| Fixed wing air mileage, per statute mile | $22.39 | $15.50 | 1.4x | 0.16x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $71.86 | $23.06 | 3.1x | 1.04x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $262.59 | $120.76 | 2.2x | 0.96x |
| Insertion of needle into vein for collection of blood sample | $16.23 | $7.77 | 2.1x | 0.74x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $172.43 | $85.43 | 2.0x | 0.92x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $18.57 | $7.59 | 2.4x | 0.50x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $54.28 | $26.48 | 2.1x | 0.75x |
| Blood test, comprehensive group of blood chemicals | $13.56 | $10.35 | 1.3x | 0.22x |
| Therapy procedure using functional activities | $61.95 | $31.59 | 2.0x | 0.83x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $341.90 | $168.70 | 2.0x | 0.84x |
| Blood test, lipids (cholesterol and triglycerides) | $14.45 | $13.09 | 1.1x | 0.15x |
| Therapy procedure using manual technique, each 15 minutes | $62.65 | $20.47 | 3.1x | 0.92x |
| Manual urinalysis test with examination using microscope, automated | $7.40 | $3.11 | 2.4x | 0.23x |
| Ground mileage, per statute mile | $10.58 | $9.17 | 1.2x | 0.40x |
| Hemoglobin a1c level | $11.48 | $9.51 | 1.2x | 0.20x |
| Blood test, thyroid stimulating hormone (tsh) | $18.71 | $16.42 | 1.1x | 0.20x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $29.40 | $13.31 | 2.2x | 0.43x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $135.09 | $73.70 | 1.8x | 0.66x |
| Urine microalbumin (protein) level | $13.06 | $5.66 | 2.3x | 0.23x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $220.80 | $103.34 | 2.1x | 0.83x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $359.94 | $158.39 | 2.3x | 0.88x |
| Thyroxine (thyroid chemical), free | $9.39 | $8.84 | 1.1x | 0.11x |
| Injection of drug or substance under skin or into muscle | $85.22 | $13.69 | 6.2x | 1.54x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $249.62 | $120.03 | 2.1x | 0.90x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $60.54 | $37.73 | 1.6x | 1.00x |
| Psa (prostate specific antigen) measurement, total | $18.69 | $17.92 | 1.0x | 0.18x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $9.05 | $7.35 | 1.2x | 0.20x |
| Established patient complete exam of visual system | $346.43 | $122.95 | 2.8x | 1.52x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $186.28 | $111.48 | 1.7x | 0.57x |
| Bacterial urine culture | $12.00 | $7.93 | 1.5x | 0.38x |
| Dialysis services, 4 or more physician visits per month (20 years or older) | $537.85 | $342.49 | 1.6x | 0.70x |
| Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $93.35 | $53.28 | 1.8x | 0.79x |
| Vitamin d-3 level | $29.65 | $28.95 | 1.0x | 0.16x |
| Therapy procedure for walking training, each 15 minutes | $63.98 | $21.97 | 2.9x | 1.13x |
| Measurement of antibody (ige) to allergic substance, crude allergen extract, each | $6.74 | $5.12 | 1.3x | 0.22x |
| Creatinine level to test for kidney function or muscle injury | $5.37 | $5.08 | 1.1x | 0.12x |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $305.81 | $166.91 | 1.8x | 0.64x |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | $42.52 | $38.56 | 1.1x | 0.48x |
| New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $413.63 | $207.75 | 2.0x | 0.74x |
| Administration of influenza virus vaccine | $45.93 | $26.76 | 1.7x | 1.13x |