90696
DTaP-IPV vaccine
DTaP-IPV vaccine is the #2,361 most-billed Medicaid procedure code, with $6.4M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $5.95. Costs vary widely — the 90th percentile is $19.61 per claim, 3.3× the median.
Total Paid
$6.4M
0.00% of all spending
Total Claims
1.7M
Providers
6K
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 90696? Based on 3K providers billing this code nationally.
Median
$5.95
Average
$7.99
Std Dev
$8.61
Max
$95.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.00 and $12.31 per claim for this code.
90% bill between $0.12 and $19.61.
Top 1% bill above $33.88.
About This Procedure
HCPCS code 90696 (DTaP-IPV vaccine) was billed by 6K providers across 1.7M claims, totaling $6.4M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.95
Providers Billing
3K
National Spending
$6.4M
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90696
| # | Provider | Total Paid |
|---|---|---|
| 1 | Arkansas Department Of Health Immunizations Little Rock, AR · Public Health or Welfare | $419K |
| 2 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $174K |
| 3 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $136K |
| 4 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $102K |
| 5 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $99K |
| 6 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $91K |
| 7 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $74K |
| 8 | 1568901742 | $66K |
| 9 | United Health Services Hospitals, Inc. Binghamton, NY · General Acute Care Hospital | $55K |
| 10 | 1376508788 | $50K |
| 11 | 1780950543 | $48K |
| 12 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $48K |
| 13 | Barrio Comprehensive Family Health Care Center, Inc. San Antonio, TX · Clinic/Center, Multi-Specialty | $47K |
| 14 | Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health | $46K |
| 15 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $46K |
| 16 | 1457303356 | $44K |
| 17 | 1609923671 | $43K |
| 18 | 1043323439 | $42K |
| 19 | 1376949503 | $41K |
| 20 | 1780639088 | $41K |
Showing top 20 of 6K providers billing this code