| D2930 | N/A | 61 | 60 | 1,370 | $120 | $359.9K |
| 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… | 23 | 1,050 | 560 | $80 | $266.8K |
| D1351 | Sealant - per tooth | 36 | 210 | 1,490 | $20 | $189.4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of… | 22 | 40 | 150 | $130 | $180.8K |
| 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… | 52 | 160 | 470 | $90 | $163.1K |
| 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… | 46 | 180 | 300 | $100 | $141.8K |
| 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… | 15 | 880 | 400 | $60 | $136K |
| 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… | 178 | 730 | 440 | $80 | $128.1K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 35 | 90 | 100 | $10 | $125.6K |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 38 | 320 | 590 | $30 | $120.1K |