| 00142 | Anesthesia for procedures on eye; lens surgery | Anesthesia | Anesthesiology | 4.00 |
| 10060 | Incision and drainage of abscess, simple or single | Surgery | General Surgery | 2.01 |
| 11102 | Tangential biopsy of skin, single lesion | Surgery | Dermatology | 0.81 |
| 11104 | Punch biopsy of skin, single lesion | Surgery | Dermatology | 0.95 |
| 17000 | Destruction of premalignant lesion, first lesion | Surgery | Dermatology | 0.84 |
| 17110 | Destruction of benign lesions, up to 14 lesions | Surgery | Dermatology | 1.10 |
| 20610 | Arthrocentesis, aspiration and/or injection, major joint | Surgery | Orthopedics | 1.17 |
| 27130 | Arthroplasty, acetabular and proximal femoral prosthetic replacement, total hip | Surgery | Orthopedics | 22.04 |
| 27447 | Arthroplasty, knee, condyles and plateau, total knee replacement | Surgery | Orthopedics | 21.20 |
| 29826 | Arthroscopy, shoulder, surgical; decompression of subacromial space | Surgery | Orthopedics | 8.55 |
| 29881 | Arthroscopy, knee, surgical; with meniscectomy | Surgery | Orthopedics | 7.19 |
| 36415 | Collection of venous blood by venipuncture | Medicine | Laboratory | 0.17 |
| 43239 | Esophagogastroduodenoscopy, with biopsy | Surgery | Gastroenterology | 4.08 |
| 45378 | Colonoscopy, flexible, diagnostic, without biopsy | Surgery | Gastroenterology | 4.43 |
| 45380 | Colonoscopy, with biopsy | Surgery | Gastroenterology | 5.82 |
| 71045 | Radiologic examination, chest, single view | Radiology | Radiology | 0.46 |
| 71046 | Radiologic examination, chest, 2 views | Radiology | Radiology | 0.61 |
| 73030 | Radiologic examination, shoulder, complete, minimum of 2 views | Radiology | Orthopedics | 0.48 |
| 73560 | Radiologic examination, knee, 1 or 2 views | Radiology | Orthopedics | 0.41 |
| 73610 | Radiologic examination, ankle, complete, minimum of 3 views | Radiology | Orthopedics | 0.44 |
| 80053 | Comprehensive metabolic panel | Pathology | Laboratory | 0.55 |
| 81001 | Urinalysis, by dip stick or tablet reagent, automated, with microscopy | Pathology | Laboratory | 0.13 |
| 85025 | Complete blood count (CBC) with automated differential | Pathology | Laboratory | 0.25 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | Pathology | Pathology | 1.59 |
| 90791 | Psychiatric diagnostic evaluation | Medicine | Mental Health | 2.80 |
| 90832 | Individual psychotherapy, 30 minutes | Medicine | Mental Health | 1.10 |
| 90834 | Individual psychotherapy, 45 minutes | Medicine | Mental Health | 1.55 |
| 90837 | Individual psychotherapy, 60 minutes | Medicine | Mental Health | 2.24 |
| 93000 | Electrocardiogram, routine ECG with at least 12 leads, with interpretation and report | Medicine | Cardiology | 0.42 |
| 93010 | Electrocardiogram, routine ECG, interpretation and report only | Medicine | Cardiology | 0.17 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, complete | Medicine | Cardiology | 3.50 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular | Medicine | Primary Care | 0.36 |
| 99202 | Office or other outpatient visit for new patient, straightforward MDM | Evaluation & Management | Primary Care | 0.93 |
| 99203 | Office or other outpatient visit for new patient, low MDM | Evaluation & Management | Primary Care | 1.60 |
| 99204 | Office or other outpatient visit for new patient, moderate MDM | Evaluation & Management | Primary Care | 2.60 |
| 99205 | Office or other outpatient visit for new patient, high MDM | Evaluation & Management | Primary Care | 3.50 |
| 99211 | Office or other outpatient visit for established patient, may not require physician presence | Evaluation & Management | Primary Care | 0.18 |
| 99212 | Office or other outpatient visit for established patient, straightforward MDM | Evaluation & Management | Primary Care | 0.70 |
| 99213 | Office or other outpatient visit for established patient, low MDM | Evaluation & Management | Primary Care | 1.30 |
| 99214 | Office or other outpatient visit for established patient, moderate MDM | Evaluation & Management | Primary Care | 1.92 |
| 99215 | Office or other outpatient visit for established patient, high MDM | Evaluation & Management | Primary Care | 2.80 |
| 99281 | Emergency department visit, self-limited or minor problem | Evaluation & Management | Emergency Medicine | 0.48 |
| 99282 | Emergency department visit, low to moderate severity | Evaluation & Management | Emergency Medicine | 0.93 |
| 99283 | Emergency department visit, moderate severity | Evaluation & Management | Emergency Medicine | 1.58 |
| 99284 | Emergency department visit, high severity without life threat | Evaluation & Management | Emergency Medicine | 2.56 |
| 99285 | Emergency department visit, high severity with life threat | Evaluation & Management | Emergency Medicine | 3.80 |
| 99386 | Initial comprehensive preventive medicine, 40-64 years | Evaluation & Management | Preventive Medicine | 2.33 |
| 99391 | Periodic comprehensive preventive medicine, infant (under 1 year) | Evaluation & Management | Pediatrics | 1.50 |
| 99396 | Periodic comprehensive preventive medicine, 40-64 years | Evaluation & Management | Preventive Medicine | 1.98 |
| 99490 | Chronic care management services, 20 minutes clinical staff time | Evaluation & Management | Primary Care | 1.36 |