| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $251.01 | $111.99 | 2.2x | 0.91x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $54.05 | $22.06 | 2.4x | 0.78x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $170.54 | $80.20 | 2.1x | 0.91x |
| Ground mileage, per statute mile | $42.40 | $9.55 | 4.4x | 1.61x |
| Therapy procedure using functional activities | $62.58 | $29.83 | 2.1x | 0.84x |
| Therapy procedure using manual technique, each 15 minutes | $54.15 | $19.69 | 2.7x | 0.80x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $59.12 | $26.30 | 2.2x | 0.81x |
| 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 | $39.78 | $14.93 | 2.7x | 0.91x |
| Destruction of precancer skin growth, 2-14 growths | $16.29 | $5.81 | 2.8x | 0.74x |
| Insertion of needle into vein for collection of blood sample | $14.40 | $8.31 | 1.7x | 0.66x |
| Injection, bupivacaine liposome, 1 mg | $3.79 | $1.40 | 2.7x | 0.78x |
| Pathology examination of tissue using a microscope, intermediate complexity | $177.12 | $48.06 | 3.7x | 0.95x |
| Blood test, comprehensive group of blood chemicals | $32.93 | $10.32 | 3.2x | 0.54x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $20.43 | $7.58 | 2.7x | 0.55x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $343.48 | $148.47 | 2.3x | 0.84x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $28.98 | $8.39 | 3.5x | 0.75x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $210.29 | $72.93 | 2.9x | 1.03x |
| 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 | $1.16 | $1.10 | 1.0x | 0.66x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $281.07 | $119.91 | 2.3x | 1.01x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $358.52 | $148.56 | 2.4x | 0.88x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $198.54 | $92.72 | 2.1x | 0.94x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $38.36 | $7.75 | 4.9x | 0.86x |
| Hemoglobin a1c level | $24.59 | $9.46 | 2.6x | 0.42x |
| Administration of influenza virus vaccine | $30.61 | $24.88 | 1.2x | 0.75x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $315.22 | $110.41 | 2.9x | 0.97x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $70.95 | $37.39 | 1.9x | 1.17x |
| Imaging of retina | $92.80 | $36.81 | 2.5x | 0.75x |
| Established patient complete exam of visual system | $212.91 | $113.73 | 1.9x | 0.94x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $230.67 | $98.82 | 2.3x | 0.87x |
| Destruction of precancer skin growth, 1 growth | $135.68 | $49.01 | 2.8x | 0.87x |
| Blood test, lipids (cholesterol and triglycerides) | $41.02 | $13.08 | 3.1x | 0.43x |
| Admn sarscov2 vacc 1 dose | $40.89 | $32.13 | 1.3x | 0.81x |
| X-ray of chest, 1 view | $33.77 | $8.42 | 4.0x | 0.65x |
| Injection of drug or substance under skin or into muscle | $43.01 | $12.82 | 3.4x | 0.78x |
| Emergency department visit with high level of medical decision making | $1,105.77 | $167.03 | 6.6x | 0.90x |
| Blood test, thyroid stimulating hormone (tsh) | $45.06 | $16.43 | 2.7x | 0.47x |
| Test for allergy using allergenic extract | $10.79 | $3.27 | 3.3x | 0.82x |
| Psychotherapy, 1 hour | $214.10 | $116.90 | 1.8x | 1.02x |
| Removal of fingernails or toenails, 6 or more nails | $87.67 | $41.41 | 2.1x | 1.03x |
| Injection of drug into eye | $463.09 | $121.98 | 3.8x | 0.79x |