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#2294 of 11K

0031A

COVID-19 vaccine admin, J&J, single dose

COVID-19 vaccine admin, J&J, single dose is the #2,294 most-billed Medicaid procedure code, with $7.0M in payments across 255K claims from 2018–2024. The national median cost per claim is $32.49.

Total Paid

$7.0M

0.00% of all spending

Total Claims

255K

Providers

2K

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for 0031A? Based on 2K providers billing this code nationally.

Median

$32.49

Average

$36.31

Std Dev

$50.43

Max

$700.27

Percentile Distribution (Cost per Claim)

p10
$10.77
p25
$21.61
Median
$32.49
p75
$39.76
p90
$47.03
p95
$65.00
p99
$204.76

50% of providers bill between $21.61 and $39.76 per claim for this code.

90% bill between $10.77 and $47.03.

Top 1% bill above $204.76.

About This Procedure

HCPCS code 0031A (COVID-19 vaccine admin, J&J, single dose) was billed by 2K providers across 255K claims, totaling $7.0M in Medicaid payments from 2018–2024. This code was used for 214K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.49

Providers Billing

2K

National Spending

$7.0M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0031A

#ProviderTotal Paid
1State Of Indiana Auditor Of State

Indianapolis, IN · Public Health or Welfare

$169K
2County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$149K
3City Of Columbus

Columbus, OH · Clinic/Center, Public Health, State or Local

$118K
4Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$116K
51376684456$115K
6Rosebud Indian Health Service

Rosebud, SD · General Acute Care Hospital

$114K
7Dhhs Phs Naihs Shiprock Hospital

Shiprock, NM · General Acute Care Hospital

$109K
8Commonwealth Medicine

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

$93K
9Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$74K
10Tanana Chiefs Conference

Fairbanks, AK · Clinic/Center Multi-Specialty

$65K
11County Of Los Angeles

Los Angeles, CA · Clinic/Center, Public Health, State or Local

$62K
12United Health Centers Of The San Joaquin Valley

Reedley, CA · Case Manager/Care Coordinator

$60K
13Homeland Health Specialists Inc

Minneapolis, MN · Registered Nurse, Community Health

$55K
141740354851$54K
15Dhhs,phs,naihs, Gallup Indian Medical Center

Gallup, NM · General Acute Care Hospital

$51K
16The Arizona Partnership For Immunization

Phoenix, AZ · Local Education Agency (LEA)

$49K
17Gregory Huhn

Chicago, IL · Internal Medicine

$47K
18Permanente Medical Group Inc

Richmond, CA · Internal Medicine

$47K
19County Of Monroe

Rochester, NY · Public Health or Welfare

$44K
20Arkansas Department Of Health Immunizations

Little Rock, AR · Public Health or Welfare

$42K

Showing top 20 of 2K providers billing this code