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#791 of 11K

90715

Tdap vaccine

Tdap vaccine is the #791 most-billed Medicaid procedure code, with $79.6M in payments across 6.7M claims from 2018–2024. The national median cost per claim is $10.32. Costs vary widely — the 90th percentile is $32.04 per claim, 3.1× the median.

Total Paid

$79.6M

0.01% of all spending

Total Claims

6.7M

Providers

13K

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 90715? Based on 10K providers billing this code nationally.

Median

$10.32

Average

$13.78

Std Dev

$15.32

Max

$413.26

Percentile Distribution (Cost per Claim)

p10
$0.40
p25
$2.38
Median
$10.32
p75
$20.70
p90
$32.04
p95
$38.02
p99
$58.85

50% of providers bill between $2.38 and $20.70 per claim for this code.

90% bill between $0.40 and $32.04.

Top 1% bill above $58.85.

About This Procedure

HCPCS code 90715 (Tdap vaccine) was billed by 13K providers across 6.7M claims, totaling $79.6M in Medicaid payments from 2018–2024. This code was used for 6.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.32

Providers Billing

10K

National Spending

$79.6M

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90715

#ProviderTotal Paid
1Dallas County Hospital District

Dallas, TX · Clinic/Center, Ambulatory Surgical

$769K
2Arkansas Department Of Health Immunizations

Little Rock, AR · Public Health or Welfare

$730K
31003985755$671K
4The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$608K
5Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$605K
61023122967$551K
7Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$515K
81851821565$462K
9Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$460K
10Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$417K
11Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$406K
121427176569$396K
13Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$388K
14Park Nicollet Clinic

St Louis Park, MN · Obstetrics & Gynecology

$369K
15Group Health Plan, Inc.

Minneapolis, MN · Clinic/Center, Multi-Specialty

$364K
161245234673$361K
17New York City Health And Hospitals Corporation

Bronx, NY · Internal Medicine

$340K
18Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$338K
19Nyu Langone Hospitals

Brooklyn, NY · General Acute Care Hospital

$306K
201275550212$299K

Showing top 20 of 13K providers billing this code