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#655 of 11K

0001A

COVID-19 vaccine admin, Pfizer, 1st dose

COVID-19 vaccine admin, Pfizer, 1st dose is the #655 most-billed Medicaid procedure code, with $113.8M in payments across 3.7M claims from 2018–2024. The national median cost per claim is $33.72.

Total Paid

$113.8M

0.01% of all spending

Total Claims

3.7M

Providers

9K

Avg Cost/Claim

$31

National Cost Distribution

How much do providers bill per claim for 0001A? Based on 8K providers billing this code nationally.

Median

$33.72

Average

$34.60

Std Dev

$43.97

Max

$767.60

Percentile Distribution (Cost per Claim)

p10
$7.74
p25
$22.04
Median
$33.72
p75
$40.00
p90
$47.05
p95
$58.70
p99
$97.92

50% of providers bill between $22.04 and $40.00 per claim for this code.

90% bill between $7.74 and $47.05.

Top 1% bill above $97.92.

About This Procedure

HCPCS code 0001A (COVID-19 vaccine admin, Pfizer, 1st dose) was billed by 9K providers across 3.7M claims, totaling $113.8M in Medicaid payments from 2018–2024. This code was used for 3.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.72

Providers Billing

8K

National Spending

$113.8M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0001A

#ProviderTotal Paid
1Dhhs Phs Naihs Shiprock Hospital

Shiprock, NM · General Acute Care Hospital

$2.0M
2State Of Indiana Auditor Of State

Indianapolis, IN · Public Health or Welfare

$1.6M
3County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$1.5M
4County Of Los Angeles

Los Angeles, CA · Clinic/Center, Public Health, State or Local

$1.2M
5Pine Ridge Indian Health Service Hospital

Pine Ridge, SD · General Acute Care Hospital

$1.2M
6Dhhs,phs,naihs, Gallup Indian Medical Center

Gallup, NM · General Acute Care Hospital

$1.2M
7Gregory Huhn

Chicago, IL · Internal Medicine

$1.1M
8St. Johns Community Health

Los Angeles, CA · Case Manager/Care Coordinator

$1.1M
9Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$959K
10Tanana Chiefs Conference

Fairbanks, AK · Clinic/Center Multi-Specialty

$873K
11Southcentral Foundation

Anchorage, AK · Clinic/Center, Multi-Specialty

$834K
12Dhhs Phs Naihs Crownpoint Hospital

Crownpoint, NM · General Acute Care Hospital

$799K
13Commonwealth Medicine

Worcester, MA · Clinic/Center, Public Health, State or Local

$796K
14Rosebud Indian Health Service

Rosebud, SD · General Acute Care Hospital

$732K
15Zuni Indian Hospital

Zuni, NM · General Acute Care Hospital

$724K
16Legacy Clinics Llc

Portland, OR

$699K
17The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$650K
18Phs Indian Hospital

Red Lake, MN · General Acute Care Hospital

$628K
19Permanente Medical Group Inc

Richmond, CA · Internal Medicine

$599K
20Kaiser Foundation Hospitals

Baldwin Park, CA · General Acute Care Hospital

$582K

Showing top 20 of 9K providers billing this code