90471
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM is the #257 most-billed Medicaid procedure code, with $551.7M in payments across 57.1M claims from 2018–2024. The national median cost per claim is $9.80.
Total Paid
$551.7M
0.05% of all spending
Total Claims
57.1M
Providers
33K
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 90471? Based on 29K providers billing this code nationally.
Median
$9.80
Average
$11.64
Std Dev
$21.80
Max
$862.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.59 and $14.74 per claim for this code.
90% bill between $0.93 and $19.38.
Top 1% bill above $56.98.
About This Procedure
HCPCS code 90471 (Immunization administration, 1 vaccine, percutaneous/ID/SC/IM) was billed by 33K providers across 57.1M claims, totaling $551.7M in Medicaid payments from 2018–2024. This code was used for 52.4M unique beneficiaries.
Risk Assessment
This procedure is featured in our investigation: COVID Vaccine Drive
Read the full analysis for context on billing patterns associated with this code.
Billing Statistics
Median Cost/Claim
$9.80
Providers Billing
29K
National Spending
$551.7M
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90471
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $10.0M |
| 2 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $9.1M |
| 3 | Our Lady Of The Lake Physician Group Llc Baton Rouge, LA · Allergy & Immunology | $3.2M |
| 4 | 1710945969 | $3.1M |
| 5 | 1851821565 | $2.5M |
| 6 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $2.5M |
| 7 | Community Physicians Of Indiana Inc Indianapolis, IN · Internal Medicine | $2.3M |
| 8 | 1063846699 | $2.3M |
| 9 | Wake Forest University Health Sciences Winston Salem, NC · Clinic/Center, Multi-Specialty | $2.3M |
| 10 | 1376104125 | $2.0M |
| 11 | Bexar County Hospital District San Antonio, TX · Clinical Medical Laboratory | $2.0M |
| 12 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $2.0M |
| 13 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $1.9M |
| 14 | 1316995210 | $1.9M |
| 15 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $1.8M |
| 16 | 1427018894 | $1.8M |
| 17 | 1265499628 | $1.7M |
| 18 | 1114044369 | $1.7M |
| 19 | Pine Ridge Indian Health Service Hospital Pine Ridge, SD · General Acute Care Hospital | $1.7M |
| 20 | 1598729014 | $1.6M |
Showing top 20 of 33K providers billing this code