CPT code 90471: Immunization administration, first injectable vaccine2026 Medicare rate & RVUs in Washington, DC area
Report 90471 for administration of one injectable vaccine, including a combination vaccine or toxoid, when the service meets the code’s route criteria.
In Washington, DC area, Medicare pays $25.24 for 90471 in the office.
Check a contract rate as a % of Medicare · 90471 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 90471 covers
90471 represents administration of one vaccine by percutaneous, intradermal, subcutaneous, or intramuscular route. It applies to an injectable vaccine product whether the product contains one antigen or is a combination vaccine or toxoid; report the vaccine product separately. Physicians and clinical staff commonly provide this service in physician offices and outpatient settings.
Report one unit for one vaccine administration. When additional injectable vaccines are administered in the same encounter, report 90472 for each additional administration. Select the administration code by route and applicable counseling criteria, not just by the vaccine’s name. Documentation should identify the vaccine, route, date, and administering clinician. Under the CMS incident-to rule, the service may be billed only when performed under physician supervision.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Washington, DC area compares for 90471
Across 109 of 109 payment localities, the office rate for 90471 runs from $19.62 in Arkansas to $29.60 in San Benito County, CA. Washington, DC area pays $25.24. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$25.24
- Los Angeles, CA · California$25.10−$0.14
- Miami, FL · Florida$23.21−$2.03
- Chicago, IL · Illinois$22.60−$2.64
- Manhattan, NY · New York$25.20−$0.04
- Alaska · Alaska$25.78+$0.54
- Alabama · Alabama$19.90−$5.34
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $19.62 | — |
| ArizonaArizona | $21.50 | — |
| Bakersfield, CACalifornia | $23.56 | — |
| Chico, CACalifornia | $23.53 | — |
| El Centro, CACalifornia | $23.53 | — |
| Fresno, CACalifornia | $23.53 | — |
| Hanford, CACalifornia | $23.53 | — |
| Madera, CACalifornia | $23.53 | — |
| Merced, CACalifornia | $23.53 | — |
| Modesto, CACalifornia | $23.53 | — |
| Napa, CACalifornia | $27.34 | — |
| Oxnard, CACalifornia | $25.00 | — |
| Redding, CACalifornia | $23.53 | — |
| Rest of CaliforniaCalifornia | $23.53 | — |
| Riverside, CACalifornia | $23.64 | — |
| Sacramento, CACalifornia | $24.71 | — |
| Salinas, CACalifornia | $24.61 | — |
| San Diego, CACalifornia | $25.20 | — |
| Marin County, CACalifornia | $28.98 | — |
| San Francisco, CACalifornia | $28.97 | — |
| San Benito County, CACalifornia | $29.60 | — |
| Santa Clara County, CACalifornia | $29.55 | — |
| San Luis Obispo, CACalifornia | $24.21 | — |
| Santa Cruz, CACalifornia | $25.46 | — |
| Santa Maria, CACalifornia | $24.71 | — |
| Santa Rosa, CACalifornia | $25.72 | — |
| Stockton, CACalifornia | $23.53 | — |
| Vallejo, CACalifornia | $27.32 | — |
| Visalia, CACalifornia | $23.53 | — |
| Yuba City, CACalifornia | $23.53 | — |
| ColoradoColorado | $23.07 | — |
| ConnecticutConnecticut | $23.46 | — |
| DelawareDelaware | $21.85 | — |
| Fort Lauderdale, FLFlorida | $22.52 | — |
| Rest of FloridaFlorida | $21.51 | — |
| Atlanta, GAGeorgia | $22.39 | — |
| Rest of GeorgiaGeorgia | $20.38 | — |
| Hawaii, Guam, HIHawaii | $24.10 | — |
| IowaIowa | $20.48 | — |
| IdahoIdaho | $20.59 | — |
| East St. Louis, ILIllinois | $21.10 | — |
| Rest of IllinoisIllinois | $20.84 | — |
| Suburban Chicago, ILIllinois | $22.78 | — |
| IndianaIndiana | $20.70 | — |
| KansasKansas | $20.34 | — |
