How much does Medicare pay for CPT 90739?

Medicare allowed an average of $155.49 per service and paid $155.49 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $281.87, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 90739?

Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use. It was billed 3,833 times to 2,780 Medicare beneficiaries by 123 providers in 2024.

Does 90739 pay differently in an office than a hospital?

Yes. The allowed amount averaged $155.47 in an office setting and $158.71 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 90739 most?

Family Practice, with 1,272 services from 45 clinicians. Next are Internal Medicine, Nurse Practitioner, Nephrology.

CPT 90739

Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use

$155.49Medicare-allowed amount per service, averaged across 3,833 services

Providers submitted

$281.87

Asking price, not received

Medicare allowed

$155.49

The fee schedule figure

Medicare paid

$155.49

Balance is patient coinsurance

Providers submitted an average of $281.87 for this code and Medicare allowed $155.49 — 1.8× 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 $155.49 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $155.47
Hospital / facility: $158.71

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 3,809 services were billed in an office setting and 24 in a facility.

Services: 3,833
Beneficiaries: 2,780
Providers billing it: 123
Total allowed: $595,993

What Medicare pays for CPT 90739

Across 3,833 services billed by 123 providers to 2,780 beneficiaries, Medicare allowed an average of $155.49 per service. That is 1.4 services per beneficiary, so this is a code patients typically receive more than once. 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 90739

Specialty	Services	Beneficiaries	Avg allowed	Providers
Family Practice	1,272	938	$151.88	45
Internal Medicine	1,050	705	$158.60	28
Nurse Practitioner	506	413	$154.84	23
Nephrology	286	211	$158.60	6
Gastroenterology	260	175	$161.63	5
Physician Assistant	123	87	$159.05	5
Public Health or Welfare Agency	97	69	$162.80	2
Pediatric Medicine	61	46	$150.82	2
Preventive Medicine	49	33	$125.46	2
Certified Clinical Nurse Specialist	39	36	$161.30	1
Hospitalist	30	18	$159.17	1
Rheumatology	24	17	$158.71	1
Clinic or Group Practice	23	20	$122.50	1
Allergy/ Immunology	13	12	$163.72	1

90739 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
North Carolina	644	$160.13	$160.91	8
Pennsylvania	577	$157.11	$160.25	17
California	216	$135.17	$135.29	9
Maryland	202	$161.03	$161.03	5
New York	195	$161.71	$162.10	7
Georgia	192	$152.30	$158.36	5
Texas	170	$148.86	$148.86	5
Washington	161	$144.47	$144.47	9
Virginia	155	$161.53	$161.53	5
Utah	151	$160.09	$161.15	6
Florida	125	$154.59	$154.59	5
Wisconsin	123	$157.33	$160.39	6
Ohio	123	$158.35	$159.72	4
Minnesota	122	$161.45	$161.45	5
Massachusetts	111	$160.89	$160.89	5
South Carolina	69	$151.84	$156.48	3
Arizona	64	$144.00	$144.00	2
Delaware	56	$160.72	$160.72	1
Indiana	52	$143.44	$143.44	3
North Dakota	51	$164.57	$164.57	1
Missouri	50	$161.79	$161.79	2
Illinois	47	$157.24	$160.82	2
Michigan	46	$142.53	$142.53	2
New Hampshire	44	$157.25	$161.08	2
Oklahoma	32	$160.26	$160.26	1
Tennessee	22	$161.00	$161.00	1
New Jersey	20	$164.14	$164.14	1
Kentucky	13	$58.35	$68.28	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
90714Diphtheria and tetanus vaccine (7 years or older)$27.84
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.