| Ground mileage, per statute mile | $18.44 | $10.33 | 1.8x | 0.70x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $230.14 | $108.37 | 2.1x | 0.84x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $153.04 | $76.50 | 2.0x | 0.81x |
| 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 | $2.39 | $1.11 | 2.2x | 1.38x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $58.18 | $21.11 | 2.8x | 0.84x |
| Removal of cataract with insertion of prosthetic lens | $194.04 | $46.10 | 4.2x | 0.19x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $168.29 | $73.09 | 2.3x | 0.83x |
| Therapy procedure using functional activities | $71.11 | $28.47 | 2.5x | 0.95x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $64.78 | $24.67 | 2.6x | 0.89x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $281.86 | $110.92 | 2.5x | 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 | $34.90 | $15.11 | 2.3x | 0.80x |
| Therapy procedure using manual technique, each 15 minutes | $61.71 | $19.13 | 3.2x | 0.91x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $34.63 | $7.71 | 4.5x | 0.77x |
| Insertion of needle into vein for collection of blood sample | $17.32 | $8.58 | 2.0x | 0.79x |
| Destruction of precancer skin growth, 2-14 growths | $24.07 | $5.52 | 4.4x | 1.10x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $185.85 | $89.51 | 2.1x | 0.88x |
| Professional service for preparation and provision of 1 or more antigens | $32.67 | $12.67 | 2.6x | 1.11x |
| Test for allergy using allergenic extract | $10.50 | $3.16 | 3.3x | 0.79x |
| Pathology examination of tissue using a microscope, intermediate complexity | $172.51 | $42.43 | 4.1x | 0.93x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $337.86 | $146.46 | 2.3x | 0.83x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $34.01 | $7.59 | 4.5x | 0.92x |
| X-ray of chest, 1 view | $42.28 | $8.06 | 5.2x | 0.81x |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $79.88 | $39.80 | 2.0x | 0.71x |
| Blood test, comprehensive group of blood chemicals | $36.03 | $10.32 | 3.5x | 0.59x |
| Emergency department visit with high level of medical decision making | $1,210.13 | $163.51 | 7.4x | 0.98x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $249.15 | $107.70 | 2.3x | 0.89x |
| Administration of influenza virus vaccine | $42.47 | $25.86 | 1.6x | 1.04x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $513.18 | $160.71 | 3.2x | 0.90x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $135.45 | $62.44 | 2.2x | 0.88x |
| Rotary wing air mileage, per statute mile | $388.23 | $39.75 | 9.8x | 1.09x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $56.18 | $36.29 | 1.5x | 0.93x |
| Hemoglobin a1c level | $49.73 | $9.44 | 5.3x | 0.86x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $214.82 | $95.83 | 2.2x | 0.81x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $50.36 | $12.53 | 4.0x | 0.73x |
| Professional service for multiple injections of allergen | $33.82 | $10.53 | 3.2x | 0.93x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $327.21 | $149.26 | 2.2x | 0.80x |
| Blood test, lipids (cholesterol and triglycerides) | $65.92 | $13.06 | 5.0x | 0.69x |
| Injection of drug or substance under skin or into muscle | $46.89 | $12.31 | 3.8x | 0.85x |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $304.48 | $120.96 | 2.5x | 0.83x |
| Aspiration and/or injection of fluid from large joint | $222.46 | $61.60 | 3.6x | 0.76x |