| 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… | 107 | 1,910 | 930 | $60 | $278.7K |
| 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… | 56 | 170 | 1,210 | $90 | $275K |
| 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… | 52 | 220 | 470 | $90 | $212.2K |
| 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… | 143 | 1,670 | 720 | $50 | $196.4K |
| 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. | 33 | 160 | 710 | $30 | $119.4K |
| D2392 | Post 2 surface resin‑based composite | 145 | 360 | 360 | $90 | $112.4K |
| D1351 | Sealant - per tooth | 286 | 320 | 570 | $20 | $96.7K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 319 | 330 | 240 | $110 | $91K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 242 | 670 | 230 | $60 | $89.5K |
| D1120 | Prophylaxis–child | 330 | 740 | 1,040 | $20 | $79.8K |