| T1015 | Clinic visit/encounter, all-inclusive | 3,650 | $240 | $858.5K |
| 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… | 120 | $20 | $2.3K |
| 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… | 320 | $1 | $1.3K |
| 99188 | The provider applies a fluoride adhesive over the tooth surface to prevent tooth decay, provide remineralization, or treat hypersensitivity. | 930 | $1 | $930 |
| D0190 | N/A | 70 | $1 | $260 |
| 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… | 220 | $1 | $220 |
| 90834 | 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… | 20 | $10 | $190 |
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 20 | $0 | $0 |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 30 | $0 | $0 |
| 90619 | Report this code for meningococcal conjugate vaccine in a tetanus toxoid carrier for intramuscular administration that protects against four common forms of the virus and to prevent the patient from… | 10 | $0 | $0 |