CPT code 90472: Vaccine administration, each additional vaccine2026 Medicare rate & RVUs in Brazoria, TX

Reports administration of each additional intramuscular or subcutaneous vaccine after the first vaccine in an encounter, when the add-on requirements are met.

CMS RVU26DEffective Oct 1, 2026One payment locality23.8K Medicare services in 2024

In Brazoria, TX, Medicare pays $15.90 for 90472 in the office.

$15.90Office (non-facility)
Not available in this settingHospital or facility
−0.8%vs the national office rate ($16.03)

Check a contract rate as a % of Medicare · 90472 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 90472 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Brazoria, TX
  2. What 90472 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 90472 covers

90472 represents administration of each additional vaccine after the first intramuscular or subcutaneous vaccine during an encounter. It covers the administration work, not the vaccine product; report the product separately when applicable. Nurses and other clinical staff commonly perform the service in an office or clinic. For pediatric visits, the standard administration codes may be appropriate when the face-to-face physician or qualified health professional counseling circumstance for 90460 and 90461 is not present.

Report 90471 for the first vaccine and 90472 for each additional vaccine administered by the intramuscular or subcutaneous route. Do not count the components of a combination vaccine as separate administrations. Documentation should identify the vaccine products, routes, and which administration was first versus additional. As an add-on, 90472 must be reported with a primary procedure and CMS payment is within that procedure’s global period. Under the CMS incident-to rule, report it 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 Brazoria, TX compares for 90472

Across 109 of 109 payment localities, the office rate for 90472 runs from $14.36 in Arkansas to $21.15 in San Benito County, CA. Brazoria, TX pays $15.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

90472 in Brazoria, TX vs other payment areas
  1. Brazoria, TX · this page$15.90
  2. Austin, TX · Texas$16.62+$0.72
  3. Beaumont, TX · Texas$15.05−$0.85
  4. Dallas, TX · Texas$15.99+$0.09
  5. Fort Worth, TX · Texas$15.88−$0.02
  6. Galveston, TX · Texas$15.94+$0.04
  7. Houston, TX · Texas$16.12+$0.22

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

90472 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$15.45—
Los Angeles, CACalifornia$18.08—
Washington, DC areaDistrict of Columbia$18.24—
Miami, FLFlorida$16.98—
Chicago, ILIllinois$16.55—
Manhattan, NYNew York$18.28—
AlaskaAlaska$19.08—
AlabamaAlabama$14.55—

90472 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.

$14.36

$19.08

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
90472 office rate range by state
State / territoryOffice rate rangeLocalities
AK$19.081
AL$14.551
AR$14.361
AZ$15.651
CA$16.99–$21.1529
CO$16.701
CT$17.031
DC$18.241
DE$15.901
FL$15.73–$16.983
GA$14.94–$16.292
GU$17.361
HI$17.361
IA$14.921
ID$15.001
IL$15.29–$16.614
IN$15.081
KS$14.841
KY$14.821
LA$14.79–$15.452
MA$16.61–$18.272
MD$16.18–$18.243
ME$15.05–$15.812
MI$15.15–$15.892
MN$16.111
MO$14.55–$15.523
MS$14.461
MT$16.031
NC$15.201
ND$15.831
NE$15.001
NH$16.431
NJ$17.25–$18.082
NM$15.211
NV$15.991
NY$15.40–$18.665
OH$15.111
OK$14.811
OR$15.89–$17.212
PA$15.14–$16.632
PR$16.141
RI$16.441
SC$15.171
SD$15.811
TN$14.911
TX$15.05–$16.628
UT$15.361
VA$15.75–$18.242
VI$16.141
VT$15.761
WA$16.58–$18.652
WI$15.351
WV$14.781
WY$15.951

See 90472 in every payment locality

How the 90472 rate is calculated

Each of 90472’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 · 90472

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.15

0.15 RVUs× 1.000 GPCI

Practice expense0.32

0.32 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.4800

Conversion factor

$33.4009

Medicare rate

$16.03

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Brazoria, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,415

Code
90472
Physician work
0.15
Practice expense
0.32
Malpractice
0.01

GPCI2026.csv

98

Locality
Brazoria, TX
Physician work
1.008
Practice expense
0.991
Malpractice
0.780
Office calculation for 90472 in Brazoria, TX
ComponentRVULocality factorAdjusted
Physician work0.15× 1.0080.1512
Practice expense0.32× 0.9910.3171
Malpractice0.01× 0.7800.0078
Total RVUs0.4761
Conversion factor× 33.4009

Office rate, Brazoria, TX$15.90

Office: (0.15 × 1.008 + 0.32 × 0.991 + 0.01 × 0.78) × $33.4009 = $15.90

Open 90472 in the RVU calculator

Payment rules and modifiers for 90472

The CMS indicators that decide how 90472 is paid alongside other services.

CMS payment indicators · 90472

Vaccine administration, each additional vaccine

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical5Incident-to service.

