| Ground mileage, per statute mile | $17.70 | $9.99 | 1.8x | 0.67x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $217.97 | $105.86 | 2.1x | 0.79x |
| Insertion of needle into vein for collection of blood sample | $26.28 | $8.50 | 3.1x | 1.20x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $154.56 | $76.36 | 2.0x | 0.82x |
| Blood test, comprehensive group of blood chemicals | $80.02 | $10.34 | 7.7x | 1.30x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $57.53 | $21.54 | 2.7x | 0.83x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $44.56 | $7.60 | 5.9x | 1.20x |
| Therapy procedure using functional activities | $66.26 | $29.15 | 2.3x | 0.89x |
| Blood test, lipids (cholesterol and triglycerides) | $130.20 | $13.11 | 9.9x | 1.36x |
| Blood test, thyroid stimulating hormone (tsh) | $124.27 | $16.45 | 7.6x | 1.30x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $54.86 | $36.80 | 1.5x | 0.90x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $202.62 | $71.09 | 2.9x | 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 | $42.99 | $15.03 | 2.9x | 0.99x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $61.84 | $25.21 | 2.5x | 0.85x |
| Hemoglobin a1c level | $67.52 | $9.50 | 7.1x | 1.16x |
| Destruction of precancer skin growth, 2-14 growths | $24.16 | $5.55 | 4.4x | 1.10x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $304.86 | $109.16 | 2.8x | 0.94x |
| Therapy procedure using manual technique, each 15 minutes | $55.45 | $19.23 | 2.9x | 0.82x |
| Pathology examination of tissue using a microscope, intermediate complexity | $165.67 | $43.27 | 3.8x | 0.89x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $36.82 | $7.52 | 4.9x | 0.82x |
| Creatinine level to test for kidney function or muscle injury | $59.07 | $5.08 | 11.6x | 1.29x |
| Administration of influenza virus vaccine | $32.04 | $24.98 | 1.3x | 0.79x |
| Vitamin d-3 level | $240.86 | $28.99 | 8.3x | 1.31x |
| 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 | $1.19 | $1.06 | 1.1x | 0.68x |
| Established patient complete exam of visual system | $173.87 | $115.36 | 1.5x | 0.77x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $290.32 | $142.72 | 2.0x | 0.71x |
| Urine microalbumin (protein) level | $73.11 | $5.66 | 12.9x | 1.28x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $323.44 | $144.27 | 2.2x | 0.79x |
| Thyroxine (thyroid chemical), free | $126.14 | $8.83 | 14.3x | 1.45x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $242.34 | $88.41 | 2.7x | 1.15x |
| Blood test, basic group of blood chemicals (calcium, total) | $62.88 | $8.28 | 7.6x | 1.31x |
| Admn sarscov2 vacc 1 dose | $38.88 | $31.99 | 1.2x | 0.77x |
| X-ray of chest, 1 view | $31.81 | $8.10 | 3.9x | 0.61x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $256.68 | $94.44 | 2.7x | 0.92x |
| Manual urinalysis test with examination using microscope, automated | $44.46 | $3.11 | 14.3x | 1.39x |
| Fixed wing air mileage, per statute mile | $160.54 | $15.14 | 10.6x | 1.16x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $528.50 | $157.88 | 3.3x | 0.93x |
| Bacterial colony count, urine | $61.66 | $7.91 | 7.8x | 1.21x |
| Imaging of retina | $102.37 | $36.89 | 2.8x | 0.83x |
| Cyanocobalamin (vitamin b-12) level | $119.31 | $14.77 | 8.1x | 1.36x |