| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 11 | 40 | 1,020 | $40 | $865.2K |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 63 | 240 | 4,820 | $60 | $807.6K |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 65 | 190 | 1,480 | $100 | $730.7K |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 56 | 230 | 5,160 | $40 | $474.1K |
| 87651 | The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat. | 32 | 100 | 480 | $20 | $165.1K |
| 87502 | The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly… | 20 | 110 | 610 | $40 | $143.9K |
| J9312 | Injection, rituximab, 10 mg | 1 | 10 | 20 | $8,930 | $142.8K |
| 87634 | The lab analyst performs a test for respiratory syncytial virus (RSV) antigen detection using amplified nucleic acid probe technique. | 41 | 60 | 350 | $30 | $136.6K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 13 | 30 | 570 | $40 | $110.1K |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 54 | 130 | 420 | $40 | $106K |