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#979 of 11K

0012A

COVID-19 vaccine admin, Moderna, 2nd dose

COVID-19 vaccine admin, Moderna, 2nd dose is the #979 most-billed Medicaid procedure code, with $51.8M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $33.85.

Total Paid

$51.8M

0.00% of all spending

Total Claims

1.7M

Providers

8K

Avg Cost/Claim

$31

National Cost Distribution

How much do providers bill per claim for 0012A? Based on 7K providers billing this code nationally.

Median

$33.85

Average

$36.56

Std Dev

$50.79

Max

$855.68

Percentile Distribution (Cost per Claim)

p10
$8.38
p25
$22.91
Median
$33.85
p75
$39.99
p90
$50.01
p95
$63.15
p99
$177.14

50% of providers bill between $22.91 and $39.99 per claim for this code.

90% bill between $8.38 and $50.01.

Top 1% bill above $177.14.

About This Procedure

HCPCS code 0012A (COVID-19 vaccine admin, Moderna, 2nd dose) was billed by 8K providers across 1.7M claims, totaling $51.8M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.85

Providers Billing

7K

National Spending

$51.8M

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0012A

#ProviderTotal Paid
1Dhhs Phs Naihs Shiprock Hospital

Shiprock, NM · General Acute Care Hospital

$1.0M
2Zuni Indian Hospital

Zuni, NM · General Acute Care Hospital

$974K
3State Of Indiana Auditor Of State

Indianapolis, IN · Public Health or Welfare

$751K
4Commonwealth Medicine

Worcester, MA · Clinic/Center, Public Health, State or Local

$566K
5County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$468K
6Phs Indian Hospital

Red Lake, MN · General Acute Care Hospital

$422K
7The Commonwealth Of Massachusetts

Boston, MA · Public Health or Welfare

$397K
8Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$378K
9White Earth Band Of Chippewa

White Earth, MN · Home Health

$275K
10Dhhs Phs Naihs Crownpoint Hospital

Crownpoint, NM · General Acute Care Hospital

$248K
11Tanana Chiefs Conference

Fairbanks, AK · Clinic/Center Multi-Specialty

$246K
121326053166$240K
13Santa Fe Indian Hospital

Santa Fe, NM · General Acute Care Hospital

$223K
14United Health Centers Of The San Joaquin Valley

Reedley, CA · Case Manager/Care Coordinator

$218K
151578565347$215K
16Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$212K
17Federico Herrera

Chicago, IL · Pediatrics

$212K
18Dulce Health Center

Dulce, NM · Clinic/Center, Public Health, Federal

$209K
19Chinatown True Care Medical Pllc

New York, NY · Family Medicine

$191K
20Southern California Permanente Medical Group

Anaheim, CA · Health Maintenance Organization

$189K

Showing top 20 of 8K providers billing this code