| T1015 | Clinic visit/encounter, all-inclusive | 27 | 140 | 7,150 | $220 | $4.4M |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 337 | 530 | 140 | $450 | $1.2M |
| 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… | 142 | 1,680 | 820 | $90 | $307K |
| 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… | 195 | 1,750 | 870 | $70 | $254.4K |
| 99204 | The provider sees a new 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 provider… | 451 | 720 | 120 | $150 | $94.5K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 253 | 300 | 100 | $150 | $79.5K |
| D1120 | Prophylaxis–child | 309 | 470 | 730 | $30 | $77.5K |
| 99203 | The provider sees a new 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 provider… | 562 | 710 | 140 | $100 | $74.6K |
| 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,… | 208 | 290 | 260 | $40 | $69.7K |
| D0120 | Periodic oral evaluation - established patient | 349 | 540 | 910 | $20 | $61.2K |