| Ground mileage, per statute mile | $19.79 | $9.79 | 2.0x | 0.75x |
| 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 | $1.10 | $1.07 | 1.0x | 0.64x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $256.40 | $105.78 | 2.4x | 0.93x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $177.76 | $76.51 | 2.3x | 0.94x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $63.23 | $21.40 | 3.0x | 0.91x |
| Insertion of needle into vein for collection of blood sample | $17.44 | $8.52 | 2.0x | 0.80x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $196.34 | $72.54 | 2.7x | 0.97x |
| Blood test, comprehensive group of blood chemicals | $49.98 | $10.32 | 4.8x | 0.81x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $31.33 | $7.59 | 4.1x | 0.84x |
| 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 | $59.62 | $15.30 | 3.9x | 1.37x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $356.89 | $110.48 | 3.2x | 1.10x |
| Therapy procedure using functional activities | $68.29 | $29.26 | 2.3x | 0.92x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $66.98 | $25.52 | 2.6x | 0.92x |
| Blood test, lipids (cholesterol and triglycerides) | $70.36 | $13.09 | 5.4x | 0.73x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $41.71 | $7.68 | 5.4x | 0.93x |
| Pathology examination of tissue using a microscope, intermediate complexity | $178.19 | $47.64 | 3.7x | 0.96x |
| Removal of cataract with insertion of prosthetic lens | $414.27 | $109.81 | 3.8x | 0.40x |
| Hemoglobin a1c level | $45.69 | $9.49 | 4.8x | 0.79x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $179.04 | $90.19 | 2.0x | 0.85x |
| Blood test, thyroid stimulating hormone (tsh) | $76.49 | $16.44 | 4.7x | 0.80x |
| Destruction of precancer skin growth, 2-14 growths | $16.36 | $5.59 | 2.9x | 0.74x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $56.96 | $36.92 | 1.5x | 0.94x |
| X-ray of chest, 1 view | $54.37 | $8.45 | 6.4x | 1.04x |
| Therapy procedure using manual technique, each 15 minutes | $63.10 | $19.26 | 3.3x | 0.93x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $260.63 | $92.29 | 2.8x | 0.94x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $386.41 | $145.35 | 2.7x | 0.95x |
| Administration of influenza virus vaccine | $33.61 | $27.09 | 1.2x | 0.82x |
| Emergency department visit with high level of medical decision making | $1,291.06 | $166.39 | 7.8x | 1.05x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $134.52 | $65.08 | 2.1x | 0.87x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $541.34 | $161.61 | 3.3x | 0.95x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $418.56 | $145.77 | 2.9x | 1.03x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $241.74 | $95.30 | 2.5x | 0.91x |
| Removal of fingernails or toenails, 6 or more nails | $75.67 | $40.28 | 1.9x | 0.89x |
| Injection, bupivacaine liposome, 1 mg | $5.98 | $1.40 | 4.3x | 1.22x |
| Vitamin d-3 level | $158.30 | $28.96 | 5.5x | 0.86x |
| Admn sarscov2 vacc 1 dose | $44.53 | $35.22 | 1.3x | 0.88x |
| Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | $11.07 | $10.61 | 1.0x | 0.58x |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $343.88 | $120.75 | 2.8x | 0.93x |
| Imaging of retina | $119.82 | $35.98 | 3.3x | 0.97x |
| Blood test, basic group of blood chemicals (calcium, total) | $47.93 | $8.27 | 5.8x | 1.00x |