91303
COVID-19 vaccine (J&J/Janssen), single dose
COVID-19 vaccine (J&J/Janssen), single dose is the #7,480 most-billed Medicaid procedure code, with $17K in payments across 120K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $0.95 per claim, 95.0× the median.
Total Paid
$17K
0.00% of all spending
Total Claims
120K
Providers
872
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 91303? Based on 187 providers billing this code nationally.
Median
$0.01
Average
$1.12
Std Dev
$4.47
Max
$31.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $0.01 per claim for this code.
90% bill between $0.00 and $0.95.
Top 1% bill above $23.50.
About This Procedure
HCPCS code 91303 (COVID-19 vaccine (J&J/Janssen), single dose) was billed by 872 providers across 120K claims, totaling $17K in Medicaid payments from 2018–2024. This code was used for 89K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.01
Providers Billing
187
National Spending
$17K
Avg/Median Ratio
112.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 91303
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1275196222 | $4K |
| 2 | 1407481245 | $2K |
| 3 | 1003831132 | $2K |
| 4 | 1144203498 | $1K |
| 5 | 1497796353 | $1K |
| 6 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $1K |
| 7 | Tufts Medical Center, Inc. Boston, MA · General Acute Care Hospital | $836 |
| 8 | 1548267420 | $710 |
| 9 | 1942310875 | $519 |
| 10 | 1801835970 | $516 |
| 11 | 1497020549 | $360 |
| 12 | El Rio Santa Cruz Neighborhood Health Center, Inc Tucson, AZ · Clinic/Center, Federally Qualified Health Center (FQHC) | $318 |
| 13 | 1376593442 | $285 |
| 14 | 1154655439 | $280 |
| 15 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $220 |
| 16 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $216 |
| 17 | Neighborhood Health Center Of Wny Inc. Buffalo, NY · Obstetrics & Gynecology | $212 |
| 18 | 1154352532 | $159 |
| 19 | 1033299862 | $144 |
| 20 | 1255757670 | $80 |
Showing top 20 of 872 providers billing this code