| Ground mileage, per statute mile | $36.01 | $9.42 | 3.8x | 1.36x |
| 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 | $1.22 | $1.11 | 1.1x | 0.70x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $235.69 | $109.49 | 2.2x | 0.86x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $55.06 | $21.57 | 2.6x | 0.80x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $162.20 | $77.97 | 2.1x | 0.86x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $162.28 | $72.53 | 2.2x | 0.80x |
| Therapy procedure using functional activities | $67.90 | $29.33 | 2.3x | 0.91x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $63.20 | $25.38 | 2.5x | 0.87x |
| Therapy procedure using manual technique, each 15 minutes | $54.68 | $19.39 | 2.8x | 0.81x |
| Insertion of needle into vein for collection of blood sample | $15.23 | $8.34 | 1.8x | 0.70x |
| 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 | $35.78 | $15.27 | 2.3x | 0.82x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $301.40 | $109.78 | 2.7x | 0.93x |
| Detection test by nucleic acid for organism, amplified probe technique | $55.65 | $34.38 | 1.6x | 0.88x |
| Destruction of precancer skin growth, 2-14 growths | $19.90 | $5.74 | 3.5x | 0.91x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $48.13 | $7.66 | 6.3x | 1.08x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $177.13 | $89.28 | 2.0x | 0.84x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $32.17 | $7.59 | 4.2x | 0.87x |
| X-ray of chest, 1 view | $47.70 | $8.54 | 5.6x | 0.91x |
| Blood test, comprehensive group of blood chemicals | $50.46 | $10.32 | 4.9x | 0.82x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $34.12 | $8.31 | 4.1x | 0.88x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $343.32 | $145.03 | 2.4x | 0.84x |
| Pathology examination of tissue using a microscope, intermediate complexity | $135.27 | $35.68 | 3.8x | 0.73x |
| Injection of drug or substance under skin or into muscle | $45.49 | $12.30 | 3.7x | 0.82x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $55.05 | $12.87 | 4.3x | 0.80x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $133.75 | $63.01 | 2.1x | 0.87x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $538.06 | $159.49 | 3.4x | 0.95x |
| Established patient complete exam of visual system | $192.38 | $112.76 | 1.7x | 0.85x |
| Emergency department visit with high level of medical decision making | $1,928.15 | $165.75 | 11.6x | 1.56x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $327.11 | $149.54 | 2.2x | 0.80x |
| Blood test, lipids (cholesterol and triglycerides) | $59.51 | $13.07 | 4.6x | 0.62x |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $110.16 | $56.35 | 2.0x | 0.98x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $224.11 | $116.28 | 1.9x | 0.80x |
| Imaging of retina | $121.14 | $34.18 | 3.5x | 0.98x |
| Hemoglobin a1c level | $43.55 | $9.48 | 4.6x | 0.75x |
| Administration of influenza virus vaccine | $38.28 | $28.17 | 1.4x | 0.94x |
| X-ray of chest, 2 views | $67.32 | $14.83 | 4.5x | 0.94x |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $566.54 | $117.32 | 4.8x | 1.19x |
| Blood test, thyroid stimulating hormone (tsh) | $63.59 | $16.44 | 3.9x | 0.66x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $230.37 | $96.00 | 2.4x | 0.87x |
| Professional service for preparation and provision of 1 or more antigens | $28.27 | $12.75 | 2.2x | 0.96x |