| Ground mileage, per statute mile | $23.93 | $9.27 | 2.6x | 0.91x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $277.38 | $105.00 | 2.6x | 1.01x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $64.45 | $21.56 | 3.0x | 0.93x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $196.98 | $75.68 | 2.6x | 1.05x |
| Therapy procedure using functional activities | $73.05 | $28.89 | 2.5x | 0.98x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $67.95 | $25.31 | 2.7x | 0.94x |
| Insertion of needle into vein for collection of blood sample | $14.23 | $8.08 | 1.8x | 0.65x |
| Therapy procedure using manual technique, each 15 minutes | $61.35 | $19.52 | 3.1x | 0.90x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $58.17 | $36.94 | 1.6x | 0.96x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $188.19 | $71.09 | 2.6x | 0.93x |
| Destruction of precancer skin growth, 2-14 growths | $19.80 | $5.62 | 3.5x | 0.90x |
| 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 | $36.96 | $14.90 | 2.5x | 0.85x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $24.00 | $7.59 | 3.2x | 0.65x |
| Blood test, comprehensive group of blood chemicals | $35.53 | $10.32 | 3.4x | 0.58x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $279.04 | $106.71 | 2.6x | 0.86x |
| Pathology examination of tissue using a microscope, intermediate complexity | $161.33 | $42.30 | 3.8x | 0.87x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $32.69 | $7.51 | 4.4x | 0.73x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $31.35 | $8.11 | 3.9x | 0.81x |
| Administration of influenza virus vaccine | $35.03 | $26.98 | 1.3x | 0.86x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $248.96 | $91.90 | 2.7x | 0.89x |
| X-ray of chest, 1 view | $35.24 | $7.94 | 4.4x | 0.67x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $397.44 | $141.90 | 2.8x | 0.97x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $373.97 | $143.34 | 2.6x | 0.92x |
| Established patient complete exam of visual system | $224.63 | $114.09 | 2.0x | 0.99x |
| Hemoglobin a1c level | $41.05 | $9.46 | 4.3x | 0.71x |
| Admn sarscov2 vacc 1 dose | $49.74 | $35.39 | 1.4x | 0.99x |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $95.23 | $56.03 | 1.7x | 0.84x |
| X-ray of chest, 2 views | $50.46 | $14.81 | 3.4x | 0.70x |
| Chiropractic manipulative treatment, 1-2 spinal regions | $47.60 | $25.47 | 1.9x | 0.97x |
| Injection of drug or substance under skin or into muscle | $53.20 | $12.71 | 4.2x | 0.96x |
| Screening mammography | $172.78 | $48.62 | 3.6x | 0.70x |
| Imaging of retina | $96.14 | $35.01 | 2.7x | 0.78x |
| Injection, fosaprepitant (focinvez), 1 mg | $8.54 | $3.04 | 2.8x | 0.96x |
| Screening 3d breast mammography | $109.36 | $27.58 | 4.0x | 0.79x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $498.55 | $155.56 | 3.2x | 0.88x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $260.13 | $93.08 | 2.8x | 0.98x |
| Ambulance service, basic life support, non-emergency transport, (bls) | $1,098.01 | $266.20 | 4.1x | 0.98x |
| Blood test, lipids (cholesterol and triglycerides) | $38.78 | $13.06 | 3.0x | 0.40x |
| Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $122.73 | $47.10 | 2.6x | 1.04x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $55.80 | $12.56 | 4.4x | 0.81x |