| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $293.22 | $118.65 | 2.5x | 1.07x |
| Ground mileage, per statute mile | $28.38 | $9.64 | 2.9x | 1.07x |
| Therapy procedure using functional activities | $74.71 | $31.68 | 2.4x | 1.00x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $65.24 | $23.20 | 2.8x | 0.94x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $199.37 | $83.72 | 2.4x | 1.06x |
| Insertion of needle into vein for collection of blood sample | $21.74 | $8.50 | 2.6x | 1.00x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $69.67 | $27.08 | 2.6x | 0.96x |
| Therapy procedure using manual technique, each 15 minutes | $61.66 | $20.74 | 3.0x | 0.91x |
| 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 | $45.57 | $16.23 | 2.8x | 1.05x |
| Blood test, comprehensive group of blood chemicals | $51.57 | $10.32 | 5.0x | 0.84x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $66.47 | $39.38 | 1.7x | 1.09x |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $35.61 | $7.59 | 4.7x | 0.96x |
| Destruction of precancer skin growth, 2-14 growths | $14.68 | $6.09 | 2.4x | 0.67x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $232.34 | $77.20 | 3.0x | 1.14x |
| Pathology examination of tissue using a microscope, intermediate complexity | $153.72 | $52.18 | 2.9x | 0.83x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $417.48 | $163.18 | 2.6x | 1.03x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $368.61 | $117.02 | 3.2x | 1.13x |
| Blood test, lipids (cholesterol and triglycerides) | $83.43 | $13.09 | 6.4x | 0.87x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $36.06 | $8.07 | 4.5x | 0.81x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $407.83 | $158.21 | 2.6x | 1.00x |
| Hemoglobin a1c level | $52.93 | $9.48 | 5.6x | 0.91x |
| X-ray of chest, 1 view | $35.99 | $8.52 | 4.2x | 0.69x |
| Blood test, thyroid stimulating hormone (tsh) | $84.10 | $16.43 | 5.1x | 0.88x |
| Administration of influenza virus vaccine | $43.69 | $28.88 | 1.5x | 1.07x |
| Admn sarscov2 vacc 1 dose | $51.33 | $38.04 | 1.3x | 1.02x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $327.39 | $130.17 | 2.5x | 1.18x |
| Imaging of retina | $110.11 | $40.32 | 2.7x | 0.89x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $263.17 | $103.90 | 2.5x | 0.99x |
| Fixed wing air mileage, per statute mile | $149.32 | $14.71 | 10.1x | 1.08x |
| Established patient complete exam of visual system | $226.81 | $128.18 | 1.8x | 1.00x |
| Screening mammography | $250.18 | $70.58 | 3.5x | 1.01x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $220.42 | $96.36 | 2.3x | 1.05x |
| Screening 3d breast mammography | $136.98 | $36.27 | 3.8x | 0.99x |
| Emergency department visit with high level of medical decision making | $1,193.10 | $170.77 | 7.0x | 0.97x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $633.84 | $170.10 | 3.7x | 1.12x |
| X-ray of chest, 2 views | $62.17 | $15.49 | 4.0x | 0.87x |
| Injection, bupivacaine liposome, 1 mg | $3.70 | $1.40 | 2.6x | 0.76x |
| Destruction of precancer skin growth, 1 growth | $149.91 | $50.93 | 2.9x | 0.96x |
| Psychotherapy, 1 hour | $216.72 | $127.63 | 1.7x | 1.04x |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $318.53 | $93.33 | 3.4x | 0.67x |