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#1011 of 11K

0011A

COVID-19 vaccine admin, Moderna, 1st dose

COVID-19 vaccine admin, Moderna, 1st dose is the #1,011 most-billed Medicaid procedure code, with $48.3M in payments across 1.8M claims from 2018–2024. The national median cost per claim is $25.93.

Total Paid

$48.3M

0.00% of all spending

Total Claims

1.8M

Providers

9K

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for 0011A? Based on 7K providers billing this code nationally.

Median

$25.93

Average

$30.50

Std Dev

$50.66

Max

$808.00

Percentile Distribution (Cost per Claim)

p10
$5.32
p25
$14.95
Median
$25.93
p75
$35.52
p90
$41.59
p95
$53.58
p99
$177.14

50% of providers bill between $14.95 and $35.52 per claim for this code.

90% bill between $5.32 and $41.59.

Top 1% bill above $177.14.

About This Procedure

HCPCS code 0011A (COVID-19 vaccine admin, Moderna, 1st dose) was billed by 9K providers across 1.8M claims, totaling $48.3M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.93

Providers Billing

7K

National Spending

$48.3M

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0011A

#ProviderTotal Paid
1Dhhs Phs Naihs Shiprock Hospital

Shiprock, NM · General Acute Care Hospital

$1.0M
2Zuni Indian Hospital

Zuni, NM · General Acute Care Hospital

$991K
3State Of Indiana Auditor Of State

Indianapolis, IN · Public Health or Welfare

$787K
4Commonwealth Medicine

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

$493K
5Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$458K
6Phs Indian Hospital

Red Lake, MN · General Acute Care Hospital

$416K
7The Commonwealth Of Massachusetts

Boston, MA · Public Health or Welfare

$416K
8County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$341K
9Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$336K
10Tanana Chiefs Conference

Fairbanks, AK · Clinic/Center Multi-Specialty

$310K
11White Earth Band Of Chippewa

White Earth, MN · Home Health

$299K
12Dhhs Phs Naihs Crownpoint Hospital

Crownpoint, NM · General Acute Care Hospital

$293K
131326053166$262K
14Santa Fe Indian Hospital

Santa Fe, NM · General Acute Care Hospital

$236K
15Mescalero Indian Hospital

Mescalero, NM · General Acute Care Hospital, Rural

$211K
161578565347$192K
17Dulce Health Center

Dulce, NM · Clinic/Center, Public Health, Federal

$188K
18United Health Centers Of The San Joaquin Valley

Reedley, CA · Case Manager/Care Coordinator

$182K
19Southern California Permanente Medical Group

San Diego, CA · Health Maintenance Organization

$182K
20Dhhs,phs,naihs, Gallup Indian Medical Center

Gallup, NM · General Acute Care Hospital

$179K

Showing top 20 of 9K providers billing this code