| KentuckyKentucky | $20.24 | — |
| New Orleans, LALouisiana | $21.14 | — |
| Rest of LouisianaLouisiana | $20.19 | — |
| Metropolitan Boston, MAMassachusetts | $25.35 | — |
| Rest of MassachusettsMassachusetts | $22.92 | — |
| Baltimore area, MDMaryland | $23.38 | — |
| Rest of MarylandMaryland | $22.27 | — |
| Rest of MaineMaine | $20.64 | — |
| Southern Maine, MEMaine | $21.78 | — |
| Detroit, MIMichigan | $21.71 | — |
| Rest of MichiganMichigan | $20.69 | — |
| MinnesotaMinnesota | $22.27 | — |
| Metropolitan Kansas City, MOMissouri | $21.06 | — |
| Metropolitan St. Louis, MOMissouri | $21.28 | — |
| Rest of MissouriMissouri | $19.82 | — |
| MississippiMississippi | $19.73 | — |
| MontanaMontana | $22.04 | — |
| North CarolinaNorth Carolina | $20.85 | — |
| North DakotaNorth Dakota | $21.85 | — |
| NebraskaNebraska | $20.60 | — |
| New HampshireNew Hampshire | $22.66 | — |
| Northern New JerseyNew Jersey | $24.99 | — |
| Rest of New JerseyNew Jersey | $23.78 | — |
| New MexicoNew Mexico | $20.78 | — |
| NevadaNevada | $22.00 | — |
| NYC suburbs and Long Island, NYNew York | $25.72 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $23.89 | — |
| Queens, NYNew York | $25.47 | — |
| Rest of New YorkNew York | $21.14 | — |
| OhioOhio | $20.65 | — |
| OklahomaOklahoma | $20.25 | — |
| Portland, OROregon | $23.83 | — |
| Rest of OregonOregon | $21.88 | — |
| Metropolitan Philadelphia, PAPennsylvania | $22.87 | — |
| Rest of PennsylvaniaPennsylvania | $20.71 | — |
| Puerto RicoPuerto Rico | $22.22 | — |
| Rhode IslandRhode Island | $22.65 | — |
| South CarolinaSouth Carolina | $20.78 | — |
| South DakotaSouth Dakota | $21.82 | — |
| TennesseeTennessee | $20.43 | — |
| Austin, TXTexas | $22.95 | — |
| Beaumont, TXTexas | $20.58 | — |
| Brazoria, TXTexas | $21.87 | — |
| Dallas, TXTexas | $21.98 | — |
| Fort Worth, TXTexas | $21.83 | — |
| Galveston, TXTexas | $21.92 | — |
| Houston, TXTexas | $22.10 | — |
| Rest of TexasTexas | $21.19 | — |
| UtahUtah | $21.05 | — |
| VirginiaVirginia | $21.67 | — |
| Virgin Islands, VIUnited States Virgin Islands | $22.22 | — |
| VermontVermont | $21.72 | — |
| Rest of WashingtonWashington | $22.89 | — |
| King County, WAWashington | $25.91 | — |
| WisconsinWisconsin | $21.14 | — |
| West VirginiaWest Virginia | $20.09 | — |
| WyomingWyoming | $21.96 | — |
90471 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$19.62
$26.57
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $25.78 | 1 |
| AL | $19.90 | 1 |
| AR | $19.62 | 1 |
| AZ | $21.50 | 1 |
| CA | $23.53–$29.60 | 29 |
| CO | $23.07 | 1 |
| CT | $23.46 | 1 |
| DC | $25.24 | 1 |
| DE | $21.85 | 1 |
| FL | $21.51–$23.21 | 3 |
| GA | $20.38–$22.39 | 2 |
| GU | $24.10 | 1 |
| HI | $24.10 | 1 |
| IA | $20.48 | 1 |
| ID | $20.59 | 1 |
| IL | $20.84–$22.78 | 4 |
| IN | $20.70 | 1 |
| KS | $20.34 | 1 |
| KY | $20.24 | 1 |
| LA | $20.19–$21.14 | 2 |
| MA | $22.92–$25.35 | 2 |
| MD | $22.27–$25.24 | 3 |
| ME | $20.64–$21.78 | 2 |
| MI | $20.69–$21.71 | 2 |
| MN | $22.27 | 1 |
| MO | $19.82–$21.28 | 3 |
| MS | $19.73 | 1 |
| MT | $22.04 | 1 |
| NC | $20.85 | 1 |
| ND | $21.85 | 1 |
| NE | $20.60 | 1 |
| NH | $22.66 | 1 |
| NJ | $23.78–$24.99 | 2 |
| NM | $20.78 | 1 |
| NV | $22.00 | 1 |
| NY | $21.14–$25.72 | 5 |
| OH | $20.65 | 1 |
| OK | $20.25 | 1 |
| OR | $21.88–$23.83 | 2 |
| PA | $20.71–$22.87 | 2 |
| PR | $22.22 | 1 |
| RI | $22.65 | 1 |
| SC | $20.78 | 1 |
| SD | $21.82 | 1 |
| TN | $20.43 | 1 |
| TX | $20.58–$22.95 | 8 |
| UT | $21.05 | 1 |
| VA | $21.67–$25.24 | 2 |
| VI | $22.22 | 1 |
| VT | $21.72 | 1 |
| WA | $22.89–$25.91 | 2 |
| WI | $21.14 | 1 |
| WV | $20.09 | 1 |
| WY | $21.96 | 1 |
