90473
Immunization admin, intranasal, first
Immunization admin, intranasal, first is the #2,555 most-billed Medicaid procedure code, with $5.0M in payments across 626K claims from 2018–2024. The national median cost per claim is $9.17. Costs vary widely — the 90th percentile is $18.73 per claim, 2.0× the median.
Total Paid
$5.0M
0.00% of all spending
Total Claims
626K
Providers
2K
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 90473? Based on 1K providers billing this code nationally.
Median
$9.17
Average
$10.09
Std Dev
$16.33
Max
$465.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.03 and $13.67 per claim for this code.
90% bill between $0.68 and $18.73.
Top 1% bill above $37.18.
About This Procedure
HCPCS code 90473 (Immunization admin, intranasal, first) was billed by 2K providers across 626K claims, totaling $5.0M in Medicaid payments from 2018–2024. This code was used for 584K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.17
Providers Billing
1K
National Spending
$5.0M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90473
| # | Provider | Total Paid |
|---|---|---|
| 1 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $225K |
| 2 | 1093800534 | $213K |
| 3 | 1427373372 | $190K |
| 4 | Eastern Maine Medical Center Bangor, ME · General Acute Care Hospital | $136K |
| 5 | 1518963230 | $106K |
| 6 | 1114948288 | $105K |
| 7 | 1225305600 | $102K |
| 8 | 1164852539 | $82K |
| 9 | 1710034293 | $73K |
| 10 | 1295861128 | $71K |
| 11 | 1518001437 | $70K |
| 12 | Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health | $65K |
| 13 | 1376575514 | $58K |
| 14 | 1366560971 | $56K |
| 15 | 1467537886 | $51K |
| 16 | 1104078328 | $49K |
| 17 | 1750571170 | $49K |
| 18 | 1750316907 | $45K |
| 19 | 1700981792 | $45K |
| 20 | 1679583272 | $44K |
Showing top 20 of 2K providers billing this code