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#3861 of 11K

91301

COVID-19 vaccine (Moderna), first dose

COVID-19 vaccine (Moderna), first dose is the #3,861 most-billed Medicaid procedure code, with $1.1M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $0.00.

Total Paid

$1.1M

0.00% of all spending

Total Claims

1.6M

Providers

5K

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for 91301? Based on 1K providers billing this code nationally.

Median

$0.00

Average

$3.85

Std Dev

$27.82

Max

$511.20

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.00
p75
$0.01
p90
$1.02
p95
$7.77
p99
$152.32

50% of providers bill between $0.00 and $0.01 per claim for this code.

90% bill between $0.00 and $1.02.

Top 1% bill above $152.32.

About This Procedure

HCPCS code 91301 (COVID-19 vaccine (Moderna), first dose) was billed by 5K providers across 1.6M claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.00

Providers Billing

1K

National Spending

$1.1M

Top Providers Billing This Code

Ranked by total Medicaid payments for 91301

#ProviderTotal Paid
1St Regis Mohawk Tribe

Akwesasne, NY · Substance Abuse Rehabilitation Facility

$442K
21740357169$147K
31700062296$99K
41275196222$59K
51407481245$24K
61669485975$24K
7Dhhs Phs Naihs Shiprock Hospital

Shiprock, NM · General Acute Care Hospital

$20K
81972603165$18K
91205902376$16K
101760446009$13K
111306843180$13K
121295849933$13K
13Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$12K
141144203498$11K
151497796353$11K
16Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$9K
171679649842$9K
181316013402$9K
191558392563$8K
201477975688$8K

Showing top 20 of 5K providers billing this code