| T1015 | Clinic visit/encounter, all-inclusive | 37,350 | $150 | $5.6M |
| H2020 | Therapeutic behavioral services, per diem | 50 | $10 | $420 |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 50 | $0 | $0 |
| 82948 | The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method. | 40 | $0 | $0 |
| 82962 | Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained… | 20 | $0 | $0 |
| 85018 | The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue. | 420 | $0 | $0 |
| 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,… | 40 | $0 | $0 |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 840 | $0 | $0 |
| 90472 | This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection. | 320 | $0 | $0 |
| 90658 | This code represents a trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 120 | $0 | $0 |