| T1015 | Clinic visit/encounter, all-inclusive | 73,140 | $110 | $8.3M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 380 | $40 | $14.4K |
| 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,… | 1,250 | $1 | $3.7K |
| 90698 | This code represents a combination vaccine product administered into the muscle to protect against five diseases: diphtheria, tetanus, pertussis, Haemophilus influenzae type b (Hib), and polio. | 2,330 | $1 | $2.3K |
| 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… | 2,300 | $1 | $2.3K |
| 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… | 570 | $1 | $2.3K |
| 90681 | This code represents a live, weakened rotavirus vaccine given by mouth in a two–dose schedule to protect against rotavirus infection. | 690 | $1 | $1.4K |
| 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. | 1,070 | $1 | $1.1K |
| 90710 | This code represents an MMRV vaccine product administered beneath the skin to protect against measles, mumps, rubella (German measles), and varicella (chickenpox). | 100 | $10 | $1K |
| 90744 | This code represents a pediatric/adolescent–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The vaccine has a three–dose schedule. | 960 | $1 | $960 |