| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 23 | 30 | 480 | $20 | $283.4K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 25 | 70 | 250 | $20 | $215.6K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 26 | 70 | 270 | $20 | $215.5K |
| 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. | 29 | 610 | 1,220 | $40 | $206K |
| 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… | 135 | 520 | 470 | $70 | $187K |
| 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… | 200 | 480 | 580 | $60 | $174.8K |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 13 | 40 | 450 | $10 | $158.2K |
| D1120 | Prophylaxis–child | 151 | 660 | 720 | $30 | $135.9K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 161 | 510 | 240 | $70 | $133.7K |
| D2392 | Post 2 surface resin‑based composite | 402 | 470 | 450 | $70 | $107K |