| Ground mileage, per statute mile | $18.40 | $9.94 | 1.9x | 0.70x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $193.64 | $98.92 | 2.0x | 0.70x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $65.11 | $22.85 | 2.8x | 0.94x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $146.84 | $71.10 | 2.1x | 0.78x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $52.06 | $37.98 | 1.4x | 0.86x |
| Therapy procedure using functional activities | $70.97 | $31.30 | 2.3x | 0.95x |
| 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 | $27.68 | $15.00 | 1.8x | 0.64x |
| Therapy procedure using manual technique, each 15 minutes | $63.68 | $20.23 | 3.1x | 0.94x |
| Fixed wing air mileage, per statute mile | $143.55 | $14.79 | 9.7x | 1.03x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $175.85 | $72.39 | 2.4x | 0.86x |
| Insertion of needle into vein for collection of blood sample | $16.44 | $7.88 | 2.1x | 0.75x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $67.61 | $26.82 | 2.5x | 0.93x |
| Destruction of precancer skin growth, 2-14 growths | $19.89 | $4.40 | 4.5x | 0.91x |
| Pathology examination of tissue using a microscope, intermediate complexity | $124.36 | $36.13 | 3.4x | 0.67x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $32.09 | $7.57 | 4.2x | 0.72x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $35.41 | $7.59 | 4.7x | 0.95x |
| Blood test, comprehensive group of blood chemicals | $50.76 | $10.33 | 4.9x | 0.83x |
| Established patient complete exam of visual system | $179.05 | $120.39 | 1.5x | 0.79x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $270.15 | $137.80 | 2.0x | 0.66x |
| Administration of influenza virus vaccine | $35.98 | $27.27 | 1.3x | 0.88x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $268.02 | $140.41 | 1.9x | 0.66x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $244.50 | $110.26 | 2.2x | 0.75x |
| Imaging of retina | $76.57 | $38.36 | 2.0x | 0.62x |
| Blood test, lipids (cholesterol and triglycerides) | $62.58 | $13.08 | 4.8x | 0.65x |
| Chiropractic manipulative treatment, 1-2 spinal regions | $42.01 | $26.32 | 1.6x | 0.86x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $200.71 | $87.98 | 2.3x | 0.75x |
| Admn sarscov2 vacc 1 dose | $44.06 | $33.31 | 1.3x | 0.87x |
| Screening mammography | $179.84 | $59.68 | 3.0x | 0.73x |
| Destruction of precancer skin growth, 1 growth | $142.70 | $44.36 | 3.2x | 0.92x |
| X-ray of chest, 2 views | $44.22 | $13.42 | 3.3x | 0.62x |
| Screening 3d breast mammography | $83.00 | $31.24 | 2.7x | 0.60x |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $280.00 | $68.20 | 4.1x | 0.59x |
| X-ray of chest, 1 view | $25.72 | $8.08 | 3.2x | 0.49x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $213.11 | $120.29 | 1.8x | 0.77x |
| Hemoglobin a1c level | $42.61 | $9.48 | 4.5x | 0.73x |
| Psychotherapy, 1 hour | $207.12 | $116.54 | 1.8x | 0.99x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $34.76 | $8.29 | 4.2x | 0.89x |
| Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $101.29 | $45.32 | 2.2x | 0.86x |
| Blood test, basic group of blood chemicals (calcium, total) | $48.99 | $8.26 | 5.9x | 1.02x |
| Removal of cataract with insertion of prosthetic lens | $1,830.42 | $511.75 | 3.6x | 1.78x |