| T1015 | Clinic visit/encounter, all-inclusive | 44,100 | $120 | $5.3M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 210 | $50 | $10K |
| 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,… | 560 | $20 | $10K |
| 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… | 620 | $1 | $1.9K |
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 10 | $130 | $1.6K |
| 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… | 540 | $1 | $1.1K |
| 90715 | The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough. | 670 | $1 | $670 |
| 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… | 50 | $10 | $660 |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 170 | $1 | $500 |
| 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. | 210 | $1 | $210 |