| T1040 | Medicaid certified community behavioral health clinic services, per diem | 89 | 170 | 950 | $200 | $1.8M |
| T1015 | Clinic visit/encounter, all-inclusive | 33 | 550 | 90 | $140 | $1.5M |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc… | 62 | 80 | 1,720 | $150 | $800.5K |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 332 | 1,620 | 580 | $80 | $599.6K |
| D9450 | N/A | 34 | 150 | 2,450 | $30 | $506.8K |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 61 | 100 | 290 | $120 | $356.6K |
| 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… | 62 | 110 | 3,490 | $40 | $309.9K |
| 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… | 1,208 | 5,040 | 200 | $70 | $209.5K |
| 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… | 2,136 | 5,300 | 230 | $60 | $164.5K |
| 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… | 46 | 550 | 160 | $90 | $122.2K |