How 90472 has changed in Brazoria, TX

90472 · Office / nonfacility

$15.90

Effective 2026-10-01

The base rate is $1.61 higher than on 2025-10-01, moving from $14.29 to $15.90 (11.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $14.29changed to$15.90

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.28 changed to 0.32
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.006 changed to 0.991
    • Malpractice GPCI 0.795 changed to 0.780

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $14.70changed to$14.29

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $14.46changed to$14.70

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $14.71changed to$14.46

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.27 changed to 0.28
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.014 changed to 1.006
    • Malpractice GPCI 0.673 changed to 0.795
  5. January 1, 2023

    RVU23A

    $12.98changed to$14.71

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.21 changed to 0.27
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.023 changed to 1.014
    • Malpractice GPCI 0.550 changed to 0.673

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $13.09changed to$12.98

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $13.10changed to$13.09

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.20 changed to 0.21
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.010 changed to 1.023
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $13.00changed to$13.10

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 0.997 changed to 1.010
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $12.99changed to$13.00

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $12.95changed to$12.99

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.994 changed to 0.997
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $12.55changed to$12.95

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.19 changed to 0.20
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 0.990 changed to 0.994
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $12.95changed to$12.55

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.20 changed to 0.19

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $12.89changed to$12.95

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $12.52changed to$12.89

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.19 changed to 0.20
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 0.989 changed to 0.990
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $12.52changed to$12.52

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.21 changed to 0.19
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.987 changed to 0.989
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $12.52

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$15.90Not available in this settingRVU26D
2026-07-01$15.90Not available in this settingRVU26C
2026-04-01$15.90Not available in this settingRVU26B
2026-01-01$15.90Not available in this settingRVU26A
2025-10-01$14.29Not available in this settingRVU25D
2025-07-01$14.29Not available in this settingRVU25C
2025-04-01$14.29Not available in this settingRVU25B
2025-01-01$14.29Not available in this settingRVU25A
2024-10-01$14.70Not available in this settingRVU24D
2024-07-01$14.70Not available in this settingRVU24C
2024-04-01$14.70Not available in this settingRVU24B
2024-03-09$14.70Not available in this settingRVU24AR
2024-01-01$14.46Not available in this settingRVU24A
2023-10-01$14.71Not available in this settingRVU23D
2023-07-01$14.71Not available in this settingRVU23C
2023-04-01$14.71Not available in this settingRVU23B
2023-01-01$14.71Not available in this settingRVU23A
2022-10-01$12.98Not available in this settingRVU22D
2022-07-01$12.98Not available in this settingRVU22C
2022-04-01$12.98Not available in this settingRVU22B
2022-01-01$12.98Not available in this settingRVU22A
2021-10-01$13.09Not available in this settingRVU21D
2021-07-01$13.09Not available in this settingRVU21C
2021-04-01$13.09Not available in this settingRVU21B
2021-01-01$13.09Not available in this settingRVU21A
2020-10-01$13.10Not available in this settingRVU20D
2020-07-01$13.10Not available in this settingRVU20C
2020-04-01$13.10Not available in this settingRVU20B
2020-01-01$13.10Not available in this settingRVU20A
2019-10-01$13.00Not available in this settingRVU19D
2019-07-01$13.00Not available in this settingRVU19C
2019-04-01$13.00Not available in this settingRVU19B
2019-01-01$13.00Not available in this settingRVU19A
2018-10-01$12.99Not available in this settingRVU18D
2018-07-01$12.99Not available in this settingRVU18C
2018-04-01$12.99Not available in this settingRVU18B
2018-01-01$12.99Not available in this settingRVU18AR1
2017-10-01$12.95Not available in this settingRVU17D
2017-07-01$12.95Not available in this settingRVU17C
2017-04-01$12.95Not available in this settingRVU17B
2017-01-01$12.95Not available in this settingRVU17A
2016-10-01$12.55Not available in this settingRVU16D
2016-07-01$12.55Not available in this settingRVU16C
2016-04-01$12.55Not available in this settingRVU16B
2016-01-01$12.55Not available in this settingRVU16A
2015-10-01$12.95Not available in this settingRVU15D
2015-07-01$12.95Not available in this settingRVU15C
2015-04-01$12.89Not available in this settingRVU15B
2015-01-01$12.89Not available in this settingRVU15A
2014-10-01$12.52Not available in this settingRVU14D
2014-07-01$12.52Not available in this settingRVU14C
2014-04-01$12.52Not available in this settingRVU14B
2014-01-01$12.52Not available in this settingRVU14A
2013-10-01$12.52Not available in this settingRVU13D
2013-07-01$12.52Not available in this settingRVU13C
2013-04-01$12.52Not available in this settingRVU13B
2013-01-01$12.52Not available in this settingRVU13AR

Price 90472 for an earlier date of service

Where the Brazoria, TX rate applies

Brazoria, TX is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Brazoria
  • Alvin
  • Angleton
  • Bailey's Prairie
  • Bonney
  • Brookside Village
  • Clute
  • Damon

Browse all communities in Texas

90472 billing questions

Which code reports the first intramuscular or subcutaneous vaccine?

Use 90471 for the first vaccine and 90472 for each additional vaccine administered by either route.

Can 90472 be reported without 90471?

No. It is an add-on code and must be reported with a qualifying primary procedure; for this administration sequence, report 90471 for the first vaccine.

Is the vaccine product included in 90472?

No. 90472 represents administration. Report the vaccine product separately when applicable.

How should a combination vaccine be counted?

Count the combination vaccine as one administered vaccine, not as separate administrations for each component.

What documentation supports reporting 90472?

Document the vaccine administered, its route, and that it was an additional vaccine after the first. CMS requires physician supervision for incident-to billing.

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
RVUs for 90472PPRRVU2026_Oct_nonQPP.csv, line 11,415 (RVU26D)
Geographic factors for Brazoria, TXGPCI2026.csv, line 98 (RVU26D)

Open CMS sourceHow we calculate rates

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