| T1015 | Clinic visit/encounter, all-inclusive | 14 | 100 | 160 | $110 | $1.9M |
| 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… | 15 | 30 | 5,420 | $40 | $946K |
| T2022 | Case management, per month | 12 | 10 | 2,540 | $120 | $728.6K |
| 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… | 70 | 120 | 1,050 | $110 | $409.5K |
| 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… | 22 | 30 | 350 | $110 | $345.1K |
| 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… | 51 | 310 | 750 | $70 | $321.6K |
| 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… | 30 | 320 | 620 | $50 | $313.6K |
| 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… | 66 | 120 | 300 | $120 | $287.3K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 24 | 40 | 330 | $100 | $251.8K |
| D0999 | N/A | 11 | 40 | 100 | $60 | $157.7K |