| T1015 | Clinic visit/encounter, all-inclusive | 95,770 | $120 | $11.7M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 170 | $50 | $9K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 220 | $30 | $7.1K |
| 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,… | 1,430 | $1 | $2.9K |
| 90680 | This code represents a live pentavalent rotavirus vaccine given by mouth in a three–dose schedule to protect against rotavirus infection. | 1,900 | $1 | $1.9K |
| 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. | 1,260 | $1 | $1.3K |
| 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… | 940 | $1 | $940 |
| 90716 | The provider administers a live vaccine subcutaneously to protect against varicella infection. | 370 | $1 | $740 |
| 90707 | This code represents an MMR vaccine product administered beneath the skin to protect against measles, mumps, and rubella (German measles). | 440 | $1 | $440 |
| 90700 | This code represents a DTaP vaccine product administered into the muscle to protect against diphtheria, tetanus, and pertussis (whooping cough). It is used for children younger than 7 years of age. | 270 | $1 | $270 |