| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $233.58 | $116.62 | 2.0x | 0.85x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $73.35 | $22.11 | 3.3x | 1.06x |
| 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 | $2.28 | $1.11 | 2.1x | 1.31x |
| Therapy procedure using functional activities | $79.14 | $31.46 | 2.5x | 1.06x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $164.65 | $83.10 | 2.0x | 0.87x |
| Ground mileage, per statute mile | $23.82 | $10.17 | 2.3x | 0.90x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $74.95 | $26.13 | 2.9x | 1.03x |
| Therapy procedure using manual technique, each 15 minutes | $79.47 | $20.16 | 3.9x | 1.17x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $175.64 | $75.18 | 2.3x | 0.86x |
| 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 | $33.19 | $15.73 | 2.1x | 0.76x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $73.04 | $38.55 | 1.9x | 1.20x |
| Destruction of precancer skin growth, 2-14 growths | $20.99 | $6.20 | 3.4x | 0.96x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $259.39 | $114.30 | 2.3x | 0.80x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $50.19 | $13.69 | 3.7x | 0.73x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $213.49 | $93.66 | 2.3x | 1.01x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $243.88 | $116.80 | 2.1x | 0.88x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $358.52 | $162.13 | 2.2x | 0.88x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $39.72 | $8.66 | 4.6x | 1.02x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $53.11 | $7.82 | 6.8x | 1.19x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $373.78 | $154.64 | 2.4x | 0.92x |
| Administration of influenza virus vaccine | $37.67 | $30.41 | 1.2x | 0.92x |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $94.57 | $59.62 | 1.6x | 0.84x |
| Detection test by nucleic acid for organism, amplified probe technique | $50.98 | $34.34 | 1.5x | 0.80x |
| Test for allergy using allergenic extract | $10.10 | $3.52 | 2.9x | 0.76x |
| Therapy procedure in a group setting | $47.85 | $13.51 | 3.5x | 0.93x |
| Assessment of emotional or behavioral problems | $52.93 | $4.30 | 12.3x | 2.32x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $241.70 | $102.51 | 2.4x | 0.91x |
| Emergency department visit with high level of medical decision making | $1,120.57 | $169.32 | 6.6x | 0.91x |
| Therapy procedure for walking training, each 15 minutes | $59.04 | $21.86 | 2.7x | 1.04x |
| Pathology examination of tissue using a microscope, intermediate complexity | $157.40 | $49.11 | 3.2x | 0.85x |
| Admn sarscov2 vacc 1 dose | $50.27 | $38.94 | 1.3x | 1.00x |
| X-ray of chest, 1 view | $38.27 | $8.33 | 4.6x | 0.73x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $477.32 | $166.31 | 2.9x | 0.84x |
| Psychotherapy, 1 hour | $196.57 | $117.92 | 1.7x | 0.94x |
| Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $104.39 | $51.79 | 2.0x | 0.89x |
| Established patient complete exam of visual system | $167.35 | $123.92 | 1.4x | 0.74x |
| Ambulance service, basic life support, emergency transport (bls-emergency) | $1,117.08 | $436.04 | 2.6x | 0.89x |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $354.21 | $122.99 | 2.9x | 0.96x |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $574.19 | $132.05 | 4.3x | 1.21x |
| Screening mammography | $205.27 | $76.49 | 2.7x | 0.83x |