Adult Vaccination Costs and Claims Analysis 2020-2024
Explore the detailed analysis of charged, allowed, and paid costs for adult vaccinations (age 22+) from 2020 to the third quarter of 2024. Discover insights on total costs by type, number of claims by age group, cost averages by age group, and a comprehensive analytic overview outlining key findings.
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Charged, Allowed, and Paid Costs Adult Vaccinations (22 and older) Rate and Form Compliance Division Commissioner Vicki Schmidt Director Julie Holmes Anthony Depner Research Analyst 6/10/2025
Query Information The primary code in this query is Z23 . Z23 Encounter for immunization(s) Anyone under the age of 22 was excluded from this report. For this report, the years that were queried were 2020 through the third quarter of 2024. For each year, the cut off year changed since it needed to be 22 years before the year that was being queried. There may be some overlap with people who would be 22 in multiple years, but this was the simplest method to query the data. Lastly, each decade was separated into its own group. For example, all patients from the 1920s are being grouped together under the 1920s category. The only group that is not a full decade is 2000s. 2
Total Costs by Type of Cost $4,003,871,726.80 $4,500,000,000.00 $4,000,000,000.00 $3,500,000,000.00 $1,701,903,475.51 $1,926,791,861.32 $3,000,000,000.00 COST($) $2,500,000,000.00 $2,000,000,000.00 $1,500,000,000.00 $1,000,000,000.00 $500,000,000.00 $- Charged Allowed TYPE OF COST Paid 4
Number of Claims by Age Group 2,000,000 1,800,000 1,718,245 1,600,000 1,425,434 1,400,000 1,309,920 1,266,839 NUMBER OF CLAIMS 1,200,000 1,000,000 757,338 800,000 600,000 400,000 197,800 200,000 74,629 11,389 34 - 1910s (101+) 1920s (100-91) 1930s (90-81) 1940s (80-71) 1950s (70-61) 1960s (60-51) 1970s (50-41) 1980s (40-31) 1990-1998 (30- 22) AGE RANGES 5
Cost Averages by Age Group $700.00 $600.00 COST OF VACCINATION($$) $500.00 $400.00 $300.00 $200.00 $100.00 $- 1920s (100- 91) $488.70 $156.54 $41.30 1990-1998 (30-22) $452.65 $225.81 $196.93 1910s (101+) 1930s (90-81) 1940s (80-71) 1950s (70-61) 1960s (60-51) 1970s (50-41) 1980s (40-31) Charged Allowed Paid $144.78 $141.92 $32.03 $647.57 $145.81 $53.66 $647.00 $190.31 $136.01 $561.41 $265.21 $239.08 $522.88 $252.21 $228.63 $476.92 $246.27 $220.73 $459.79 $224.79 $198.36 YEAR RANGE (AGES) Charged Allowed Paid 6
Analytic Overview Total Costs: Charged - $3,525,512,772.96 Allowed - $1,686,439,758.78 Paid - $1,495,681,322.97 The 1960s (60-51 age range) decade had the highest number of claims at 1,718,245 claims. The 1910s (101+) had the lowest number at 34. For averages per type of cost: The 1930s (90-81) had the highest average for charged at $647.57. The 1950s (70-61) had the highest average for both allowed at $265.21 and paid at $239.08. The 1910s (101+) had the lowest for all three types, with charged at $144.78, allowed at $141.92, and paid at $32.03. 7
Total Costs by Type of Cost $7,193,019,544.45 $8,000,000,000.00 $7,000,000,000.00 $6,000,000,000.00 $3,434,705,506.30 $3,022,465,922.20 $5,000,000,000.00 COST($) $4,000,000,000.00 $3,000,000,000.00 $2,000,000,000.00 $1,000,000,000.00 $- Charged Allowed TYPE OF COST Paid 9
Number of Claims by Age Group 4,500,000 3,867,130 4,000,000 3,500,000 3,019,150 3,000,000 NUMBER OF CLAIMS 2,384,315 2,500,000 2,219,394 2,000,000 1,607,590 1,500,000 1,000,000 500,000 255,522 76,521 12,965 248 - 1910s (102+) 1920s (101-92) 1930s (91-82) 1940s (81-72) 1950s (71-62) AGE RANGES 1960s (61-52) 1970s (51-42) 1980s (41-32) 1990s (31-22) 10
