| T1015 | Clinic visit/encounter, all-inclusive | 102,760 | $120 | $11.8M |
| 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,… | 2,500 | $10 | $27.5K |
| 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… | 1,960 | $10 | $11.8K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 140 | $40 | $6.1K |
| 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… | 2,430 | $1 | $4.8K |
| 90710 | This code represents an MMRV vaccine product administered beneath the skin to protect against measles, mumps, rubella (German measles), and varicella (chickenpox). | 570 | $10 | $3.4K |
| 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. | 1,660 | $1 | $3.3K |
| 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. | 2,080 | $1 | $2.1K |
| 90621 | The provider administers a meningococcal recombinant lipoprotein vaccine intramuscularly to prevent the patient from getting a meningococcal disease such as Neisseria meningitides, as part of a two–… | 220 | $10 | $1.8K |
| 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. | 250 | $10 | $1.7K |