How much does Medicare pay for HCPCS G0008?

Medicare allowed an average of $29.05 per service and paid $29.05 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $40.44, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code G0008?

Administration of influenza virus vaccine. It was billed 11,327,224 times to 11,220,313 Medicare beneficiaries by 112,062 providers in 2024.

Does G0008 pay differently in an office than a hospital?

Yes. The allowed amount averaged $29.05 in an office setting and $30.22 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 G0008 most?

Mass Immunizer Roster Biller, with 4,873,814 services from 25,818 clinicians. Next are Centralized Flu, Family Practice, Internal Medicine.

HCPCS G0008

Administration of influenza virus vaccine

$29.05Medicare-allowed amount per service, averaged across 11,327,224 services

Providers submitted

$40.44

Asking price, not received

Medicare allowed

$29.05

The fee schedule figure

Medicare paid

$29.05

Balance is patient coinsurance

Providers submitted an average of $40.44 for this code and Medicare allowed $29.05 — 1.4× 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 $29.05 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $29.05
Hospital / facility: $30.22

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 11,324,430 services were billed in an office setting and 2,795 in a facility.

Services: 11,327,224
Beneficiaries: 11,220,313
Providers billing it: 112,062
Total allowed: $329,055,857

What Medicare pays for HCPCS G0008

Across 11,327,224 services billed by 112,062 providers to 11,220,313 beneficiaries, Medicare allowed an average of $29.05 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.

Who bills G0008

Specialty	Services	Beneficiaries	Avg allowed	Providers
Mass Immunizer Roster Biller	4,873,814	4,838,354	$26.86	25,818
Centralized Flu	2,794,498	2,770,653	$30.15	9,617
Family Practice	1,352,417	1,332,118	$30.94	29,387
Internal Medicine	1,282,264	1,264,851	$31.93	22,230
Nurse Practitioner	353,105	349,251	$30.84	12,977
Pharmacy	316,876	314,584	$28.82	2,710
Physician Assistant	112,351	110,957	$30.98	4,400
Public Health or Welfare Agency	28,841	28,592	$27.17	174
Pulmonary Disease	23,014	22,807	$32.33	718
General Practice	21,272	20,971	$31.50	418
Pediatric Medicine	19,232	19,115	$31.27	211
Geriatric Medicine	18,803	18,519	$32.68	361
Cardiology	16,997	16,837	$33.91	360
Clinical Laboratory	12,143	12,055	$29.10	90
Rheumatology	11,765	11,665	$31.93	389

G0008 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	934,385	$31.62	$31.85	9,001
Florida	929,598	$28.12	$31.92	6,255
New York	620,416	$31.99	$31.90	6,699
Texas	599,048	$27.93	$31.89	7,402
Idaho	574,723	$32.88	$31.92	379
Pennsylvania	545,488	$30.27	$31.88	6,319
Illinois	412,180	$29.74	$31.91	4,383
New Jersey	395,131	$32.18	$31.88	4,104
Ohio	388,425	$27.02	$31.90	4,875
Massachusetts	387,527	$31.34	$31.92	3,294
Virginia	372,338	$28.39	$31.90	3,391
North Carolina	352,487	$27.63	$31.90	4,432
Colorado	308,231	$28.09	$31.92	1,727
Maryland	305,170	$31.47	$31.89	2,755
Georgia	266,164	$26.69	$31.92	3,644
Indiana	255,297	$27.61	$31.91	3,070
Tennessee	241,477	$26.42	$31.91	3,106
South Carolina	239,709	$27.07	$31.91	2,254
Michigan	238,269	$28.65	$31.91	2,975
Wisconsin	217,184	$27.27	$31.68	2,505
Missouri	193,549	$27.79	$31.86	2,142
Arizona	191,073	$27.53	$31.92	2,042
Washington	186,513	$28.69	$31.91	1,976
Iowa	179,484	$26.32	$31.89	1,333
Minnesota	173,895	$27.85	$31.89	2,244
Kansas	143,133	$24.90	$31.91	1,206
Kentucky	134,801	$25.79	$31.90	1,870
Connecticut	128,518	$31.63	$31.88	1,627
Oklahoma	124,957	$27.49	$31.81	1,399
Arkansas	113,473	$26.34	$31.90	1,237
Alabama	111,886	$26.84	$31.85	1,869
Mississippi	102,839	$25.55	$31.92	1,088
Louisiana	95,113	$28.14	$31.91	1,321
Nebraska	94,939	$26.94	$31.83	856
Oregon	91,073	$26.39	$31.91	1,095
New Hampshire	75,815	$30.01	$31.92	467
Utah	71,121	$24.73	$31.51	1,020
Nevada	67,024	$27.16	$31.90	625
Delaware	58,880	$30.41	$31.92	378
New Mexico	49,449	$26.53	$31.91	441
Hawaii	40,223	$30.40	$31.92	261
West Virginia	39,897	$26.22	$31.89	512
Montana	39,191	$27.72	$31.92	312
South Dakota	38,624	$27.25	$31.51	238
Rhode Island	35,365	$30.54	$31.91	408
Maine	34,724	$29.01	$31.92	344
Vermont	30,517	$24.49	$31.92	179
North Dakota	30,496	$29.62	$31.91	278
Wyoming	23,962	$25.36	$31.92	195
Alaska	19,567	$30.80	$31.92	142
District of Columbia	16,031	$32.53	$31.92	258
Puerto Rico	3,926	$30.11	$31.92	76
Guam	2,632	$30.82	$30.98	33
U.S. Virgin Islands	702	$26.47	$31.92	10
AE	185	$34.81	$31.92	3
AP	167	$30.00	$31.92	2

Related codes

G0009Administration of pneumococcal vaccine$29.85
G0069Professional services for the administration of subcutaneous immunothe$29.26
G0022Community health integration services$52.97
G0068Professional services for the administration of anti-infective$78.73
G0010Administration of hepatitis b vaccine$30.96
G0070Professional services for the administration of intravenous chemothera$219.38
G0019Community health integration services performed by certified or traine$78.48
G0089Professional services$26.90
G0023Principal illness navigation services by certified or trained auxiliar$76.96
G0024Principal illness navigation services$51.25

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.