| T1015 | Clinic visit/encounter, all-inclusive | 109 | 1,550 | 38,050 | $190 | $14.1M |
| G9012 | Other specified case management service not elsewhere classified | 556 | 720 | 1,110 | $110 | $651.3K |
| A9150 | Non-prescription drugs | 65 | 80 | 360 | $180 | $619K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 338 | 490 | 660 | $70 | $396.7K |
| 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… | 377 | 1,030 | 1,050 | $70 | $219.7K |
| 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… | 518 | 13,300 | 640 | $40 | $169.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 285 | 4,230 | 210 | $110 | $135K |
| 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… | 299 | 14,520 | 760 | $10 | $122.8K |
| 99204 | The provider sees a new 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 provider… | 3,114 | 5,870 | 180 | $70 | $73K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 959 | 2,180 | 180 | $70 | $67.9K |