| D0999 | N/A | 24 | 80 | 2,250 | $190 | $987.3K |
| 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… | 234 | 930 | 910 | $80 | $521.6K |
| 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… | 399 | 960 | 1,010 | $90 | $490K |
| 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… | 92 | 100 | 1,100 | $110 | $362K |
| 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… | 88 | 120 | 670 | $110 | $301.2K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 80 | 120 | 430 | $110 | $205.4K |
| 90461 | In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the… | 80 | 110 | 610 | $40 | $148.2K |
| D2392 | Post 2 surface resin‑based composite | 240 | 250 | 430 | $70 | $143.3K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 93 | 110 | 220 | $70 | $139.3K |
| D1120 | Prophylaxis–child | 118 | 380 | 330 | $30 | $137.6K |