How much does Medicare pay for CPT 90732?

Medicare allowed an average of $128.28 per service and paid $128.28 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $200.06, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 90732?

Pneumococcal vaccine, 23-valent. It was billed 26,944 times to 26,839 Medicare beneficiaries by 1,176 providers in 2024.

Which specialty bills 90732 most?

Internal Medicine, with 9,592 services from 483 clinicians. Next are Family Practice, Centralized Flu, Mass Immunizer Roster Biller.

CPT 90732

Pneumococcal vaccine, 23-valent

$128.28Medicare-allowed amount per service, averaged across 26,944 services

Providers submitted

$200.06

Asking price, not received

Medicare allowed

$128.28

The fee schedule figure

Medicare paid

$128.28

Balance is patient coinsurance

Providers submitted an average of $200.06 for this code and Medicare allowed $128.28 — 1.6× 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 $128.28 (100%); the rest is the patient’s coinsurance and deductible.

Services: 26,944
Beneficiaries: 26,839
Providers billing it: 1,176
Total allowed: $3,456,376

What Medicare pays for CPT 90732

Across 26,944 services billed by 1,176 providers to 26,839 beneficiaries, Medicare allowed an average of $128.28 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 90732

Specialty	Services	Beneficiaries	Avg allowed	Providers
Internal Medicine	9,592	9,560	$128.21	483
Family Practice	6,745	6,725	$126.15	363
Centralized Flu	4,322	4,311	$130.79	20
Mass Immunizer Roster Biller	2,830	2,824	$130.63	144
Nurse Practitioner	705	705	$126.35	43
Pharmacy	461	443	$130.80	16
Allergy/ Immunology	437	427	$126.67	22
Pulmonary Disease	429	426	$130.42	18
General Practice	284	283	$127.58	9
Physician Assistant	161	161	$128.86	9
Infectious Disease	144	144	$130.80	5
Geriatric Medicine	107	107	$127.13	5
Cardiology	93	93	$121.58	6
Pediatric Medicine	78	76	$130.80	4
Nephrology	70	70	$128.93	4

90732 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
Florida	5,409	$130.25	$130.34	91
California	4,687	$127.24	$127.57	199
New York	2,374	$127.22	$127.90	119
New Jersey	1,375	$130.01	$130.51	63
Texas	1,059	$129.87	$130.15	59
Virginia	762	$123.72	$124.04	40
Maryland	755	$126.63	$127.16	45
Ohio	709	$130.00	$130.49	39
Pennsylvania	666	$128.07	$128.82	33
Illinois	638	$127.70	$128.02	33
Tennessee	604	$128.11	$128.59	33
Massachusetts	598	$129.36	$129.81	31
Georgia	579	$123.43	$124.97	34
Indiana	546	$128.52	$129.49	32
Arizona	530	$130.32	$130.68	25
Louisiana	455	$129.13	$130.01	24
South Carolina	453	$129.86	$130.46	24
North Carolina	425	$127.17	$127.94	23
Colorado	365	$130.65	$130.65	10
Kentucky	330	$127.24	$128.86	20
Missouri	324	$128.70	$129.52	14
Oklahoma	320	$129.34	$129.76	20
Michigan	309	$129.52	$130.53	21
Idaho	288	$130.34	$130.34	5
Alabama	219	$126.83	$128.05	13
Kansas	202	$130.07	$130.73	12
Arkansas	201	$130.80	$130.80	10
Wyoming	186	$106.37	$106.37	9
Mississippi	177	$128.57	$128.57	11
Connecticut	153	$129.73	$130.60	9
Delaware	144	$124.32	$124.32	7
Iowa	125	$129.75	$130.82	8
Nebraska	125	$130.29	$130.81	10
Oregon	106	$129.57	$130.83	8
Nevada	105	$129.55	$130.83	7
Washington	98	$128.13	$130.85	6
West Virginia	98	$130.80	$130.80	5
Guam	91	$126.49	$129.42	3
New Mexico	88	$106.46	$107.98	5
Hawaii	47	$130.80	$130.80	3
District of Columbia	41	$130.80	$130.80	2
North Dakota	36	$130.80	$130.80	3
Utah	34	$120.40	$120.40	2
Maine	32	$127.40	$127.40	1
Alaska	30	$130.80	$130.80	1
South Dakota	12	$130.80	$130.80	1
Rhode Island	12	$130.80	$130.80	1
Minnesota	11	$130.80	$130.80	1
U.S. Virgin Islands	11	$130.80	$130.80	1

Related codes

90791Psychiatric diagnostic evaluation$147.36
90792Psychiatric diagnostic evaluation$163.13
90785Psychiatric services complicated by communication factor$12.70
90715Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older$37.48
90714Diphtheria and tetanus vaccine (7 years or older)$27.84
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.