How much does Medicare pay for CPT 90714?

Medicare allowed an average of $27.84 per service and paid $20.12 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $65.62, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 90714?

Diphtheria and tetanus vaccine (7 years or older). It was billed 7,298 times to 7,276 Medicare beneficiaries by 451 providers in 2024.

Which specialty bills 90714 most?

Family Practice, with 2,213 services from 131 clinicians. Next are Nurse Practitioner, Physician Assistant, Internal Medicine.

CPT 90714

Diphtheria and tetanus vaccine (7 years or older)

$27.84Medicare-allowed amount per service, averaged across 7,298 services

Providers submitted

$65.62

Asking price, not received

Medicare allowed

$27.84

The fee schedule figure

Medicare paid

$20.12

Balance is patient coinsurance

Providers submitted an average of $65.62 for this code and Medicare allowed $27.84 — 2.4× 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 $20.12 (72%); the rest is the patient’s coinsurance and deductible.

Services: 7,298
Beneficiaries: 7,276
Providers billing it: 451
Total allowed: $203,176

What Medicare pays for CPT 90714

Across 7,298 services billed by 451 providers to 7,276 beneficiaries, Medicare allowed an average of $27.84 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 90714

Specialty	Services	Beneficiaries	Avg allowed	Providers
Family Practice	2,213	2,211	$27.83	131
Nurse Practitioner	1,658	1,658	$27.89	115
Physician Assistant	1,499	1,499	$28.01	102
Internal Medicine	865	863	$27.58	50
Emergency Medicine	790	790	$27.41	42
General Practice	210	192	$28.86	8
Allergy/ Immunology	30	30	$29.83	1
Ophthalmology	22	22	$27.90	1
Geriatric Medicine	11	11	$25.99	1

90714 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
California	1,033	$28.12	$20.19	50
Florida	829	$28.66	$20.74	57
North Carolina	757	$27.85	$20.61	47
South Carolina	582	$27.66	$20.55	37
Virginia	465	$27.30	$19.58	26
Arizona	380	$28.59	$19.47	22
New York	313	$27.32	$20.03	20
Georgia	238	$27.11	$19.77	16
Indiana	218	$28.17	$20.75	15
New Jersey	215	$28.78	$21.14	14
Tennessee	178	$27.88	$20.92	12
Oklahoma	177	$27.34	$19.58	12
Missouri	167	$26.70	$19.57	12
Texas	156	$27.70	$20.13	9
Michigan	151	$24.96	$18.68	9
Pennsylvania	140	$27.84	$20.16	9
Massachusetts	127	$28.60	$21.51	6
Illinois	126	$27.14	$20.35	7
Maryland	114	$28.04	$19.12	7
Kansas	103	$26.51	$18.06	7
Ohio	100	$28.52	$21.16	5
Kentucky	97	$28.00	$20.30	7
Mississippi	79	$27.78	$20.11	6
Alabama	77	$26.03	$18.93	6
Washington	74	$27.68	$20.23	5
Connecticut	68	$28.35	$21.16	4
Iowa	61	$29.12	$20.16	4
Louisiana	55	$27.43	$19.99	4
Arkansas	43	$27.65	$19.38	3
Montana	42	$27.33	$16.46	3
New Mexico	32	$31.66	$23.84	2
Idaho	22	$23.13	$18.39	2
Colorado	20	$26.54	$17.98	1
Nebraska	15	$30.82	$19.01	1
Wisconsin	11	$28.10	$22.39	1
West Virginia	11	$25.22	$20.09	1
Nevada	11	$27.53	$20.66	1
Oregon	11	$28.75	$19.35	1

Related codes

90791Psychiatric diagnostic evaluation$147.36
90792Psychiatric diagnostic evaluation$163.13
90785Psychiatric services complicated by communication factor$12.70
90732Pneumococcal vaccine$128.28
90715Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older$37.48
90739Hepatitis b vaccine (hepb)$155.49
90746Hepatitis b vaccine$67.61
90756Influenza vaccine$31.36

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.