How the 90471 rate is calculated
Each of 90471’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 90471
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.48
0.48 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.6600
Conversion factor
$33.4009
Medicare rate
$22.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,414
- Code
- 90471
- Physician work
- 0.17
- Practice expense
- 0.48
- Malpractice
- 0.01
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.054 | 0.1792 |
| Practice expense | 0.48 | × 1.178 | 0.5654 |
| Malpractice | 0.01 | × 1.113 | 0.0111 |
| Total RVUs | 0.7557 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$25.24
Office: (0.17 × 1.054 + 0.48 × 1.178 + 0.01 × 1.113) × $33.4009 = $25.24
Payment rules and modifiers for 90471
The CMS indicators that decide how 90471 is paid alongside other services.
CMS payment indicators · 90471
Immunization administration, first injectable vaccine
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 5 | Incident-to service. |
How 90471 has changed in Washington, DC area
90471 · Office / nonfacility
$25.24
Effective 2026-10-01
The base rate is $2.08 higher than on 2025-10-01, moving from $23.16 to $25.24 (9.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$23.16changed to$25.24
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.44 changed to 0.48
- Work GPCI 1.057 changed to 1.054
- Practice expense GPCI 1.192 changed to 1.178
- Malpractice GPCI 1.168 changed to 1.113
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$23.83changed to$23.16
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$23.44changed to$23.83
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$23.78changed to$23.44
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.42 changed to 0.44
- Work GPCI 1.056 changed to 1.057
- Practice expense GPCI 1.214 changed to 1.192
- Malpractice GPCI 1.231 changed to 1.168
January 1, 2023
RVU23A
$19.91changed to$23.78
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.31 changed to 0.42
- Work GPCI 1.054 changed to 1.056
- Practice expense GPCI 1.236 changed to 1.214
- Malpractice GPCI 1.294 changed to 1.231
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$20.07changed to$19.91
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$16.59changed to$20.07
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.22 changed to 0.31
- Work GPCI 1.049 changed to 1.054
- Practice expense GPCI 1.221 changed to 1.236
- Malpractice GPCI 1.277 changed to 1.294
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$19.45changed to$16.59
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.29 changed to 0.22
- Work GPCI 1.045 changed to 1.049
- Practice expense GPCI 1.205 changed to 1.221
- Malpractice GPCI 1.261 changed to 1.277
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$24.20changed to$19.45
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.40 changed to 0.29
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$30.20changed to$24.20
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.54 changed to 0.40
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$29.72changed to$30.20
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.53 changed to 0.54
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$29.83changed to$29.72
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$29.68changed to$29.83
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$29.22changed to$29.68
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.52 changed to 0.53
- Work GPCI 1.050 changed to 1.051
- Practice expense GPCI 1.202 changed to 1.205
- Malpractice GPCI 1.205 changed to 1.280
Held through RVU15B.
