| T1015 | Clinic visit/encounter, all-inclusive | 38,170 | $120 | $4.6M |
| D0999 | N/A | 3,900 | $110 | $440.6K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1,590 | $70 | $109.4K |
| 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,… | 1,120 | $20 | $22.5K |
| 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… | 840 | $20 | $12.6K |
| 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… | 1,980 | $1 | $5.9K |
| 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… | 400 | $10 | $5.1K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 4,420 | $1 | $4.4K |
| 90710 | This code represents an MMRV vaccine product administered beneath the skin to protect against measles, mumps, rubella (German measles), and varicella (chickenpox). | 210 | $20 | $4.4K |
| D1120 | Prophylaxis–child | 1,030 | $1 | $3.1K |