Cost Averages by Age Group $800.00 $700.00 COST OF VACCINATION($) $600.00 $500.00 $400.00 $300.00 $200.00 $100.00 $- 1920s (101- 92) $472.19 $153.27 $83.42 1930s (91- 82) $589.95 $148.13 $54.85 1940s (81- 72) $705.22 $226.41 $173.80 1950s (71- 62) $606.66 $289.66 $259.31 1960s (61- 52) $568.50 $273.82 $243.05 1970s (51- 42) $503.13 $245.81 $214.61 1980s (41- 32) $492.42 $235.44 $209.76 1990s (31- 22) $450.05 $222.85 $192.38 1910s (102+) Charged Allowed Paid $216.90 $13.76 $13.76 YEAR RANGE (AGES) Charged Allowed Paid 11
Analytic Overview Total Costs: Charged - $7,193,019,544.45 Allowed - $3,434,705,506.30 Paid - $3,022,465,922.20 The 1960s (61-52 age range) decade had the highest number of claims at 3,867,130 claims. The 1910s (102+) had the lowest number at 248. For averages per type of cost: The 1940s (81-72) had the highest average for charged at $705.22. The 1950s (71-62) had the highest average for both allowed at $289.66 and paid at $259.31. The 1910s (102+) had the lowest for all three types, with charged at $216.90, allowed at $13.76, and paid at $13.76. 12
Total Costs by Type of Cost $3,748,570,240.81 $4,000,000,000.00 $3,500,000,000.00 $3,000,000,000.00 $1,472,565,148.23 $1,654,695,782.72 $2,500,000,000.00 COST($) $2,000,000,000.00 $1,500,000,000.00 $1,000,000,000.00 $500,000,000.00 $- Charged Allowed TYPES OF COST Paid 14
Number of Claims by Age Group 1,800,000 1,634,571 1,600,000 1,359,145 1,400,000 1,307,745 1,200,000 NUMBER OF CLAIMS 1,000,000 846,768 755,903 800,000 600,000 400,000 156,781 200,000 85,931 56,984 6,240 - 1920s (93+) 1930s (92-83) 1940s (82-73) 1950s (72-63) 1960s (62-53) AGE RANGES 1970s (52-43) 1980s (42-33) 1990s (32-23) 2000s (22) 15
Cost Averages by Age Group $800.00 $700.00 COST OF VACCINATION($) $600.00 $500.00 $400.00 $300.00 $200.00 $100.00 $- 1930s (92- 83) $670.20 $137.81 $59.57 1940s (82- 73) $695.42 $177.15 $106.79 1950s (72- 63) $689.62 $301.23 $272.43 1960s (62- 53) $648.82 $290.58 $262.26 1970s (52- 43) $587.31 $260.27 $235.39 1980s (42- 33) $527.23 $242.52 $215.98 1990s (32- 23) $550.69 $260.95 $228.05 1920s (93+) 2000s (22) Charged Allowed Paid $429.99 $115.73 $46.16 $619.93 $245.02 $221.27 YEAR RANGE (AGES) Charged Allowed Paid 16
Analytic Overview Total Costs: Charged - $3,748,570,240.81 Allowed - $1,654,695,782.72 Paid - $1,472,565,148.23 The 1960s (62-53 age range) decade had the highest number of claims at 1,634,571 claims. The 1920s (93+) had the lowest number at 6,240. For averages per type of cost: The 1940s (82-73) had the highest average for charged at $695.42. The 1950s (72-63) had the highest average for both allowed at $301.23 and paid at $272.43. The 1920s (93+) had the lowest for all three types, with charged at $429.99, allowed at $115.73, and paid at $46.16. 17
Total Costs by Type of Cost $3,029,559,917.92 $3,500,000,000.00 $3,000,000,000.00 $2,500,000,000.00 $1,186,586,592.51 $1,345,069,344.13 $2,000,000,000.00 COST($) $1,500,000,000.00 $1,000,000,000.00 $500,000,000.00 $- Charged Allowed TYPES OF COST Paid 19
Number of Claims by Age Group 1400000 1,194,407 1200000 1,028,234 976,227 1000000 NUMBER OF CLAIMS 800000 638,506 600000 472,512 400000 200000 126,043 118,937 48,434 6,250 38 0 1910s (104+) 1920s (103-94) 1930s (93-84) 1940s (83-74) 1950s (73-64) 1960s (63-54) 1970s (53-44) 1980s (43-34) 1990s (33-24) 2000-2001 (23-22) AGE RANGES 20
Cost Averages by Age Group $900.00 $800.00 COST OF VACCINATION($) $700.00 $600.00 $500.00 $400.00 $300.00 $200.00 $100.00 $- 1910s (104+) $140.91 $18.96 $18.96 1920s (103- 94) $435.01 $129.05 $38.42 1930s (93- 84) $683.24 $139.33 $54.56 1940s (83- 74) $849.99 $203.49 $116.25 1950s (73- 64) $715.30 $305.89 $269.59 1960s (63- 54) $711.59 $320.53 $284.36 1970s (53- 44) $655.08 $297.95 $273.23 1980s (43- 34) $604.94 $275.52 $245.38 1990s (33- 24) $586.40 $280.56 $242.39 2000-2001 (23-22) $505.70 $252.34 $225.08 Charged Allowed Paid YEAR RANGE (AGES) Charged Allowed Paid 21
