RxDoctor Payments Data

CPT 90677

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

$287.84Medicare-allowed amount per service, averaged across 1,299,916 services
Providers submitted
$431.42

Asking price, not received

Medicare allowed
$287.84

The fee schedule figure

Medicare paid
$287.84

Balance is patient coinsurance

Providers submitted an average of $431.42 for this code and Medicare allowed $287.841.5× 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 $287.84 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$287.84
Hospital / facility
$278.50

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 1,299,721 services were billed in an office setting and 195 in a facility.

Services
1,299,916

Medicare Part B, 2024

Beneficiaries
1,297,714
Providers billing it
44,623
Total allowed
$374,167,821

Services × allowed amount

What Medicare pays for CPT 90677

Across 1,299,916 services billed by 44,623 providers to 1,297,714 beneficiaries, Medicare allowed an average of $287.84 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 90677

SpecialtyServicesBeneficiariesAvg allowedProviders
Mass Immunizer Roster Biller364,807364,084$290.2113,496
Family Practice283,205282,865$285.7111,460
Centralized Flu271,241270,797$289.345,684
Internal Medicine267,249266,878$286.059,016
Nurse Practitioner46,37646,312$285.002,328
Pharmacy22,22722,098$289.35679
Physician Assistant18,58418,562$286.07965
Pulmonary Disease5,7085,698$285.81237
Geriatric Medicine4,1474,143$285.89143
General Practice1,7901,787$284.9374
Pediatric Medicine1,6271,621$287.4666
Hospitalist1,5871,587$286.9070
Public Health or Welfare Agency1,4591,445$275.3340
Emergency Medicine1,0831,082$283.5147
Clinical Laboratory968968$288.8633

90677 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.

StateServicesAllowedStandardized pmtProviders
Florida147,461$289.47$289.792,855
California115,891$288.61$289.024,037
Texas77,496$288.25$289.083,121
New York66,083$288.10$289.452,348
Illinois54,648$288.71$289.532,038
Pennsylvania53,400$288.30$289.382,183
New Jersey51,239$288.56$289.561,726
Idaho49,240$290.29$290.36147
Virginia47,891$287.98$288.941,716
Massachusetts40,983$288.08$288.581,487
Maryland39,561$285.83$287.031,327
Ohio38,374$288.07$289.221,730
North Carolina36,772$286.50$287.801,552
Colorado34,172$287.03$287.76798
Indiana32,026$287.89$289.421,304
Georgia30,459$287.07$289.111,307
South Carolina30,082$288.18$289.581,048
Arizona27,472$287.06$288.13988
Tennessee27,377$287.57$289.731,103
Michigan25,602$288.37$289.481,057
Washington20,160$287.85$288.97808
Kansas18,742$288.45$289.29644
Missouri18,456$287.77$288.33768
Iowa17,297$287.86$289.03593
Wisconsin15,720$288.82$289.57656
Oklahoma13,609$287.97$289.06572
Kentucky13,071$287.33$289.80612
Connecticut12,361$288.30$289.10579
Nebraska12,161$287.34$288.32394
Arkansas11,076$286.75$287.70461
Alabama10,686$286.78$288.28481
Mississippi10,557$288.31$289.84416
Louisiana10,498$288.57$289.61401
Oregon9,611$287.54$288.76408
Minnesota8,942$288.13$289.22405
Delaware7,675$286.84$288.02230
Nevada7,617$287.62$288.23302
New Hampshire7,475$289.15$289.89275
Utah7,338$280.55$281.86306
New Mexico6,753$285.30$286.35243
Hawaii5,420$287.13$289.06135
Wyoming3,534$281.61$282.2298
West Virginia3,287$286.52$287.68155
South Dakota3,190$288.44$289.3698
Montana3,000$287.77$288.56131
Rhode Island2,873$176.30$176.30126
District of Columbia2,503$280.44$282.08100
Vermont2,473$286.28$286.8784
Alaska2,299$281.98$282.7571
Maine2,259$288.59$289.3798
North Dakota2,033$285.24$285.3968
Puerto Rico468$288.51$288.5118
Guam347$275.17$275.179
AE108$287.84$290.602
U.S. Virgin Islands59$291.46$291.462
ZZ16$272.10$290.731

Related codes

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.