How much does Medicare pay for CPT 90674?

Medicare allowed an average of $32.86 per service and paid $32.86 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $49.52, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 90674?

Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free. It was billed 2,985 times to 2,978 Medicare beneficiaries by 131 providers in 2024.

Which specialty bills 90674 most?

Internal Medicine, with 1,091 services from 46 clinicians. Next are Family Practice, Centralized Flu, Mass Immunizer Roster Biller.

CPT 90674

Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free

$32.86Medicare-allowed amount per service, averaged across 2,985 services

Providers submitted

$49.52

Asking price, not received

Medicare allowed

$32.86

The fee schedule figure

Medicare paid

$32.86

Balance is patient coinsurance

Providers submitted an average of $49.52 for this code and Medicare allowed $32.86 — 1.5× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $32.86 (100%); the rest is the patient’s coinsurance and deductible.

Services: 2,985
Beneficiaries: 2,978
Providers billing it: 131
Total allowed: $98,087

What Medicare pays for CPT 90674

Across 2,985 services billed by 131 providers to 2,978 beneficiaries, Medicare allowed an average of $32.86 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.

Who bills 90674

Specialty	Services	Beneficiaries	Avg allowed	Providers
Internal Medicine	1,091	1,088	$32.63	46
Family Practice	682	680	$32.47	36
Centralized Flu	475	474	$32.99	7
Mass Immunizer Roster Biller	458	458	$33.49	28
Nurse Practitioner	107	106	$33.49	4
Pharmacy	77	77	$33.49	4
General Surgery	28	28	$33.49	1
Endocrinology	17	17	$33.49	1
Emergency Medicine	14	14	$33.49	1
Hematology-Oncology	13	13	$33.49	1
Preventive Medicine	12	12	$33.49	1
Pulmonary Disease	11	11	$33.49	1

90674 reimbursement by state

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.

State	Services	Allowed	Standardized pmt	Providers
Kentucky	433	$33.26	$33.49	7
Ohio	422	$32.06	$32.63	10
California	356	$33.35	$33.37	20
Florida	324	$33.49	$33.49	11
Colorado	206	$32.34	$32.34	1
North Carolina	180	$32.90	$33.28	13
Texas	127	$33.49	$33.49	9
South Carolina	124	$33.22	$33.50	9
Maryland	120	$31.84	$31.84	6
Virginia	85	$33.10	$33.50	6
Illinois	56	$33.49	$33.49	4
New York	55	$33.49	$33.49	3
Pennsylvania	48	$32.55	$32.55	4
Indiana	46	$33.49	$33.49	3
Arkansas	32	$31.45	$31.45	2
Georgia	30	$33.49	$33.49	2
Minnesota	28	$23.52	$23.52	1
Michigan	28	$33.49	$33.49	2
New Jersey	28	$32.29	$33.51	2
New Mexico	28	$33.49	$33.49	1
Oklahoma	27	$33.49	$33.49	1
Mississippi	27	$31.37	$31.37	2
Delaware	26	$33.49	$33.49	2
Washington	26	$33.49	$33.49	2
Arizona	23	$33.49	$33.49	1
Vermont	19	$33.49	$33.49	1
Tennessee	17	$33.49	$33.97	1
District of Columbia	14	$33.49	$33.49	1
Oregon	14	$33.49	$33.49	1
Hawaii	12	$30.70	$33.55	1
West Virginia	12	$33.32	$33.32	1
Nevada	12	$33.49	$33.49	1

Related codes

90662Influenza vaccine split virus$80.84
90653Influenza vaccine$81.38
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

Billing this code is not the same as earning it

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.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.