{"procedure":{"code_type":"CPT","code":"0041A","lay_name":"COVID-19 vaccine shot, Novavax, first dose","blurb":"Covers giving the first dose of the Novavax adjuvanted COVID-19 vaccine, including the counseling that goes with the injection; the vaccine product itself is billed separately.","slug":"cpt-0041a-covid-19-vaccine-shot-novavax-first-dose","description":"All Outpatient","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":null},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T18:05:15.433286Z","filing_date_min":"2025-01-01","filing_date_max":"2026-07-16","checked_from":"2026-09-05T11:18:47.736875Z","checked_through":"2026-09-23T18:05:15.433286Z","n_priced_setters":3956,"n_filed":124,"n_usable":124,"n_not_usable":0,"n_labelled":0,"n_no_cash":0,"n_estimated":0,"n_states":25,"cash_p10":17.15,"cash_p20":20.88,"cash_p25":32.0,"cash_p50":45.24,"cash_p75":49.64,"cash_p80":60.0,"cash_p90":84.96,"cash_mean_trimmed":42.76,"gross_p50":80.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":1,"p20":null,"p50":null,"p80":null},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"GA","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":3,"p20":null,"p50":null,"p80":null},{"state":"IL","n":9,"p20":null,"p50":null,"p80":null},{"state":"IN","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":6,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MS","n":12,"p20":19.14,"p50":20.88,"p80":38.28},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":6,"p20":null,"p50":null,"p80":null},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":11,"p20":32.34,"p50":38.5,"p80":62.16},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":5,"p20":null,"p50":null,"p80":null},{"state":"OH","n":1,"p20":null,"p50":null,"p80":null},{"state":"PA","n":3,"p20":null,"p50":null,"p80":null},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":8,"p20":null,"p50":null,"p80":null},{"state":"TX","n":29,"p20":48.0,"p50":48.0,"p80":48.0},{"state":"WA","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":92,"p20":20.01,"p50":48.0,"p80":51.84},{"key":"childrens","n":1,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":31,"p20":33.6,"p50":40.0,"p80":62.9}],"ownership":[{"key":"for_profit","n":15,"p20":null,"p50":null,"p80":null},{"key":"government","n":10,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":99,"p20":20.88,"p50":48.0,"p80":60.0}],"affiliation":[{"key":"affiliated","n":116,"p20":20.01,"p50":45.24,"p80":51.84},{"key":"independent","n":8,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":17.15,"hi":20.85,"n":19},{"lo":20.85,"hi":25.35,"n":4},{"lo":25.35,"hi":30.82,"n":2},{"lo":30.82,"hi":37.47,"n":16},{"lo":37.47,"hi":45.55,"n":16},{"lo":45.55,"hi":55.38,"n":35},{"lo":55.38,"hi":67.33,"n":8},{"lo":67.33,"hi":81.86,"n":5},{"lo":81.86,"hi":99.53,"n":2},{"lo":99.53,"hi":121.0,"n":7}],"previous":null},"inpatient":null},"related":[]}