| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $73.56 | $24.54 | 3.0x | 1.06x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $372.07 | $131.43 | 2.8x | 1.35x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $233.06 | $93.83 | 2.5x | 1.24x |
| Ground mileage, per statute mile | $28.39 | $9.36 | 3.0x | 1.07x |
| Therapy procedure using functional activities | $88.19 | $35.68 | 2.5x | 1.18x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $87.72 | $29.95 | 2.9x | 1.21x |
| Therapy procedure using manual technique, each 15 minutes | $77.89 | $22.14 | 3.5x | 1.15x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $280.80 | $83.42 | 3.4x | 1.38x |
| Insertion of needle into vein for collection of blood sample | $21.15 | $8.47 | 2.5x | 0.97x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $178.46 | $76.03 | 2.3x | 1.16x |
| 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 | $56.35 | $17.29 | 3.3x | 1.30x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $415.60 | $125.28 | 3.3x | 1.28x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $250.44 | $107.25 | 2.3x | 1.19x |
| Pathology examination of tissue using a microscope, intermediate complexity | $215.41 | $59.13 | 3.6x | 1.16x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $60.81 | $7.60 | 8.0x | 1.64x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $97.35 | $15.87 | 6.1x | 1.41x |
| Blood test, comprehensive group of blood chemicals | $81.43 | $10.34 | 7.9x | 1.33x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $42.21 | $8.59 | 4.9x | 0.94x |
| Test for allergy using allergenic extract | $14.78 | $4.36 | 3.4x | 1.12x |
| X-ray of chest, 1 view | $49.67 | $9.78 | 5.1x | 0.95x |
| Destruction of precancer skin growth, 2-14 growths | $37.79 | $6.81 | 5.6x | 1.72x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $584.71 | $176.36 | 3.3x | 1.43x |
| Therapy procedure for walking training, each 15 minutes | $62.29 | $23.82 | 2.6x | 1.10x |
| Blood test, lipids (cholesterol and triglycerides) | $119.53 | $13.09 | 9.1x | 1.24x |
| Psychotherapy, 45 minutes | $180.23 | $92.06 | 2.0x | 1.02x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $571.57 | $180.95 | 3.2x | 1.40x |
| Established patient complete exam of visual system | $276.80 | $135.28 | 2.0x | 1.22x |
| Blood test, thyroid stimulating hormone (tsh) | $103.10 | $16.45 | 6.3x | 1.08x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $346.06 | $116.75 | 3.0x | 1.30x |
| Hemoglobin a1c level | $63.49 | $9.50 | 6.7x | 1.09x |
| Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $143.89 | $58.30 | 2.5x | 1.22x |
| Administration of influenza virus vaccine | $47.46 | $32.03 | 1.5x | 1.16x |
| Chiropractic manipulative treatment, 1-2 spinal regions | $46.62 | $28.51 | 1.6x | 0.95x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $49.70 | $9.67 | 5.1x | 1.28x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $717.35 | $182.08 | 3.9x | 1.26x |
| Emergency department visit with high level of medical decision making | $1,142.59 | $181.48 | 6.3x | 0.93x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $346.34 | $133.43 | 2.6x | 1.24x |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $135.02 | $64.65 | 2.1x | 1.20x |
| Removal of fingernails or toenails, 6 or more nails | $94.68 | $46.57 | 2.0x | 1.11x |
| Imaging of retina | $152.28 | $43.69 | 3.5x | 1.23x |