| T1015 | Clinic visit/encounter, all-inclusive | 22 | 180 | 8,540 | $180 | $3M |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 45 | 50 | 740 | $90 | $453.3K |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which… | 42 | 80 | 3,000 | $50 | $269.8K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 48 | 70 | 630 | $100 | $235.5K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 56 | 460 | 1,240 | $30 | $190K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 58 | 480 | 1,030 | $20 | $128.9K |
| D2392 | Post 2 surface resin‑based composite | 70 | 80 | 260 | $80 | $88.2K |
| 90792 | In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical… | 40 | 50 | 110 | $60 | $72.1K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 111 | 170 | 380 | $50 | $63.7K |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 87 | 140 | 470 | $30 | $59K |