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#1713 of 11K

90746

Hepatitis B vaccine, adult

Hepatitis B vaccine, adult is the #1,713 most-billed Medicaid procedure code, with $15.6M in payments across 385K claims from 2018–2024. The national median cost per claim is $48.85.

Total Paid

$15.6M

0.00% of all spending

Total Claims

385K

Providers

1K

Avg Cost/Claim

$40

National Cost Distribution

How much do providers bill per claim for 90746? Based on 883 providers billing this code nationally.

Median

$48.85

Average

$42.63

Std Dev

$26.15

Max

$219.96

Percentile Distribution (Cost per Claim)

p10
$3.99
p25
$20.85
Median
$48.85
p75
$62.14
p90
$67.88
p95
$70.86
p99
$91.79

50% of providers bill between $20.85 and $62.14 per claim for this code.

90% bill between $3.99 and $67.88.

Top 1% bill above $91.79.

About This Procedure

HCPCS code 90746 (Hepatitis B vaccine, adult) was billed by 1K providers across 385K claims, totaling $15.6M in Medicaid payments from 2018–2024. This code was used for 363K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$48.85

Providers Billing

883

National Spending

$15.6M

Avg/Median Ratio

0.87×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90746

#ProviderTotal Paid
11275550212$512K
21851821565$488K
3Lynn Community Health, Inc.

Lynn, MA · Clinic/Center, Community Health

$332K
41356723605$282K
51023122967$274K
61003985755$268K
7Group Health Plan, Inc.

Minneapolis, MN · Clinic/Center, Multi-Specialty

$256K
8Nyu Langone Hospitals

Brooklyn, NY · General Acute Care Hospital

$244K
9Optum Medical Care Of New Jersey Pc

Secaucus, NJ · Durable Medical Equipment & Medical Supplies

$217K
10Brockton Neighborhood Health Center

Brockton, MA · Clinic/Center, Federally Qualified Health Center (FQHC)

$206K
111578552543$198K
12Hartford Hospital

Hartford, CT · General Acute Care Hospital

$197K
131285059923$195K
141700373008$193K
15Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$180K
161245234673$177K
17Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$169K
18Park Nicollet Clinic

St Louis Park, MN · Obstetrics & Gynecology

$167K
19South County Community Health Center Inc

East Palo Alto, CA · Clinic/Center Primary Care

$157K
201003824608$154K

Showing top 20 of 1K providers billing this code