| Ground mileage, per statute mile | $25.58 | $9.28 | 2.8x | 0.97x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $267.36 | $116.86 | 2.3x | 0.97x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $185.02 | $82.47 | 2.2x | 0.98x |
| Detection test by nucleic acid for organism, amplified probe technique | $56.79 | $34.36 | 1.7x | 0.90x |
| Insertion of needle into vein for collection of blood sample | $21.66 | $8.52 | 2.5x | 0.99x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $192.19 | $74.47 | 2.6x | 0.94x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $65.57 | $21.75 | 3.0x | 0.95x |
| Blood test, comprehensive group of blood chemicals | $64.30 | $10.33 | 6.2x | 1.05x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $36.84 | $7.59 | 4.9x | 0.99x |
| 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 | $2.02 | $1.09 | 1.9x | 1.16x |
| Therapy procedure using functional activities | $74.48 | $29.73 | 2.5x | 1.00x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $313.84 | $112.43 | 2.8x | 0.96x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $69.24 | $25.83 | 2.7x | 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 | $38.15 | $15.58 | 2.4x | 0.88x |
| Blood test, lipids (cholesterol and triglycerides) | $95.33 | $13.09 | 7.3x | 0.99x |
| Pathology examination of tissue using a microscope, intermediate complexity | $224.93 | $51.66 | 4.4x | 1.21x |
| Blood test, thyroid stimulating hormone (tsh) | $96.47 | $16.44 | 5.9x | 1.01x |
| Destruction of precancer skin growth, 2-14 growths | $18.77 | $6.05 | 3.1x | 0.85x |
| Hemoglobin a1c level | $62.15 | $9.50 | 6.5x | 1.07x |
| Therapy procedure using manual technique, each 15 minutes | $62.85 | $19.77 | 3.2x | 0.93x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $214.04 | $93.38 | 2.3x | 1.02x |
| X-ray of chest, 1 view | $78.54 | $8.48 | 9.3x | 1.50x |
| Detection test for candida species (yeast), amplified probe technique | $54.36 | $34.37 | 1.6x | 0.90x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $391.58 | $155.03 | 2.5x | 0.96x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $48.37 | $7.83 | 6.2x | 1.08x |
| Test for allergy using allergenic extract | $12.32 | $3.41 | 3.6x | 0.93x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $573.54 | $163.79 | 3.5x | 1.01x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $59.73 | $13.56 | 4.4x | 0.87x |
| Professional service for preparation and provision of 1 or more antigens | $29.65 | $13.68 | 2.2x | 1.01x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $152.15 | $64.82 | 2.3x | 0.99x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $379.83 | $161.22 | 2.4x | 0.93x |
| Established patient complete exam of visual system | $226.85 | $121.35 | 1.9x | 1.00x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $247.45 | $122.14 | 2.0x | 0.89x |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $107.29 | $59.30 | 1.8x | 0.95x |
| Administration of influenza virus vaccine | $35.41 | $28.01 | 1.3x | 0.87x |
| Manual urinalysis test with examination using microscope, automated | $32.71 | $3.10 | 10.5x | 1.02x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $59.45 | $37.52 | 1.6x | 0.98x |
| Injection of drug or substance under skin or into muscle | $52.54 | $12.96 | 4.1x | 0.95x |
| Injection, bupivacaine liposome, 1 mg | $7.55 | $1.38 | 5.5x | 1.55x |
| Emergency department visit with high level of medical decision making | $1,525.29 | $168.25 | 9.1x | 1.24x |