| Ground mileage, per statute mile | $31.03 | $10.25 | 3.0x | 1.17x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $191.82 | $105.98 | 1.8x | 0.70x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $55.76 | $20.69 | 2.7x | 0.81x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $135.16 | $74.64 | 1.8x | 0.72x |
| Therapy procedure using functional activities | $65.06 | $27.98 | 2.3x | 0.87x |
| Insertion of needle into vein for collection of blood sample | $18.85 | $8.45 | 2.2x | 0.86x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $181.18 | $70.46 | 2.6x | 0.89x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $61.29 | $24.49 | 2.5x | 0.84x |
| 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 | $34.75 | $14.76 | 2.4x | 0.80x |
| Detection test by nucleic acid for organism, amplified probe technique | $64.79 | $34.30 | 1.9x | 1.02x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $242.24 | $107.86 | 2.2x | 0.74x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $38.21 | $7.54 | 5.1x | 1.03x |
| Therapy procedure using manual technique, each 15 minutes | $59.14 | $19.09 | 3.1x | 0.87x |
| Injection of drug or substance under skin or into muscle | $43.10 | $11.76 | 3.7x | 0.78x |
| Hemoglobin a1c level | $52.32 | $9.46 | 5.5x | 0.90x |
| Blood test, comprehensive group of blood chemicals | $68.25 | $10.26 | 6.7x | 1.11x |
| Destruction of precancer skin growth, 2-14 growths | $34.85 | $5.50 | 6.3x | 1.59x |
| X-ray of chest, 1 view | $41.77 | $8.39 | 5.0x | 0.80x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $53.39 | $7.49 | 7.1x | 1.19x |
| Blood test, lipids (cholesterol and triglycerides) | $65.47 | $13.01 | 5.0x | 0.68x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $290.29 | $141.72 | 2.0x | 0.71x |
| Pathology examination of tissue using a microscope, intermediate complexity | $205.66 | $45.49 | 4.5x | 1.11x |
| Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg | $0.78 | $0.75 | 1.0x | 0.33x |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $97.62 | $54.89 | 1.8x | 0.86x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $72.14 | $12.51 | 5.8x | 1.05x |
| Established patient complete exam of visual system | $170.98 | $110.62 | 1.5x | 0.75x |
| Administration of influenza virus vaccine | $31.46 | $25.59 | 1.2x | 0.77x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $196.36 | $114.15 | 1.7x | 0.70x |
| Rotary wing air mileage, per statute mile | $367.24 | $40.20 | 9.1x | 1.03x |
| 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 | $1.18 | $1.11 | 1.1x | 0.68x |
| Emergency department visit with high level of medical decision making | $1,537.97 | $163.25 | 9.4x | 1.25x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $499.60 | $157.50 | 3.2x | 0.88x |
| Automated urinalysis test | $14.89 | $2.18 | 6.8x | 0.98x |
| X-ray of chest, 2 views | $67.02 | $15.96 | 4.2x | 0.93x |
| Detection test for candida species (yeast), amplified probe technique | $64.05 | $34.35 | 1.9x | 1.06x |
| Imaging of retina | $86.76 | $34.99 | 2.5x | 0.70x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $32.95 | $8.03 | 4.1x | 0.85x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $125.48 | $61.12 | 2.1x | 0.81x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $188.55 | $93.22 | 2.0x | 0.71x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $260.89 | $147.65 | 1.8x | 0.64x |