| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $231.06 | $107.11 | 2.2x | 0.84x |
| Ground mileage, per statute mile | $14.04 | $9.62 | 1.5x | 0.53x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $168.04 | $77.21 | 2.2x | 0.89x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $59.98 | $21.30 | 2.8x | 0.87x |
| Therapy procedure using functional activities | $69.61 | $28.44 | 2.4x | 0.93x |
| Fixed wing air mileage, per statute mile | $137.88 | $15.20 | 9.1x | 0.99x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $63.34 | $25.00 | 2.5x | 0.87x |
| Insertion of needle into vein for collection of blood sample | $24.57 | $8.60 | 2.9x | 1.13x |
| Destruction of precancer skin growth, 2-14 growths | $16.63 | $5.61 | 3.0x | 0.76x |
| Therapy procedure using manual technique, each 15 minutes | $55.95 | $19.59 | 2.9x | 0.83x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $199.05 | $72.99 | 2.7x | 0.98x |
| Rotary wing air mileage, per statute mile | $333.84 | $41.17 | 8.1x | 0.93x |
| Blood test, comprehensive group of blood chemicals | $45.64 | $10.31 | 4.4x | 0.74x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $38.31 | $7.58 | 5.1x | 1.03x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $328.83 | $151.76 | 2.2x | 0.81x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $33.13 | $7.72 | 4.3x | 0.74x |
| 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 | $39.04 | $15.39 | 2.5x | 0.90x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $323.35 | $109.94 | 2.9x | 0.99x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $344.57 | $144.03 | 2.4x | 0.84x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $63.46 | $36.79 | 1.7x | 1.05x |
| Pathology examination of tissue using a microscope, intermediate complexity | $150.62 | $43.20 | 3.5x | 0.81x |
| Professional service for preparation and provision of 1 or more antigens | $27.81 | $12.88 | 2.2x | 0.94x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $185.57 | $89.17 | 2.1x | 0.88x |
| Psychotherapy, 1 hour | $195.64 | $117.51 | 1.7x | 0.94x |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $98.35 | $54.84 | 1.8x | 0.87x |
| Admn sarscov2 vacc 1 dose | $41.28 | $32.84 | 1.3x | 0.82x |
| Administration of influenza virus vaccine | $33.37 | $26.59 | 1.3x | 0.82x |
| Blood test, lipids (cholesterol and triglycerides) | $74.16 | $13.06 | 5.7x | 0.77x |
| Established patient complete exam of visual system | $204.31 | $114.63 | 1.8x | 0.90x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $238.18 | $95.74 | 2.5x | 0.90x |
| X-ray of chest, 1 view | $43.10 | $8.32 | 5.2x | 0.82x |
| Emergency department visit with high level of medical decision making | $1,322.21 | $166.98 | 7.9x | 1.07x |
| Blood test, thyroid stimulating hormone (tsh) | $70.73 | $16.42 | 4.3x | 0.74x |
| Test for allergy using allergenic extract | $17.45 | $3.20 | 5.5x | 1.32x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $232.77 | $113.85 | 2.0x | 0.84x |
| Hemoglobin a1c level | $36.00 | $9.39 | 3.8x | 0.62x |
| Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $107.88 | $46.72 | 2.3x | 0.92x |
| Destruction of precancer skin growth, 1 growth | $154.93 | $46.07 | 3.4x | 1.00x |
| Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg | $0.83 | $0.71 | 1.2x | 0.35x |
| Screening mammography | $340.79 | $73.16 | 4.7x | 1.37x |