| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 91,380 | $50 | $4.6M |
| T1015 | Clinic visit/encounter, all-inclusive | 63,440 | $60 | $3.7M |
| 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… | 34,390 | $10 | $206.3K |
| 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,… | 7,260 | $1 | $14.5K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 660 | $10 | $7.9K |
| 87206 | The analyst performs a technical lab test for bacteria, fungi, parasites, viruses, or cell types using fluorescent stain, acid fast stain, or both. | 990 | $10 | $5.9K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 290 | $10 | $3.5K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 150 | $10 | $2.2K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 170 | $10 | $2K |
| 90734 | The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses… | 120 | $20 | $1.9K |