| J9271 | Injection, pembrolizumab, 1 mg | 3 | 10 | 410 | $8,440 | $3.6M |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis;… | 9 | 110 | 90 | $270 | $3.5M |
| 81420 | The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,… | 13 | 20 | 950 | $300 | $3.2M |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 113 | 710 | 1,790 | $200 | $2.1M |
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 53 | 70 | 370 | $760 | $1M |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 61 | 730 | 1,960 | $100 | $1M |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 210 | 590 | 740 | $170 | $969.2K |
| J1726 | Injection, hydroxyprogesterone caproate, (makena), 10 mg | 3 | 10 | 770 | $1,190 | $672.6K |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | 1 | 10 | 70 | $1,260 | $470.3K |
| G0378 | Hospital observation service, per hour | 2 | 70 | 300 | $500 | $465K |