| Ground mileage, per statute mile | $17.98 | $9.91 | 1.8x | 0.68x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $226.71 | $107.28 | 2.1x | 0.82x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $162.46 | $77.13 | 2.1x | 0.86x |
| 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 | $2.02 | $1.11 | 1.8x | 1.16x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $67.24 | $21.46 | 3.1x | 0.97x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $176.32 | $73.47 | 2.4x | 0.87x |
| Therapy procedure using functional activities | $68.78 | $29.02 | 2.4x | 0.92x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $66.51 | $24.93 | 2.7x | 0.92x |
| 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 | $39.63 | $15.30 | 2.6x | 0.91x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $287.78 | $111.31 | 2.6x | 0.88x |
| Destruction of precancer skin growth, 2-14 growths | $23.62 | $5.62 | 4.2x | 1.07x |
| Insertion of needle into vein for collection of blood sample | $17.51 | $8.55 | 2.0x | 0.80x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $52.46 | $36.57 | 1.4x | 0.86x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $37.08 | $7.68 | 4.8x | 0.83x |
| X-ray of chest, 1 view | $42.73 | $8.18 | 5.2x | 0.82x |
| Therapy procedure using manual technique, each 15 minutes | $66.29 | $19.54 | 3.4x | 0.98x |
| Pathology examination of tissue using a microscope, intermediate complexity | $206.18 | $45.15 | 4.6x | 1.11x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $198.63 | $91.97 | 2.2x | 0.94x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $344.25 | $146.84 | 2.3x | 0.84x |
| Rotary wing air mileage, per statute mile | $395.53 | $38.84 | 10.2x | 1.11x |
| Blood test, comprehensive group of blood chemicals | $66.63 | $10.33 | 6.4x | 1.08x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $40.98 | $7.60 | 5.4x | 1.10x |
| Administration of influenza virus vaccine | $36.10 | $27.83 | 1.3x | 0.89x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $136.21 | $63.58 | 2.1x | 0.88x |
| X-ray of chest, 2 views | $52.90 | $13.44 | 3.9x | 0.74x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $523.74 | $161.69 | 3.2x | 0.92x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $249.73 | $104.14 | 2.4x | 0.90x |
| Emergency department visit with high level of medical decision making | $1,106.08 | $165.26 | 6.7x | 0.90x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $327.26 | $148.50 | 2.2x | 0.80x |
| Established patient complete exam of visual system | $190.36 | $117.31 | 1.6x | 0.84x |
| Screening mammography | $168.12 | $45.48 | 3.7x | 0.68x |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $323.82 | $121.97 | 2.7x | 0.88x |
| Imaging of retina | $116.61 | $37.79 | 3.1x | 0.94x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $233.13 | $96.25 | 2.4x | 0.88x |
| Screening 3d breast mammography | $100.10 | $29.20 | 3.4x | 0.72x |
| Admn sarscov2 vacc 1 dose | $42.69 | $34.45 | 1.2x | 0.85x |
| Test for allergy using allergenic extract | $13.49 | $3.20 | 4.2x | 1.02x |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $117.48 | $59.12 | 2.0x | 1.04x |
| Ct scan head or brain without contrast | $220.47 | $38.11 | 5.8x | 0.89x |
| Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $103.44 | $46.76 | 2.2x | 0.88x |