| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $98.99 | $24.41 | 4.1x | 1.43x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $315.95 | $131.12 | 2.4x | 1.15x |
| Insertion of needle into vein for collection of blood sample | $26.39 | $8.35 | 3.2x | 1.21x |
| Blood test, comprehensive group of blood chemicals | $63.59 | $10.33 | 6.2x | 1.03x |
| Therapy procedure using functional activities | $86.20 | $34.71 | 2.5x | 1.16x |
| 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 | $1.15 | $1.10 | 1.0x | 0.66x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $215.10 | $93.32 | 2.3x | 1.14x |
| Ground mileage, per statute mile | $22.37 | $8.15 | 2.7x | 0.85x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $38.64 | $7.60 | 5.1x | 1.04x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $94.84 | $29.30 | 3.2x | 1.31x |
| Therapy procedure using manual technique, each 15 minutes | $98.28 | $21.94 | 4.5x | 1.45x |
| Blood test, lipids (cholesterol and triglycerides) | $114.10 | $13.11 | 8.7x | 1.19x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $227.53 | $81.20 | 2.8x | 1.12x |
| Blood test, thyroid stimulating hormone (tsh) | $116.40 | $16.45 | 7.1x | 1.21x |
| Hemoglobin a1c level | $72.50 | $9.51 | 7.6x | 1.25x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $365.62 | $121.97 | 3.0x | 1.12x |
| Manual urinalysis test with examination using microscope, automated | $38.16 | $3.11 | 12.3x | 1.19x |
| 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 | $43.99 | $17.21 | 2.6x | 1.01x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $207.08 | $105.48 | 2.0x | 0.98x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $161.37 | $73.79 | 2.2x | 1.05x |
| Vitamin d-3 level | $241.05 | $28.99 | 8.3x | 1.31x |
| Thyroxine (thyroid chemical), free | $110.76 | $8.83 | 12.5x | 1.27x |
| Detection test by nucleic acid for organism, amplified probe technique | $123.46 | $34.36 | 3.6x | 1.95x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $70.11 | $15.42 | 4.5x | 1.02x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $77.88 | $41.48 | 1.9x | 1.28x |
| Creatinine level to test for kidney function or muscle injury | $57.06 | $5.07 | 11.2x | 1.25x |
| Therapy procedure for walking training, each 15 minutes | $63.88 | $23.23 | 2.7x | 1.13x |
| Bacterial colony count, urine | $52.48 | $7.90 | 6.6x | 1.03x |
| Blood test, basic group of blood chemicals (calcium, total) | $45.28 | $8.24 | 5.5x | 0.94x |
| Urine microalbumin (protein) level | $68.29 | $5.65 | 12.1x | 1.19x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $42.61 | $8.50 | 5.0x | 0.95x |
| Pathology examination of tissue using a microscope, intermediate complexity | $203.76 | $50.85 | 4.0x | 1.10x |
| Iron level | $36.08 | $6.33 | 5.7x | 1.10x |
| Destruction of precancer skin growth, 2-14 growths | $24.50 | $6.92 | 3.5x | 1.12x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $609.77 | $178.10 | 3.4x | 1.07x |
| Cyanocobalamin (vitamin b-12) level | $102.36 | $14.77 | 6.9x | 1.16x |
| Ferritin (blood protein) level | $90.21 | $13.35 | 6.8x | 1.15x |
| Magnesium level | $42.53 | $6.55 | 6.5x | 1.11x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $60.37 | $9.48 | 6.4x | 1.55x |
| Psa (prostate specific antigen) measurement, total | $118.30 | $18.00 | 6.6x | 1.15x |