| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $274.58 | $114.18 | 2.4x | 1.00x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $70.93 | $23.14 | 3.1x | 1.03x |
| Ground mileage, per statute mile | $37.39 | $8.67 | 4.3x | 1.42x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $191.50 | $83.73 | 2.3x | 1.02x |
| Therapy procedure using functional activities | $77.57 | $33.20 | 2.3x | 1.04x |
| Therapy procedure using manual technique, each 15 minutes | $72.65 | $20.72 | 3.5x | 1.07x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $76.07 | $27.15 | 2.8x | 1.05x |
| 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 | $1.00 | $0.97 | 1.0x | 0.58x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $206.09 | $76.89 | 2.7x | 1.01x |
| Removal of cataract with insertion of prosthetic lens | $171.94 | $47.62 | 3.6x | 0.17x |
| Destruction of precancer skin growth, 2-14 growths | $19.95 | $6.20 | 3.2x | 0.91x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $41.03 | $7.94 | 5.2x | 0.92x |
| Insertion of needle into vein for collection of blood sample | $14.88 | $8.64 | 1.7x | 0.68x |
| 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 | $39.65 | $16.06 | 2.5x | 0.91x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $311.40 | $116.21 | 2.7x | 0.96x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $185.38 | $94.61 | 2.0x | 0.88x |
| Emergency department visit with high level of medical decision making | $1,090.82 | $171.12 | 6.4x | 0.89x |
| Injection, bupivacaine liposome, 1 mg | $1.36 | $1.34 | 1.0x | 0.28x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $276.85 | $97.96 | 2.8x | 0.99x |
| X-ray of chest, 1 view | $45.18 | $8.84 | 5.1x | 0.86x |
| X-ray of chest, 2 views | $58.56 | $16.17 | 3.6x | 0.81x |
| Administration of influenza virus vaccine | $37.92 | $30.59 | 1.2x | 0.93x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $32.84 | $7.60 | 4.3x | 0.88x |
| Established patient complete exam of visual system | $213.00 | $124.83 | 1.7x | 0.94x |
| Screening mammography | $283.68 | $76.03 | 3.7x | 1.14x |
| Screening 3d breast mammography | $173.48 | $37.52 | 4.6x | 1.25x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $396.31 | $157.38 | 2.5x | 0.97x |
| Pathology examination of tissue using a microscope, intermediate complexity | $195.78 | $40.18 | 4.9x | 1.05x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $551.29 | $170.10 | 3.2x | 0.97x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $69.88 | $39.07 | 1.8x | 1.15x |
| Admn sarscov2 vacc 1 dose | $44.28 | $40.23 | 1.1x | 0.88x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $390.46 | $153.46 | 2.5x | 0.96x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $265.63 | $103.88 | 2.6x | 1.00x |
| Blood test, comprehensive group of blood chemicals | $55.90 | $10.34 | 5.4x | 0.91x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $51.58 | $14.12 | 3.7x | 0.75x |
| Psychotherapy, 1 hour | $209.80 | $122.17 | 1.7x | 1.00x |
| Imaging of retina | $99.18 | $39.86 | 2.5x | 0.80x |
| Hemoglobin a1c level | $35.71 | $9.49 | 3.8x | 0.62x |
| Destruction of precancer skin growth, 1 growth | $161.03 | $50.07 | 3.2x | 1.04x |
| Blood test, lipids (cholesterol and triglycerides) | $45.41 | $13.10 | 3.5x | 0.47x |