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#662 of 11K

0002A

COVID-19 vaccine admin, Pfizer, 2nd dose

COVID-19 vaccine admin, Pfizer, 2nd dose is the #662 most-billed Medicaid procedure code, with $112.7M in payments across 3.3M claims from 2018–2024. The national median cost per claim is $36.70.

Total Paid

$112.7M

0.01% of all spending

Total Claims

3.3M

Providers

8K

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for 0002A? Based on 7K providers billing this code nationally.

Median

$36.70

Average

$37.86

Std Dev

$46.31

Max

$808.00

Percentile Distribution (Cost per Claim)

p10
$10.62
p25
$27.49
Median
$36.70
p75
$40.27
p90
$51.39
p95
$63.12
p99
$115.10

50% of providers bill between $27.49 and $40.27 per claim for this code.

90% bill between $10.62 and $51.39.

Top 1% bill above $115.10.

About This Procedure

HCPCS code 0002A (COVID-19 vaccine admin, Pfizer, 2nd dose) was billed by 8K providers across 3.3M claims, totaling $112.7M in Medicaid payments from 2018–2024. This code was used for 3.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.70

Providers Billing

7K

National Spending

$112.7M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0002A

#ProviderTotal Paid
1Dhhs Phs Naihs Shiprock Hospital

Shiprock, NM · General Acute Care Hospital

$2.1M
2State Of Indiana Auditor Of State

Indianapolis, IN · Public Health or Welfare

$1.8M
3County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$1.7M
4County Of Los Angeles

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

$1.4M
5Dhhs,phs,naihs, Gallup Indian Medical Center

Gallup, NM · General Acute Care Hospital

$1.3M
6Pine Ridge Indian Health Service Hospital

Pine Ridge, SD · General Acute Care Hospital

$1.2M
7St. Johns Community Health

Los Angeles, CA · Case Manager/Care Coordinator

$988K
8Tanana Chiefs Conference

Fairbanks, AK · Clinic/Center Multi-Specialty

$976K
9Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$948K
10Gregory Huhn

Chicago, IL · Internal Medicine

$941K
11Commonwealth Medicine

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

$831K
12Legacy Clinics Llc

Portland, OR

$774K
13Southcentral Foundation

Anchorage, AK · Clinic/Center, Multi-Specialty

$751K
14Zuni Indian Hospital

Zuni, NM · General Acute Care Hospital

$705K
15The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$703K
16Rosebud Indian Health Service

Rosebud, SD · General Acute Care Hospital

$693K
17Dhhs Phs Naihs Crownpoint Hospital

Crownpoint, NM · General Acute Care Hospital

$692K
18Kaiser Foundation Hospitals

Baldwin Park, CA · General Acute Care Hospital

$687K
19Permanente Medical Group Inc

Richmond, CA · Internal Medicine

$597K
20Phs Indian Hospital

Red Lake, MN · General Acute Care Hospital

$562K

Showing top 20 of 8K providers billing this code