| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 28 | 70 | 1,440 | $90 | $2.8M |
| H0017 | Behavioral health; residential (hospital residential treatment program), without room and board, per diem | 5 | 10 | 1,660 | $390 | $958K |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 48 | 280 | 850 | $140 | $801.8K |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 33 | 180 | 340 | $170 | $722K |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 67 | 310 | 1,320 | $100 | $543.4K |
| G0330 | Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an… | 1 | 10 | 110 | $2,080 | $475.6K |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 2 | 10 | 920 | $150 | $420.1K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including… | 3 | 20 | 2,150 | $80 | $334.3K |
| 96374 | The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition. | 23 | 90 | 320 | $120 | $327.7K |
| S9480 | Intensive outpatient psychiatric services, per diem | 2 | 10 | 3,000 | $100 | $259.6K |