January 1, 2014
RVU14A
$30.09changed to$29.22
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.58 changed to 0.52
- Work GPCI 1.049 changed to 1.050
- Practice expense GPCI 1.198 changed to 1.202
- Malpractice GPCI 1.130 changed to 1.205
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $30.09
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $25.24 | Not available in this setting | RVU26D |
| 2026-07-01 | $25.24 | Not available in this setting | RVU26C |
| 2026-04-01 | $25.24 | Not available in this setting | RVU26B |
| 2026-01-01 | $25.24 | Not available in this setting | RVU26A |
| 2025-10-01 | $23.16 | Not available in this setting | RVU25D |
| 2025-07-01 | $23.16 | Not available in this setting | RVU25C |
| 2025-04-01 | $23.16 | Not available in this setting | RVU25B |
| 2025-01-01 | $23.16 | Not available in this setting | RVU25A |
| 2024-10-01 | $23.83 | Not available in this setting | RVU24D |
| 2024-07-01 | $23.83 | Not available in this setting | RVU24C |
| 2024-04-01 | $23.83 | Not available in this setting | RVU24B |
| 2024-03-09 | $23.83 | Not available in this setting | RVU24AR |
| 2024-01-01 | $23.44 | Not available in this setting | RVU24A |
| 2023-10-01 | $23.78 | Not available in this setting | RVU23D |
| 2023-07-01 | $23.78 | Not available in this setting | RVU23C |
| 2023-04-01 | $23.78 | Not available in this setting | RVU23B |
| 2023-01-01 | $23.78 | Not available in this setting | RVU23A |
| 2022-10-01 | $19.91 | Not available in this setting | RVU22D |
| 2022-07-01 | $19.91 | Not available in this setting | RVU22C |
| 2022-04-01 | $19.91 | Not available in this setting | RVU22B |
| 2022-01-01 | $19.91 | Not available in this setting | RVU22A |
| 2021-10-01 | $20.07 | Not available in this setting | RVU21D |
| 2021-07-01 | $20.07 | Not available in this setting | RVU21C |
| 2021-04-01 | $20.07 | Not available in this setting | RVU21B |
| 2021-01-01 | $20.07 | Not available in this setting | RVU21A |
| 2020-10-01 | $16.59 | Not available in this setting | RVU20D |
| 2020-07-01 | $16.59 | Not available in this setting | RVU20C |
| 2020-04-01 | $16.59 | Not available in this setting | RVU20B |
| 2020-01-01 | $16.59 | Not available in this setting | RVU20A |
| 2019-10-01 | $19.45 | Not available in this setting | RVU19D |
| 2019-07-01 | $19.45 | Not available in this setting | RVU19C |
| 2019-04-01 | $19.45 | Not available in this setting | RVU19B |
| 2019-01-01 | $19.45 | Not available in this setting | RVU19A |
| 2018-10-01 | $24.20 | Not available in this setting | RVU18D |
| 2018-07-01 | $24.20 | Not available in this setting | RVU18C |
| 2018-04-01 | $24.20 | Not available in this setting | RVU18B |
| 2018-01-01 | $24.20 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $30.20 | Not available in this setting | RVU17D |
| 2017-07-01 | $30.20 | Not available in this setting | RVU17C |
| 2017-04-01 | $30.20 | Not available in this setting | RVU17B |
| 2017-01-01 | $30.20 | Not available in this setting | RVU17A |
| 2016-10-01 | $29.72 | Not available in this setting | RVU16D |
| 2016-07-01 | $29.72 | Not available in this setting | RVU16C |
| 2016-04-01 | $29.72 | Not available in this setting | RVU16B |
| 2016-01-01 | $29.72 | Not available in this setting | RVU16A |
| 2015-10-01 | $29.83 | Not available in this setting | RVU15D |
| 2015-07-01 | $29.83 | Not available in this setting | RVU15C |
| 2015-04-01 | $29.68 | Not available in this setting | RVU15B |
| 2015-01-01 | $29.68 | Not available in this setting | RVU15A |
| 2014-10-01 | $29.22 | Not available in this setting | RVU14D |
| 2014-07-01 | $29.22 | Not available in this setting | RVU14C |
| 2014-04-01 | $29.22 | Not available in this setting | RVU14B |
| 2014-01-01 | $29.22 | Not available in this setting | RVU14A |
| 2013-10-01 | $30.09 | Not available in this setting | RVU13D |
| 2013-07-01 | $30.09 | Not available in this setting | RVU13C |
| 2013-04-01 | $30.09 | Not available in this setting | RVU13B |
| 2013-01-01 | $30.09 | Not available in this setting | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
90471 billing questions
When should 90471 be reported instead of 90460?
Use 90471 for an injectable vaccine when the criteria for the counseling-based code are not met. Code 90460 applies to patients 18 or younger when a physician or other qualified health care professional provides counseling about the vaccine.
Is the vaccine product included in 90471?
No. 90471 reports the administration service; report the vaccine product separately.
Can 90471 and 90472 be reported together?
Yes. Report 90471 for one injectable vaccine administration and 90472 for each additional injectable vaccine administered in the same encounter.
Does 90471 cover oral or intranasal vaccines?
No. For an oral or intranasal vaccine administration, use 90473 for one vaccine; 90474 is the add-on code for each additional oral or intranasal vaccine.
Can clinical staff perform the service?
Yes, but under the CMS incident-to rule, 90471 may be billed only when the service is performed under physician supervision.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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