Analytic Overview Total Costs: Charged - $3,029,559,917.92 Allowed - $1,345,069,344.13 Paid - $1,186,586,592.51 The 1960s (63-54 age range) decade had the highest number of claims at 1,194,407 claims. The 1910s (104+) had the lowest number at 38. For averages per type of cost: The 1930s (93-84) had the highest average for charged at $849.99. The 1960s (63-54) had the highest average for both allowed at $320.53 and paid at $284.36. The 1910s (104+) had the lowest for all three types, with charged at $140.91, allowed at $18.96, and paid at $18.96. 22
Total Costs by Type of Cost $914,201,239.68 $1,000,000,000.00 $900,000,000.00 $800,000,000.00 $700,000,000.00 $363,184,321.68 $406,564,024.09 $600,000,000.00 COST($) $500,000,000.00 $400,000,000.00 $300,000,000.00 $200,000,000.00 $100,000,000.00 $- Charged Allowed TYPES OF COST Paid 24
Number of Claims by Age Group 350,000 331,794 286,825 300,000 253,177 250,000 225,074 NUMBER OF CLAIMS 200,000 150,000 100,000 84,922 40,411 50,000 26,939 10,874 1,103 - 1920s (104-95) 1930s (94-85) 1940s (84-75) 1950s (74-65) 1960s (64-55) 1970s (54-45) 1980s (44-35) 1990s (34-25) 2000-2002 (24- 22) AGE RANGES 25
Cost Averages by Age Group $1,000.00 $900.00 $800.00 COST OF VACCINATION($) $700.00 $600.00 $500.00 $400.00 $300.00 $200.00 $100.00 $- 1920s (104- 95) $541.29 $149.08 $109.35 1930s (94- 85) $912.39 $472.15 $41.82 1940s (84- 75) $746.62 $192.52 $115.56 1950s (74- 65) $889.21 $338.24 $309.14 1960s (64- 55) $750.15 $326.11 $299.35 1970s (54- 45) $748.64 $356.17 $330.07 1980s (44- 35) $631.97 $288.05 $257.85 1990s (34- 25) $712.65 $321.27 $283.71 2000-2002 (24-22) $594.73 $290.89 $250.19 Charged Allowed Paid YEAR RANGE (AGES) Charged Allowed Paid 26
Analytic Overview Total Costs: Charged - $914,201,239.68 Allowed - $406,564,024.09 Paid - $363,184,321.68 The 1960s (64-55 age range) decade had the highest number of claims at 331,794 claims. The 1920s (104-95) had the lowest number at 1,103. For averages per type of cost: The 1930s (94-85) had the highest average for charged at $912.39. The 1930s (94-85) had the highest average for allowed at $472.15. The 1970s (54-45) had the highest average for paid at $330.07. The 1920s (104-95) had the lowest average charged at $541.29. The 1920s (104-95) had the lowest average allowed at $149.08. The 1930s (94-85) had the lowest average paid at $41.82. 27
Total Costs by Type of Cost 2020 - 2024 $8,000,000,000.00 $7,193,019,544.45 $7,000,000,000.00 $6,000,000,000.00 $3,748,570,240.81 $3,416,437,227.78 $5,000,000,000.00 $4,000,000,000.00 $3,434,705,506.30 $3,029,559,917.92 $914,201,239.68 $3,000,000,000.00 $1,654,695,782.72 $1,636,162,451.27 $2,000,000,000.00 $3,022,465,922.20 $1,345,069,344.13 $406,564,024.09 $1,000,000,000.00 $1,450,702,050.54 $363,184,321.68 $1,472,565,148.23 $1,186,586,592.51 $- 2019 2020 2021 2022 2023 2024 2025 Charged Allowed Paid 28
Total Number of Claims 2020 - 2024 13,442,835 14,000,000 12,000,000 6,761,628 6,210,068 10,000,000 NUMBER OF CLAIMS 4,609,588 8,000,000 6,000,000 4,000,000 1,261,119 2,000,000 - 2020 2021 2022 YEAR 2023 2024 29
Total Number of Claims by Age Group (All years) Counts 9,000,000 8,563,926 8,000,000 6,897,167 7,000,000 6,131,542 NUMBER OF CLAIMS 6,000,000 5,099,407 4,848,587 5,000,000 4,000,000 3,000,000 2,000,000 751,161 1,000,000 262,534 221,588 37,344 320 - 1910s 1920s 1930s 1940s 1950s YEAR RANGE (AGES) 1960s 1970s 1980s 1990s 2000s 30
Total Overview 2021 had the highest cost of claims for charged, allowed and paid. That year also had the highest number of total claims by far. This can mostly be attributed by the Covid-19 vaccination becoming available in Kansas in 2021. The 1960s age group had the most total claims through the four years at 8,746,147 claims. 31
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