 0.90x |
| X-ray of abdomen, 1 view | $39.18 | $11.63 | 3.4x | 0.71x |
| Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | $168.83 | $38.91 | 4.3x | 1.10x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $137.49 | $60.33 | 2.3x | 0.89x |
| Ct scan of abdomen and pelvis without contrast | $494.97 | $97.25 | 5.1x | 0.89x |
| X-ray of hip, 2-3 views | $71.72 | $20.67 | 3.5x | 0.71x |
| X-ray of shoulder, minimum of 2 views | $56.21 | $16.31 | 3.4x | 0.62x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $400.87 | $151.97 | 2.6x | 0.98x |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $280.85 | $128.32 | 2.2x | 0.96x |
| Insertion of needle into vein for collection of blood sample | $15.76 | $8.51 | 1.9x | 0.72x |
| Ct scan of blood vessels of chest with contrast | $416.77 | $96.45 | 4.3x | 0.78x |
| Psychotherapy, 30 minutes | $131.95 | $58.83 | 2.2x | 1.01x |