| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $204.00 | $128.52 | 1.6x | 0.74x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $142.21 | $86.48 | 1.6x | 0.75x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $46.95 | $21.64 | 2.2x | 0.68x |
| Insertion of needle into vein for collection of blood sample | $17.38 | $8.58 | 2.0x | 0.80x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $111.59 | $64.64 | 1.7x | 0.72x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $48.94 | $28.31 | 1.7x | 0.67x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $20.51 | $7.60 | 2.7x | 0.55x |
| Therapy procedure using functional activities | $52.27 | $26.46 | 2.0x | 0.70x |
| Removal of fingernails or toenails, 6 or more nails | $95.00 | $42.79 | 2.2x | 1.11x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $15.16 | $9.01 | 1.7x | 0.39x |
| Training for self-care or home management, each 15 minutes | $45.12 | $22.70 | 2.0x | 0.72x |
| Therapy procedure using manual technique, each 15 minutes | $44.64 | $20.47 | 2.2x | 0.66x |
| Removal of noncancer thickened skin growth, 2-4 growths | $125.00 | $81.90 | 1.5x | 0.93x |
| Application of ultrasound, each 15 minutes | $15.09 | $10.64 | 1.4x | 0.40x |
| Ultrasound of both sides of head and neck blood flow | $232.60 | $201.25 | 1.2x | 0.56x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $216.03 | $98.89 | 2.2x | 1.03x |
| Ultrasound study of arm or leg veins with compression and maneuvers | $222.10 | $166.14 | 1.3x | 0.63x |
| Psychotherapy, 1 hour | $244.11 | $110.82 | 2.2x | 1.17x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $167.14 | $115.00 | 1.5x | 0.63x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $30.05 | $15.47 | 1.9x | 0.44x |
| Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | $61.68 | $26.61 | 2.3x | 0.51x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $237.95 | $172.18 | 1.4x | 0.58x |
| X-ray of chest, 1 view | $38.00 | $8.45 | 4.5x | 0.73x |
| Ct scan head or brain without contrast | $180.00 | $39.47 | 4.6x | 0.73x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $217.66 | $131.96 | 1.6x | 0.78x |
| 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 | $35.75 | $16.57 | 2.2x | 0.82x |
| Ct scan of abdomen and pelvis with contrast | $407.78 | $163.86 | 2.5x | 0.66x |
| Ct scan of chest with contrast | $327.57 | $65.80 | 5.0x | 0.75x |
| Administration of chemotherapy into vein, 1 hour or less | $277.04 | $120.83 | 2.3x | 0.58x |
| Dxa bone density measurement of hip, pelvis, spine | $60.00 | $9.42 | 6.4x | 0.38x |
| Therapy procedure for walking training, each 15 minutes | $35.00 | $21.89 | 1.6x | 0.62x |
| Injection of drug or substance under skin or into muscle | $40.74 | $13.72 | 3.0x | 0.74x |
| Advance care planning, first 30 minutes | $124.98 | $79.04 | 1.6x | 0.67x |
| Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | $199.32 | $154.88 | 1.3x | 0.60x |
| Complete ultrasound scan behind abdominal cavity | $160.00 | $112.05 | 1.4x | 0.65x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $309.41 | $148.26 | 2.1x | 0.76x |
| Blood creatinine level | $13.37 | $5.02 | 2.7x | 0.59x |
| Nuclear medicine study from skull base to mid-thigh with ct scan | $2,961.87 | $1,394.83 | 2.1x | 1.39x |
| Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | $239.92 | $120.09 | 2.0x | 0.83x |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $320.00 | $189.98 | 1.7x | 0.67x |