| S5102 | Day care services, adult; per diem | 1 | 10 | 4,730 | $70 | $348.1K |
| 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… | 655 | 710 | 650 | $90 | $274.1K |
| 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… | 225 | 690 | 650 | $90 | $235.4K |
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify… | 4 | 10 | 390 | $400 | $139.7K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 132 | 180 | 120 | $10 | $4.7K |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 68 | 80 | 40 | $10 | $1.2K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 22 | 30 | 60 | $10 | $650 |
| G0008 | Administration of influenza virus vaccine | 63 | 100 | 80 | $1 | $230 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 36 | 60 | 130 | $1 | $130 |
| 1036F | N/A | 98 | 120 | 160 | $1 | $110 |