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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $1.0M |
| 2 | Zuni Indian Hospital Zuni, NM · General Acute Care Hospital | $974K |
| 3 | State Of Indiana Auditor Of State Indianapolis, IN · Public Health or Welfare | $751K |
| 4 | Commonwealth Medicine Worcester, MA · Clinic/Center, Public Health, State or Local | $566K |
| 5 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $468K |
| 6 | Phs Indian Hospital Red Lake, MN · General Acute Care Hospital | $422K |
| 7 | The Commonwealth Of Massachusetts Boston, MA · Public Health or Welfare | $397K |
| 8 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $378K |
| 9 | White Earth Band Of Chippewa White Earth, MN · Home Health | $275K |
| 10 | Dhhs Phs Naihs Crownpoint Hospital Crownpoint, NM · General Acute Care Hospital | $248K |
| 11 | Tanana Chiefs Conference Fairbanks, AK · Clinic/Center Multi-Specialty | $246K |
| 12 | 1326053166 | $240K |
| 13 | Santa Fe Indian Hospital Santa Fe, NM · General Acute Care Hospital | $223K |
| 14 | United Health Centers Of The San Joaquin Valley Reedley, CA · Case Manager/Care Coordinator | $218K |
| 15 | 1578565347 | $215K |
| 16 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $212K |
| 17 | Federico Herrera Chicago, IL · Pediatrics | $212K |
| 18 | Dulce Health Center Dulce, NM · Clinic/Center, Public Health, Federal | $209K |
| 19 | Chinatown True Care Medical Pllc New York, NY · Family Medicine | $191K |
| 20 | Southern California Permanente Medical Group Anaheim, CA · Health Maintenance Organization | $189K |
Showing top 20 of 8K providers billing this code