| T1015 | Clinic visit/encounter, all-inclusive | 133,100 | $130 | $17.7M |
| D0999 | N/A | 6,190 | $120 | $723.6K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1,540 | $70 | $104.8K |
| 90651 | This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,… | 3,180 | $10 | $25.5K |
| 90734 | The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses… | 2,100 | $10 | $18.9K |
| 90710 | This code represents an MMRV vaccine product administered beneath the skin to protect against measles, mumps, rubella (German measles), and varicella (chickenpox). | 1,680 | $10 | $15.1K |
| 90620 | This code represents a vaccine product administered into the muscle to protect against meningococcal disease caused by serogroup B. This vaccine uses recombinant proteins and outer membrane vesicles… | 1,610 | $10 | $9.7K |
| 90670 | This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and… | 8,090 | $1 | $8.1K |
| H2000 | Comprehensive multidisciplinary evaluation | 90 | $80 | $7.1K |
| 90633 | This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule. | 5,050 | $1 | $5.1K |