| Ground mileage, per statute mile | $16.47 | $8.98 | 1.8x | 0.62x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $227.37 | $113.68 | 2.0x | 0.83x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $60.38 | $21.41 | 2.8x | 0.87x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $160.99 | $80.10 | 2.0x | 0.85x |
| Therapy procedure using functional activities | $65.38 | $28.83 | 2.3x | 0.88x |
| 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 | $38.54 | $15.13 | 2.5x | 0.89x |
| Insertion of needle into vein for collection of blood sample | $17.81 | $8.50 | 2.1x | 0.82x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $186.08 | $73.23 | 2.5x | 0.91x |
| Therapy procedure using manual technique, each 15 minutes | $58.03 | $19.44 | 3.0x | 0.86x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $65.04 | $25.07 | 2.6x | 0.90x |
| Destruction of precancer skin growth, 2-14 growths | $23.71 | $5.79 | 4.1x | 1.08x |
| Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | $80.92 | $62.78 | 1.3x | 0.79x |
| Pathology examination of tissue using a microscope, intermediate complexity | $186.71 | $43.09 | 4.3x | 1.00x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $41.52 | $7.57 | 5.5x | 1.12x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $52.97 | $36.72 | 1.4x | 0.87x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $333.39 | $149.41 | 2.2x | 0.82x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $51.38 | $7.65 | 6.7x | 1.15x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $307.11 | $110.73 | 2.8x | 0.94x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $250.44 | $119.73 | 2.1x | 0.90x |
| Administration of influenza virus vaccine | $33.24 | $27.12 | 1.2x | 0.82x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $86.48 | $12.98 | 6.7x | 1.25x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $158.51 | $89.76 | 1.8x | 0.75x |
| Hemoglobin a1c level | $50.60 | $9.44 | 5.4x | 0.87x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $319.85 | $157.88 | 2.0x | 0.79x |
| Removal of cataract with insertion of prosthetic lens | $1,049.67 | $232.01 | 4.5x | 1.02x |
| Blood test, comprehensive group of blood chemicals | $66.11 | $10.27 | 6.4x | 1.08x |
| Professional service for preparation and provision of 1 or more antigens | $26.27 | $12.91 | 2.0x | 0.89x |
| X-ray of chest, 1 view | $51.92 | $8.06 | 6.4x | 0.99x |
| Test for allergy using allergenic extract | $13.47 | $3.24 | 4.2x | 1.02x |
| Emergency department visit with high level of medical decision making | $1,336.25 | $163.58 | 8.2x | 1.08x |
| Blood test, lipids (cholesterol and triglycerides) | $68.89 | $13.01 | 5.3x | 0.72x |
| Injection of drug or substance under skin or into muscle | $50.96 | $12.63 | 4.0x | 0.92x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $219.27 | $98.14 | 2.2x | 0.82x |
| Automated urinalysis test | $16.41 | $2.19 | 7.5x | 1.08x |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $92.97 | $57.70 | 1.6x | 0.82x |
| Established patient complete exam of visual system | $200.31 | $117.51 | 1.7x | 0.88x |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $164.83 | $103.49 | 1.6x | 0.73x |
| Ambulance service, basic life support, non-emergency transport, (bls) | $632.01 | $221.44 | 2.9x | 0.56x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $527.39 | $160.83 | 3.3x | 0.93x |
| Imaging of retina | $90.23 | $37.88 | 2.4x | 0.73x |