#1314 of 11K

90723

DTaP-HepB-IPV vaccine

DTaP-HepB-IPV vaccine is the #1,314 most-billed Medicaid procedure code, with $27.8M in payments across 7.1M claims from 2018–2024. The national median cost per claim is $5.78. Costs vary widely — the 90th percentile is $21.13 per claim, 3.7× the median.

Total Paid

$27.8M

0.00% of all spending

Total Claims

7.1M

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 90723? Based on 4K providers billing this code nationally.

Median

$5.78

Average

$8.23

Std Dev

$10.28

Max

$151.08

Percentile Distribution (Cost per Claim)

p10

$0.05

p25

$0.56

Median

$5.78

p75

$11.85

p90

$21.13

p95

$25.41

p99

$39.85

50% of providers bill between $0.56 and $11.85 per claim for this code.

90% bill between $0.05 and $21.13.

Top 1% bill above $39.85.

About This Procedure

HCPCS code 90723 (DTaP-HepB-IPV vaccine) was billed by 7K providers across 7.1M claims, totaling $27.8M in Medicaid payments from 2018–2024. This code was used for 6.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.78

Providers Billing

National Spending

$27.8M

Avg/Median Ratio

1.42×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90723

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization	$2.4M	$65.02	11.2× median	Top 1%
2	Spartanburg Medical Center Spartanburg, SC · Ambulance	$708K	$105.59	18.3× median	Top 1%
3	Arkansas Department Of Health Immunizations Little Rock, AR · Public Health or Welfare	$539K	$10.89	1.9× median	Above Median
4	1851437719	$295K	$32.39	5.6× median	Top 10%
5	1750443503	$285K	$14.69	2.5× median	Above 75th
6	1528233103	$278K	$30.85	5.3× median	Top 10%
7	Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital	$277K	$4.02	0.7× median	Below Median
8	Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital	$271K	$10.68	1.8× median	Above Median
9	1710945969	$230K	$102.73	17.8× median	Top 1%
10	1790971166	$209K	$19.41	3.4× median	Above 75th
11	1033138250	$206K	$19.07	3.3× median	Above 75th
12	1568901742	$181K	$86.71	15.0× median	Top 1%
13	1245277631	$172K	$19.04	3.3× median	Above 75th
14	United Health Services Hospitals, Inc. Binghamton, NY · General Acute Care Hospital	$168K	$20.08	3.5× median	Above 75th
15	1043323439	$167K	$21.13	3.7× median	Above 75th
16	1598139883	$163K	$17.50	3.0× median	Above 75th
17	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$155K	$9.13	1.6× median	Above Median
18	1780950543	$155K	$10.34	1.8× median	Above Median
19	The Metrohealth System Cleveland, OH · General Acute Care Hospital	$146K	$4.79	0.8× median	Below Median
20	1689685315	$142K	$24.81	4.3× median	Top 10%

Showing top 20 of 7K providers billing this code

Related Procedures

90715Tdap vaccine$79.6M 90716$25.9M 90732Pneumococcal vaccine (PPSV23)$10.6M 90713Poliovirus vaccine (IPV)$5.4M 90714Td vaccine$2.7M

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