| Ground mileage, per statute mile | $17.44 | $9.61 | 1.8x | 0.66x |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $223.34 | $102.61 | 2.2x | 0.81x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $160.32 | $72.94 | 2.2x | 0.85x |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $54.09 | $20.86 | 2.6x | 0.78x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $193.91 | $74.71 | 2.6x | 0.95x |
| Therapy procedure using functional activities | $59.17 | $27.89 | 2.1x | 0.79x |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $58.23 | $24.92 | 2.3x | 0.80x |
| Therapy procedure using manual technique, each 15 minutes | $56.44 | $18.88 | 3.0x | 0.83x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $46.27 | $7.80 | 5.9x | 1.03x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $319.85 | $112.36 | 2.8x | 0.98x |
| X-ray of chest, 1 view | $40.49 | $8.10 | 5.0x | 0.77x |
| Destruction of precancer skin growth, 2-14 growths | $22.12 | $5.05 | 4.4x | 1.01x |
| 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 | $39.87 | $15.28 | 2.6x | 0.92x |
| Removal of cataract with insertion of prosthetic lens | $258.57 | $83.59 | 3.1x | 0.25x |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $188.87 | $94.72 | 2.0x | 0.90x |
| Pathology examination of tissue using a microscope, intermediate complexity | $154.54 | $43.30 | 3.6x | 0.83x |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $318.93 | $138.05 | 2.3x | 0.78x |
| Insertion of needle into vein for collection of blood sample | $16.81 | $8.49 | 2.0x | 0.77x |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $310.87 | $122.88 | 2.5x | 0.84x |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $536.32 | $162.97 | 3.3x | 0.94x |
| Rotary wing air mileage, per statute mile | $316.11 | $35.60 | 8.9x | 0.89x |
| Emergency department visit with high level of medical decision making | $1,153.79 | $166.75 | 6.9x | 0.94x |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $263.05 | $118.31 | 2.2x | 0.94x |
| Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $103.39 | $43.03 | 2.4x | 0.88x |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $222.72 | $91.06 | 2.4x | 0.84x |
| Professional service for preparation and provision of 1 or more antigens | $25.97 | $12.17 | 2.1x | 0.88x |
| Chiropractic manipulative treatment, 3-4 spinal regions | $53.60 | $36.27 | 1.5x | 0.88x |
| X-ray of chest, 2 views | $55.74 | $12.17 | 4.6x | 0.78x |
| Administration of influenza virus vaccine | $38.47 | $26.26 | 1.5x | 0.94x |
| Ambulance service, basic life support, non-emergency transport, (bls) | $650.33 | $234.72 | 2.8x | 0.58x |
| Established patient complete exam of visual system | $180.52 | $113.42 | 1.6x | 0.79x |
| Emergency department visit with moderate level of medical decision making | $556.71 | $114.60 | 4.9x | 0.71x |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $37.86 | $8.19 | 4.6x | 0.97x |
| Imaging of retina | $91.29 | $34.55 | 2.6x | 0.74x |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $114.15 | $46.11 | 2.5x | 0.95x |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $317.11 | $145.00 | 2.2x | 0.78x |
| Injection, bupivacaine liposome, 1 mg | $6.19 | $1.40 | 4.4x | 1.27x |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $140.99 | $64.33 | 2.2x | 0.91x |
| Hospital discharge day management, more than 30 minutes | $301.73 | $108.05 | 2.8x | 0.85x |
| Test for allergy using allergenic extract | $11.96 | $3.16 | 3.8x | 0.90x |