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#7480 of 11K

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)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.01
p90
$0.95
p95
$6.96
p99
$23.50

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

#ProviderTotal Paid
11275196222$4K
21407481245$2K
31003831132$2K
41144203498$1K
51497796353$1K
6Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$1K
7Tufts Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$836
81548267420$710
91942310875$519
101801835970$516
111497020549$360
12El Rio Santa Cruz Neighborhood Health Center, Inc

Tucson, AZ · Clinic/Center, Federally Qualified Health Center (FQHC)

$318
131376593442$285
141154655439$280
15Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$220
16Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$216
17Neighborhood Health Center Of Wny Inc.

Buffalo, NY · Obstetrics & Gynecology

$212
181154352532$159
191033299862$144
201255757670$80

Showing top 20 of 872 providers billing this code