| T1015 | Clinic visit/encounter, all-inclusive | 61,860 | $130 | $8M |
| H2020 | Therapeutic behavioral services, per diem | 5,120 | $40 | $209.8K |
| 81003 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will… | 210 | $0 | $0 |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 170 | $0 | $0 |
| 90472 | This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection. | 130 | $0 | $0 |
| 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. | 420 | $0 | $0 |
| 90648 | This code represents a Haemophilus influenzae type b (Hib) vaccine product administered into the muscle to protect against Hib disease. This formulation uses a PRP–T conjugate and follows a four–dose… | 330 | $0 | $0 |
| 90649 | This code represents a quadrivalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against four HPV types (6, 11, 16,… | 30 | $0 | $0 |
| 90657 | This code represents a trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.25 mL dosage. | 40 | $0 | $0 |
| 90658 | This code represents a trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 210 | $0 | $0 |