| 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… | 5,040 | $10 | $70.5K |
| 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… | 3,550 | $10 | $31.9K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 420 | $40 | $14.8K |
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 7,110 | $1 | $14.2K |
| 99441 | N/A | 1,850 | $10 | $11.1K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 400 | $10 | $5.3K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 240 | $20 | $3.8K |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 760 | $10 | $3.8K |
| 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… | 110 | $30 | $3.2K |
| 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… | 150 | $20 | $2.6K |