0003A
COVID-19 vaccine admin, Pfizer, 3rd dose
COVID-19 vaccine admin, Pfizer, 3rd dose is the #2,100 most-billed Medicaid procedure code, with $9.0M in payments across 241K claims from 2018–2024. The national median cost per claim is $36.49.
Total Paid
$9.0M
0.00% of all spending
Total Claims
241K
Providers
2K
Avg Cost/Claim
$37
National Cost Distribution
How much do providers bill per claim for 0003A? Based on 2K providers billing this code nationally.
Median
$36.49
Average
$37.48
Std Dev
$48.80
Max
$590.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.25 and $40.00 per claim for this code.
90% bill between $8.03 and $43.53.
Top 1% bill above $214.75.
About This Procedure
HCPCS code 0003A (COVID-19 vaccine admin, Pfizer, 3rd dose) was billed by 2K providers across 241K claims, totaling $9.0M in Medicaid payments from 2018–2024. This code was used for 224K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$36.49
Providers Billing
2K
National Spending
$9.0M
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0003A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $546K |
| 2 | Dhhs Phs Naihs Crownpoint Hospital Crownpoint, NM · General Acute Care Hospital | $251K |
| 3 | Cdva Corp Villalba, PR · Health Maintenance Organization | $237K |
| 4 | Pine Ridge Indian Health Service Hospital Pine Ridge, SD · General Acute Care Hospital | $193K |
| 5 | The Fort Defiance Indian Hospital Board, Incorporation Fort Defiance, AZ · General Acute Care Hospital | $176K |
| 6 | Kewa Pueblo Health Corporation Santo Domingo Pueblo, NM · Clinic/Center | $134K |
| 7 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $125K |
| 8 | Centro De Diagnostico Y Tratamiento De San Sebastian Inc San Sebastian, PR · Clinic/Center, Health Services | $125K |
| 9 | 1306843180 | $120K |
| 10 | State Of New Mexico Santa Fe, NM · Public Health or Welfare | $119K |
| 11 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $116K |
| 12 | Tanana Chiefs Conference Fairbanks, AK · Clinic/Center Multi-Specialty | $114K |
| 13 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $113K |
| 14 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $89K |
| 15 | 1275539728 | $69K |
| 16 | Dulce Health Center Dulce, NM · Clinic/Center, Public Health, Federal | $65K |
| 17 | 1215986062 | $58K |
| 18 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $58K |
| 19 | 1912161134 | $58K |
| 20 | 1548425911 | $56K |
Showing top 20 of 2K providers billing this code