| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 220 | $120 | $26.5K |
| 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… | 360 | $70 | $26.4K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 190 | $10 | $1.7K |
| 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… | 30 | $40 | $1.1K |
| 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. | 20 | $20 | $240 |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 60 | $1 | $180 |
| 99441 | N/A | 10 | $10 | $150 |
| J0694 | Injection, cefoxitin sodium, 1 gm | 30 | $1 | $110 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 40 | $1 | $40 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 130 | $0 | $0 |