0001A
COVID-19 vaccine admin, Pfizer, 1st dose
COVID-19 vaccine admin, Pfizer, 1st dose is the #655 most-billed Medicaid procedure code, with $113.8M in payments across 3.7M claims from 2018–2024. The national median cost per claim is $33.72.
Total Paid
$113.8M
0.01% of all spending
Total Claims
3.7M
Providers
9K
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for 0001A? Based on 8K providers billing this code nationally.
Median
$33.72
Average
$34.60
Std Dev
$43.97
Max
$767.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.04 and $40.00 per claim for this code.
90% bill between $7.74 and $47.05.
Top 1% bill above $97.92.
About This Procedure
HCPCS code 0001A (COVID-19 vaccine admin, Pfizer, 1st dose) was billed by 9K providers across 3.7M claims, totaling $113.8M in Medicaid payments from 2018–2024. This code was used for 3.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$33.72
Providers Billing
8K
National Spending
$113.8M
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0001A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $2.0M |
| 2 | State Of Indiana Auditor Of State Indianapolis, IN · Public Health or Welfare | $1.6M |
| 3 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $1.5M |
| 4 | County Of Los Angeles Los Angeles, CA · Clinic/Center, Public Health, State or Local | $1.2M |
| 5 | Pine Ridge Indian Health Service Hospital Pine Ridge, SD · General Acute Care Hospital | $1.2M |
| 6 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $1.2M |
| 7 | Gregory Huhn Chicago, IL · Internal Medicine | $1.1M |
| 8 | St. Johns Community Health Los Angeles, CA · Case Manager/Care Coordinator | $1.1M |
| 9 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $959K |
| 10 | Tanana Chiefs Conference Fairbanks, AK · Clinic/Center Multi-Specialty | $873K |
| 11 | Southcentral Foundation Anchorage, AK · Clinic/Center, Multi-Specialty | $834K |
| 12 | Dhhs Phs Naihs Crownpoint Hospital Crownpoint, NM · General Acute Care Hospital | $799K |
| 13 | Commonwealth Medicine Worcester, MA · Clinic/Center, Public Health, State or Local | $796K |
| 14 | Rosebud Indian Health Service Rosebud, SD · General Acute Care Hospital | $732K |
| 15 | Zuni Indian Hospital Zuni, NM · General Acute Care Hospital | $724K |
| 16 | Legacy Clinics Llc Portland, OR | $699K |
| 17 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $650K |
| 18 | Phs Indian Hospital Red Lake, MN · General Acute Care Hospital | $628K |
| 19 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $599K |
| 20 | Kaiser Foundation Hospitals Baldwin Park, CA · General Acute Care Hospital | $582K |
Showing top 20 of 9K providers billing this code