APP_CLICK
APP_INSTALL
Just some more detail and my 2 cents:
Take a look at this in the Twitter Ads UI for an App Installs or Engagements campaign:

In the above screenshot, you can see how you can optimize for app clicks or installs, and pay for app clicks or pay for installs.
In the Ads API, the way it works is:
BID_UNIT is optimize
CHARGE_BY is pay for
Hope that clears up the confusion around this.