| H2015 | Comprehensive community support services, per 15 minutes | 54 | 60 | 4,510 | $230 | $1.8M |
| H2021 | Community-based wrap-around services, per 15 minutes | 15 | 80 | 1,070 | $330 | $1.3M |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 7 | 100 | 360 | $340 | $1.2M |
| 96374 | The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition. | 21 | 20 | 4,510 | $130 | $1.1M |
| 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… | 4 | 490 | 680 | $260 | $1M |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 72 | 90 | 140 | $230 | $1M |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 11 | 20 | 2,210 | $160 | $976.1K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 18 | 70 | 570 | $110 | $829.4K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 19 | 20 | 2,570 | $130 | $803.5K |
| 97530 | The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity. | 94 | 120 | 970 | $140 | $652.1K |