| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 35 | 60 | 18,740 | $60 | $4.6M |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 35 | 70 | 1,060 | $40 | $97K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 37 | 70 | 1,000 | $40 | $91K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 33 | 80 | 540 | $40 | $61.6K |
| 90832 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 113 | 140 | 670 | $20 | $48.8K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 30 | 30 | 2,710 | $10 | $46.1K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 41 | 190 | 390 | $20 | $42.6K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 26 | 90 | 150 | $40 | $31.9K |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 179 | 190 | 470 | $10 | $31.8K |
| Q3014 | Telehealth originating site facility fee | 38 | 60 | 360 | $10 | $31.2K |