90732
Pneumococcal vaccine (PPSV23)
Pneumococcal vaccine (PPSV23) is the #1,979 most-billed Medicaid procedure code, with $10.6M in payments across 236K claims from 2018–2024. The national median cost per claim is $36.96. Costs vary widely — the 90th percentile is $103.47 per claim, 2.8× the median.
Total Paid
$10.6M
0.00% of all spending
Total Claims
236K
Providers
2K
Avg Cost/Claim
$45
National Cost Distribution
How much do providers bill per claim for 90732? Based on 1K providers billing this code nationally.
Median
$36.96
Average
$47.73
Std Dev
$42.70
Max
$338.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.12 and $81.10 per claim for this code.
90% bill between $2.85 and $103.47.
Top 1% bill above $149.05.
About This Procedure
HCPCS code 90732 (Pneumococcal vaccine (PPSV23)) was billed by 2K providers across 236K claims, totaling $10.6M in Medicaid payments from 2018–2024. This code was used for 219K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$36.96
Providers Billing
1K
National Spending
$10.6M
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90732
| # | Provider | Total Paid |
|---|---|---|
| 1 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $407K |
| 2 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $405K |
| 3 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $397K |
| 4 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $386K |
| 5 | Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology | $362K |
| 6 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $277K |
| 7 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $255K |
| 8 | 1427176569 | $207K |
| 9 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $182K |
| 10 | Jamaica Hospital Richmond Hill, NY · General Acute Care Hospital | $162K |
| 11 | 1083736177 | $140K |
| 12 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $117K |
| 13 | Lynn Community Health, Inc. Lynn, MA · Clinic/Center, Community Health | $116K |
| 14 | 1295785285 | $104K |
| 15 | 1619923919 | $100K |
| 16 | Mount Sinai Hospital New York, NY · Ambulance | $96K |
| 17 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $94K |
| 18 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $92K |
| 19 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $92K |
| 20 | 1134265986 | $84K |
Showing top 20 of 2K providers billing this code