| Ground mileage, per statute mile | $15.00 | $13.10 | 1.1x | 0.57x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $139.54 | $109.75 | 1.3x | 0.51x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $102.99 | $69.85 | 1.5x | 0.55x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $254.08 | $71.01 | 3.6x | 1.25x |
| Established patient problem focused exam of visual system | $159.96 | $94.87 | 1.7x | 0.96x |
| Removal of skin and tissue, 20.0 sq cm or less | $336.75 | $80.37 | 4.2x | 1.22x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $44.97 | $24.60 | 1.8x | 0.65x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $175.58 | $70.48 | 2.5x | 1.14x |
| Established patient complete exam of visual system | $194.14 | $133.98 | 1.4x | 0.85x |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $26.34 | $21.75 | 1.2x | 0.44x |
| Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $53.98 | $39.81 | 1.4x | 0.46x |
| Photography of the retina | $67.50 | $37.75 | 1.8x | 0.57x |
| Imaging of retina | $137.06 | $42.39 | 3.2x | 1.11x |
| Ambulance service, basic life support, emergency transport (bls-emergency) | $500.00 | $488.25 | 1.0x | 0.40x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $49.70 | $33.85 | 1.5x | 0.68x |
| Emergency department visit with low level of medical decision making | $493.61 | $59.68 | 8.3x | 1.21x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $94.74 | $38.08 | 2.5x | 1.01x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $253.66 | $101.86 | 2.5x | 1.20x |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $139.07 | $44.99 | 3.1x | 1.16x |
| Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | $313.40 | $126.49 | 2.5x | 1.08x |
| Exam of visual field with extended testing | $93.87 | $68.53 | 1.4x | 0.63x |
| Injection of drug into eye | $1,529.03 | $113.52 | 13.5x | 2.62x |
| New patient complete exam of visual system | $228.77 | $158.16 | 1.4x | 0.90x |
| Imaging of optic nerve | $66.08 | $36.18 | 1.8x | 0.60x |
| Ambulance service, basic life support, non-emergency transport, (bls) | $325.00 | $285.54 | 1.1x | 0.29x |
| Dialysis services, 4 or more physician visits per month (20 years or older) | $298.11 | $280.72 | 1.1x | 0.39x |
| Administration of influenza virus vaccine | $31.26 | $30.63 | 1.0x | 0.77x |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $482.78 | $121.04 | 4.0x | 1.31x |
| Emergency department visit with moderate level of medical decision making | $770.08 | $101.57 | 7.6x | 0.98x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $13.93 | $9.00 | 1.5x | 0.36x |
| Hospital discharge day management, 30 minutes or less | $261.58 | $72.13 | 3.6x | 1.18x |
| Application of ultrasound, each 15 minutes | $21.82 | $10.82 | 2.0x | 0.57x |
| Hospital discharge day management, more than 30 minutes | $371.31 | $110.78 | 3.4x | 1.05x |
| New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $103.85 | $66.76 | 1.6x | 0.61x |
| Removal of cataract with insertion of prosthetic lens | $4,646.76 | $543.81 | 8.5x | 4.52x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $203.59 | $167.80 | 1.2x | 0.50x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $134.32 | $130.01 | 1.0x | 0.48x |
| Comprehensive hearing and speech recognition test | $37.41 | $36.81 | 1.0x | 0.30x |
| Test to assess middle ear function | $17.54 | $17.10 | 1.0x | 0.34x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $23.52 | $14.46 | 1.6x | 0.34x |