| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $177.36 | $125.56 | 1.4x | 0.65x |
| Ground mileage, per statute mile | $19.43 | $10.50 | 1.9x | 0.74x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $117.50 | $88.13 | 1.3x | 0.62x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $46.23 | $25.05 | 1.8x | 0.67x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $300.32 | $113.14 | 2.7x | 0.92x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $172.34 | $77.31 | 2.2x | 0.85x |
| Ambulance service, basic life support, non-emergency transport, (bls) | $772.27 | $241.44 | 3.2x | 0.69x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $245.24 | $177.70 | 1.4x | 0.60x |
| 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 | $26.31 | $16.13 | 1.6x | 0.61x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $308.67 | $162.96 | 1.9x | 0.76x |
| Administration of influenza virus vaccine | $39.36 | $30.83 | 1.3x | 0.97x |
| Established patient complete exam of visual system | $229.43 | $131.34 | 1.7x | 1.01x |
| Dialysis services, 4 or more physician visits per month (20 years or older) | $367.74 | $339.04 | 1.1x | 0.48x |
| Insertion of needle into vein for collection of blood sample | $14.58 | $8.57 | 1.7x | 0.67x |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $138.35 | $107.67 | 1.3x | 0.29x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $40.47 | $8.16 | 5.0x | 0.90x |
| Emergency department visit with moderate level of medical decision making | $671.85 | $118.17 | 5.7x | 0.85x |
| Ambulance service, basic life support, emergency transport (bls-emergency) | $196.71 | $192.49 | 1.0x | 0.16x |
| Emergency department visit with high level of medical decision making | $1,322.04 | $172.73 | 7.7x | 1.07x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $179.33 | $107.40 | 1.7x | 0.67x |
| Dxa bone density measurement of hip, pelvis, spine | $47.45 | $41.78 | 1.1x | 0.30x |
| Therapy procedure using manual technique, each 15 minutes | $48.54 | $21.49 | 2.3x | 0.72x |
| Destruction of precancer skin growth, 2-14 growths | $23.17 | $6.79 | 3.4x | 1.05x |
| Blood test, lipids (cholesterol and triglycerides) | $81.81 | $13.00 | 6.3x | 0.85x |
| Photography of the retina | $181.31 | $39.65 | 4.6x | 1.52x |
| Injection of drug or substance under skin or into muscle | $23.29 | $14.65 | 1.6x | 0.42x |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $36.18 | $23.35 | 1.5x | 0.60x |
| Blood test, comprehensive group of blood chemicals | $44.04 | $10.18 | 4.3x | 0.72x |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $76.98 | $65.26 | 1.2x | 0.68x |
| X-ray of chest, 2 views | $35.84 | $27.88 | 1.3x | 0.50x |
| Screening mammography | $138.25 | $99.36 | 1.4x | 0.56x |
| Critical care, first 30-74 minutes | $717.89 | $206.67 | 3.5x | 0.68x |
| Hemoglobin a1c level | $50.98 | $9.41 | 5.4x | 0.88x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $354.49 | $170.69 | 2.1x | 0.62x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $179.90 | $129.77 | 1.4x | 0.65x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $25.39 | $9.25 | 2.7x | 0.65x |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $367.73 | $129.43 | 2.8x | 1.00x |
| Hospital discharge day management, more than 30 minutes | $353.55 | $110.66 | 3.2x | 1.00x |
| Removal of cataract with insertion of prosthetic lens | $5,498.28 | $852.59 | 6.4x | 5.35x |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $119.00 | $48.01 | 2.5x | 0.99x |