CPT 90653

Across 3,476,036 services billed by 43,932 providers to 3,475,292 beneficiaries, Medicare allowed an average of $81.38 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

This is a drug or supply code rather than a service. The unit is usually a dose or a milligram, so the per-service figure is small by construction and the total is what carries meaning — read it alongside the service count rather than on its own.

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

• 90662Influenza vaccine split virus$80.84
• 90677Pneumococcal conjugate vaccine$287.84
• 90656Influenza vaccine$21.59
• 90673Influenza vaccine$75.77
• 90661Influenza vaccine$35.62
• 90658Influenza vaccine$21.26
• 90694Influenza vaccine$74.67
• 90686Influenza vaccine$21.65
• 90684Pcv21 vaccine im$319.79
• 90671Pneumococcal conjugate vaccine$246.27
• 90688Influenza vaccine$20.25
• 90674Influenza vaccine$32.86

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

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