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#2361 of 11K

90696

DTaP-IPV vaccine

DTaP-IPV vaccine is the #2,361 most-billed Medicaid procedure code, with $6.4M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $5.95. Costs vary widely — the 90th percentile is $19.61 per claim, 3.3× the median.

Total Paid

$6.4M

0.00% of all spending

Total Claims

1.7M

Providers

6K

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 90696? Based on 3K providers billing this code nationally.

Median

$5.95

Average

$7.99

Std Dev

$8.61

Max

$95.67

Percentile Distribution (Cost per Claim)

p10
$0.12
p25
$1.00
Median
$5.95
p75
$12.31
p90
$19.61
p95
$22.41
p99
$33.88

50% of providers bill between $1.00 and $12.31 per claim for this code.

90% bill between $0.12 and $19.61.

Top 1% bill above $33.88.

About This Procedure

HCPCS code 90696 (DTaP-IPV vaccine) was billed by 6K providers across 1.7M claims, totaling $6.4M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.95

Providers Billing

3K

National Spending

$6.4M

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90696

#ProviderTotal Paid
1Arkansas Department Of Health Immunizations

Little Rock, AR · Public Health or Welfare

$419K
2The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$174K
3Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$136K
4Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$102K
5Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$99K
6Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$91K
7The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$74K
81568901742$66K
9United Health Services Hospitals, Inc.

Binghamton, NY · General Acute Care Hospital

$55K
101376508788$50K
111780950543$48K
12Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$48K
13Barrio Comprehensive Family Health Care Center, Inc.

San Antonio, TX · Clinic/Center, Multi-Specialty

$47K
14Medical Associates Of Ebnhc

East Boston, MA · Clinic/Center, Community Health

$46K
15The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$46K
161457303356$44K
171609923671$43K
181043323439$42K
191376949503$41K
201780639088$41K

Showing top 20 of 6K providers billing this code