| T1015 | Clinic visit/encounter, all-inclusive | 170 | 530 | 4,960 | $70 | $2.6M |
| 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… | 1,046 | 1,520 | 550 | $40 | $128.7K |
| 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… | 271 | 1,740 | 550 | $30 | $88.8K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 244 | 280 | 190 | $50 | $48.9K |
| 87428 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2… | 40 | 210 | 250 | $50 | $39.8K |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which… | 8 | 120 | 740 | $20 | $29K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 249 | 270 | 110 | $50 | $28.9K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 103 | 360 | 240 | $30 | $27.7K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 29 | 110 | 170 | $40 | $22K |
| 81025 | The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout. | 171 | 180 | 390 | $10 | $17.2K |