| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $323.15 | $130.24 | 2.5x | 1.18x |
| Ground mileage, per statute mile | $55.44 | $9.14 | 6.1x | 2.10x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $207.98 | $92.92 | 2.2x | 1.10x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $60.32 | $24.54 | 2.5x | 0.87x |
| Therapy procedure using functional activities | $66.11 | $34.15 | 1.9x | 0.89x |
| Insertion of needle into vein for collection of blood sample | $25.22 | $8.56 | 2.9x | 1.16x |
| Therapy procedure using manual technique, each 15 minutes | $60.32 | $21.82 | 2.8x | 0.89x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $62.43 | $28.99 | 2.2x | 0.86x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $350.90 | $120.81 | 2.9x | 1.08x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $218.76 | $79.75 | 2.7x | 1.08x |
| 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 | $1.50 | $1.12 | 1.3x | 0.86x |
| Blood test, comprehensive group of blood chemicals | $65.96 | $10.34 | 6.4x | 1.07x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $39.24 | $7.60 | 5.2x | 1.06x |
| Destruction of precancer skin growth, 2-14 growths | $19.15 | $7.30 | 2.6x | 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 | $54.47 | $17.06 | 3.2x | 1.25x |
| Detection test by nucleic acid for organism, amplified probe technique | $50.25 | $34.38 | 1.5x | 0.79x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $483.38 | $180.69 | 2.7x | 1.19x |
| Pathology examination of tissue using a microscope, intermediate complexity | $183.72 | $55.60 | 3.3x | 0.99x |
| Blood test, lipids (cholesterol and triglycerides) | $107.13 | $13.11 | 8.2x | 1.12x |
| Hemoglobin a1c level | $63.00 | $9.49 | 6.6x | 1.09x |
| Blood test, thyroid stimulating hormone (tsh) | $102.72 | $16.45 | 6.2x | 1.07x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $217.95 | $106.25 | 2.1x | 1.03x |
| X-ray of chest, 1 view | $60.48 | $9.21 | 6.6x | 1.16x |
| Test for allergy using allergenic extract | $11.45 | $3.97 | 2.9x | 0.87x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $466.54 | $171.06 | 2.7x | 1.14x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $50.55 | $8.41 | 6.0x | 1.13x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $153.71 | $73.28 | 2.1x | 1.00x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $614.22 | $176.57 | 3.5x | 1.08x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $70.73 | $15.34 | 4.6x | 1.02x |
| Administration of influenza virus vaccine | $41.89 | $31.68 | 1.3x | 1.03x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $62.72 | $41.30 | 1.5x | 1.03x |
| Imaging of retina | $128.26 | $43.40 | 3.0x | 1.03x |
| Established patient complete exam of visual system | $248.95 | $138.40 | 1.8x | 1.10x |
| Emergency department visit with high level of medical decision making | $1,149.33 | $175.08 | 6.6x | 0.93x |
| Critical care, first 30-74 minutes | $1,017.00 | $215.97 | 4.7x | 0.97x |
| Manual urinalysis test with examination using microscope, automated | $34.51 | $3.11 | 11.1x | 1.08x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $32.25 | $9.20 | 3.5x | 0.83x |
| Psychotherapy, 1 hour | $223.86 | $141.67 | 1.6x | 1.07x |
| Admn sarscov2 vacc 1 dose | $52.77 | $41.49 | 1.3x | 1.05x |
| Vitamin d-3 level | $193.67 | $28.99 | 6.7x | 1.05x |