| 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… | 4 | 20 | 2,490 | $170 | $2.9M |
| 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… | 3 | 10 | 2,020 | $160 | $604.9K |
| G0466 | Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more… | 5 | 10 | 910 | $170 | $379.8K |
| D2392 | Post 2 surface resin‑based composite | 62 | 90 | 490 | $220 | $366.3K |
| 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… | 249 | 500 | 1,130 | $50 | $235.1K |
| 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… | 41 | 50 | 1,070 | $70 | $226.6K |
| D1351 | Sealant - per tooth | 60 | 70 | 1,690 | $40 | $217.1K |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 143 | 240 | 700 | $60 | $205.6K |
| D2391 | Resin‑based composite – one surface, posterior | 50 | 70 | 320 | $180 | $192K |
| 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… | 43 | 50 | 1,050 | $60 | $191.3K |