| H2019 | Therapeutic behavioral services, per 15 minutes | 758 | 1,880 | 1,010 | $70 | $544.5K |
| D2930 | N/A | 49 | 220 | 310 | $150 | $421.5K |
| H1000 | Prenatal care, at-risk assessment | 65 | 610 | 1,580 | $60 | $329.2K |
| 59410 | In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal… | 69 | 120 | 80 | $890 | $277.5K |
| 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… | 14 | 1,130 | 780 | $90 | $210.4K |
| 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… | 24 | 1,050 | 640 | $80 | $183.6K |
| 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… | 35 | 5,930 | 460 | $40 | $169.3K |
| H2000 | Comprehensive multidisciplinary evaluation | 204 | 400 | 110 | $150 | $162.7K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 18 | 1,120 | 520 | $80 | $141.7K |
| 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… | 272 | 6,380 | 430 | $50 | $139.3K |