| Ground mileage, per statute mile | $55.59 | $8.87 | 6.3x | 2.10x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $363.99 | $119.05 | 3.1x | 1.32x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $253.63 | $85.79 | 3.0x | 1.35x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $67.67 | $23.96 | 2.8x | 0.98x |
| 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 | $3.42 | $1.10 | 3.1x | 1.97x |
| Insertion of needle into vein for collection of blood sample | $29.09 | $8.62 | 3.4x | 1.33x |
| Therapy procedure using functional activities | $77.23 | $34.28 | 2.3x | 1.04x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $234.89 | $77.89 | 3.0x | 1.15x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $75.01 | $28.84 | 2.6x | 1.03x |
| Therapy procedure using manual technique, each 15 minutes | $67.39 | $21.14 | 3.2x | 0.99x |
| Pathology examination of tissue using a microscope, intermediate complexity | $195.69 | $51.22 | 3.8x | 1.05x |
| 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 | $53.63 | $16.32 | 3.3x | 1.23x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $35.93 | $8.22 | 4.4x | 0.80x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $364.53 | $118.46 | 3.1x | 1.12x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $553.27 | $164.20 | 3.4x | 1.36x |
| Blood test, comprehensive group of blood chemicals | $77.95 | $10.35 | 7.5x | 1.27x |
| Destruction of precancer skin growth, 2-14 growths | $30.89 | $6.60 | 4.7x | 1.41x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $222.80 | $97.94 | 2.3x | 1.06x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $42.46 | $7.61 | 5.6x | 1.14x |
| Blood test, lipids (cholesterol and triglycerides) | $126.20 | $13.11 | 9.6x | 1.31x |
| Administration of influenza virus vaccine | $49.53 | $31.38 | 1.6x | 1.21x |
| Established patient complete exam of visual system | $318.27 | $129.40 | 2.5x | 1.40x |
| Psychotherapy, 1 hour | $206.41 | $123.41 | 1.7x | 0.99x |
| Admn sarscov2 vacc 1 dose | $50.94 | $40.87 | 1.2x | 1.01x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $66.65 | $40.23 | 1.7x | 1.10x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $374.10 | $120.67 | 3.1x | 1.34x |
| Hemoglobin a1c level | $59.72 | $9.51 | 6.3x | 1.03x |
| Psychotherapy, 45 minutes | $175.42 | $84.43 | 2.1x | 0.99x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $510.73 | $159.43 | 3.2x | 1.25x |
| Blood test, thyroid stimulating hormone (tsh) | $114.44 | $16.45 | 7.0x | 1.19x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $155.66 | $67.97 | 2.3x | 1.01x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $73.86 | $14.77 | 5.0x | 1.07x |
| X-ray of chest, 1 view | $36.40 | $8.78 | 4.1x | 0.70x |
| Emergency department visit with high level of medical decision making | $763.88 | $172.14 | 4.4x | 0.62x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $624.51 | $172.52 | 3.6x | 1.10x |
| Removal of cataract with insertion of prosthetic lens | $740.09 | $228.90 | 3.2x | 0.72x |
| X-ray of chest, 2 views | $52.02 | $14.00 | 3.7x | 0.72x |
| Imaging of retina | $145.26 | $39.67 | 3.7x | 1.17x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $338.58 | $106.76 | 3.2x | 1.27x |
| Blood test, basic group of blood chemicals (calcium, total) | $52.73 | $8.28 | 6.4x | 1.10x |