| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $285.72 | $113.68 | 2.5x | 1.04x |
| Ground mileage, per statute mile | $30.93 | $9.51 | 3.3x | 1.17x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $68.52 | $23.17 | 3.0x | 0.99x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $199.39 | $83.45 | 2.4x | 1.06x |
| Therapy procedure using functional activities | $76.08 | $31.81 | 2.4x | 1.02x |
| Therapy procedure using manual technique, each 15 minutes | $67.41 | $20.66 | 3.3x | 0.99x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $71.97 | $27.26 | 2.6x | 0.99x |
| 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 | $2.99 | $1.11 | 2.7x | 1.72x |
| Destruction of precancer skin growth, 2-14 growths | $17.92 | $6.50 | 2.8x | 0.82x |
| Insertion of needle into vein for collection of blood sample | $21.08 | $8.40 | 2.5x | 0.97x |
| Detection test by nucleic acid for organism, amplified probe technique | $60.14 | $34.38 | 1.7x | 0.95x |
| 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 | $38.41 | $15.72 | 2.4x | 0.88x |
| Administration of influenza virus vaccine | $33.37 | $28.16 | 1.2x | 0.82x |
| Admn sarscov2 vacc 1 dose | $42.77 | $36.97 | 1.2x | 0.85x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $427.55 | $153.22 | 2.8x | 1.05x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $216.04 | $75.19 | 2.9x | 1.06x |
| Pathology examination of tissue using a microscope, intermediate complexity | $154.58 | $47.65 | 3.2x | 0.83x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $315.61 | $114.34 | 2.8x | 0.97x |
| Blood test, comprehensive group of blood chemicals | $50.42 | $10.32 | 4.9x | 0.82x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $31.29 | $7.59 | 4.1x | 0.84x |
| Rotary wing air mileage, per statute mile | $289.54 | $40.46 | 7.2x | 0.81x |
| X-ray of chest, 1 view | $61.66 | $8.47 | 7.3x | 1.18x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $409.14 | $157.65 | 2.6x | 1.00x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $40.16 | $7.95 | 5.1x | 0.90x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $202.58 | $96.22 | 2.1x | 0.96x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $286.39 | $91.21 | 3.1x | 1.03x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $62.30 | $38.99 | 1.6x | 1.03x |
| Injection, bupivacaine liposome, 1 mg | $3.13 | $1.38 | 2.3x | 0.64x |
| Fixed wing air mileage, per statute mile | $250.66 | $15.35 | 16.3x | 1.81x |
| Psychotherapy, 1 hour | $228.01 | $123.97 | 1.8x | 1.09x |
| Imaging of retina | $108.59 | $39.82 | 2.7x | 0.88x |
| Blood test, lipids (cholesterol and triglycerides) | $84.76 | $13.10 | 6.5x | 0.88x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $267.40 | $104.13 | 2.6x | 1.01x |
| Hemoglobin a1c level | $51.76 | $9.48 | 5.5x | 0.89x |
| Established patient complete exam of visual system | $236.75 | $123.03 | 1.9x | 1.04x |
| Test for allergy using allergenic extract | $13.95 | $3.53 | 3.9x | 1.06x |
| Destruction of precancer skin growth, 1 growth | $157.47 | $52.25 | 3.0x | 1.01x |
| Blood test, thyroid stimulating hormone (tsh) | $97.29 | $16.43 | 5.9x | 1.01x |
| Emergency department visit with high level of medical decision making | $1,133.43 | $168.79 | 6.7x | 0.92x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $572.60 | $166.47 | 3.4x | 1.01x |