90686
Influenza virus vaccine, quadrivalent, preservative-free, IM
Influenza virus vaccine, quadrivalent, preservative-free, IM is the #455 most-billed Medicaid procedure code, with $215.0M in payments across 39.4M claims from 2018–2024. The national median cost per claim is $7.18. Costs vary widely — the 90th percentile is $18.77 per claim, 2.6× the median.
Total Paid
$215.0M
0.02% of all spending
Total Claims
39.4M
Providers
35K
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 90686? Based on 28K providers billing this code nationally.
Median
$7.18
Average
$8.99
Std Dev
$13.23
Max
$654.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.61 and $13.69 per claim for this code.
90% bill between $0.22 and $18.77.
Top 1% bill above $30.13.
About This Procedure
HCPCS code 90686 (Influenza virus vaccine, quadrivalent, preservative-free, IM) was billed by 35K providers across 39.4M claims, totaling $215.0M in Medicaid payments from 2018–2024. This code was used for 36.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.18
Providers Billing
28K
National Spending
$215.0M
Avg/Median Ratio
1.25×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90686
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $4.4M |
| 2 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $3.4M |
| 3 | Arkansas Department Of Health Immunizations Little Rock, AR · Public Health or Welfare | $2.8M |
| 4 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $1.8M |
| 5 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $1.4M |
| 6 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $1.4M |
| 7 | 1366425274 | $1.1M |
| 8 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $1.1M |
| 9 | 1548500713 | $994K |
| 10 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $957K |
| 11 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $944K |
| 12 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $908K |
| 13 | 1144203498 | $887K |
| 14 | 1750443503 | $859K |
| 15 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $843K |
| 16 | Utah Navajo Health System, Incorporated Montezuma Creek, UT · Family Medicine | $766K |
| 17 | 1376949503 | $700K |
| 18 | 1003985755 | $677K |
| 19 | Mary Imogene Bassett Hospital Cooperstown, NY · General Acute Care Hospital, Rural | $636K |
| 20 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $621K |
Showing top 20 of 35K providers billing this code