CPT code 90474: Vaccine administration, additional oral or nasal vaccine2026 Medicare rate & RVUs in New Mexico
Reports administration of an additional oral or intranasal vaccine during an encounter after the initial vaccine administration service.
In New Mexico, Medicare pays $11.84 for 90474 in the office.
Check a contract rate as a % of Medicare · 90474 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 90474 covers
This code represents administration of an additional vaccine given by mouth or intranasally during the same encounter. Examples of these routes include oral rotavirus vaccine and intranasal influenza vaccine. A physician, nurse, or other qualified clinical staff member may administer the vaccine in a physician office or clinic; the vaccine product itself is not the service represented by this code.
Report one unit for each additional oral or intranasal vaccine administered, not for each component of a combination vaccine or each dose in a series. The record should identify the vaccine, route, and administration, and show which vaccine administration service is primary. CMS classifies 90474 as an add-on code: report it only with a primary procedure, and its payment is within that procedure's global period. For a first or only oral/nasal vaccine, 90473 is the route-specific initial service; when routes are mixed, select the additional-administration code according to the route of each additional vaccine.
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 New Mexico compares for 90474
Across 109 of 109 payment localities, the office rate for 90474 runs from $11.21 in Arkansas to $15.85 in San Benito County, CA. New Mexico pays $11.84. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$11.84
- Los Angeles, CA · California$13.74+$1.90
- Washington, DC area · District of Columbia$13.92+$2.08
- Miami, FL · Florida$13.16+$1.32
- Chicago, IL · Illinois$12.86+$1.02
- Manhattan, NY · New York$14.01+$2.17
- Alaska · Alaska$15.17+$3.33
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $11.34 | — |
| ArkansasArkansas | $11.21 | — |
| ArizonaArizona | $12.09 | — |
| Bakersfield, CACalifornia | $13.00 | — |
| Chico, CACalifornia | $12.96 | — |
| El Centro, CACalifornia | $12.96 | — |
| Fresno, CACalifornia | $12.96 | — |
| Hanford, CACalifornia | $12.96 | — |
| Madera, CACalifornia | $12.96 | — |
| Merced, CACalifornia | $12.96 | — |
| Modesto, CACalifornia | $12.96 | — |
| Napa, CACalifornia | $14.74 | — |
| Oxnard, CACalifornia | $13.65 | — |
| Redding, CACalifornia | $12.96 | — |
| Rest of CaliforniaCalifornia | $12.96 | — |
| Riverside, CACalifornia | $13.07 | — |
| Sacramento, CACalifornia | $13.53 | — |
| Salinas, CACalifornia | $13.47 | — |
| San Diego, CACalifornia | $13.73 | — |
| Marin County, CACalifornia | $15.53 | — |
| San Francisco, CACalifornia | $15.52 | — |
| San Benito County, CACalifornia | $15.85 | — |
| Santa Clara County, CACalifornia | $15.81 | — |
| San Luis Obispo, CACalifornia | $13.26 | — |
| Santa Cruz, CACalifornia | $13.82 | — |
| Santa Maria, CACalifornia | $13.51 | — |
| Santa Rosa, CACalifornia | $13.95 | — |
| Stockton, CACalifornia | $12.96 | — |
| Vallejo, CACalifornia | $14.72 | — |
| Visalia, CACalifornia | $12.96 | — |
| Yuba City, CACalifornia | $12.96 | — |
| ColoradoColorado | $12.79 | — |
| ConnecticutConnecticut | $13.07 | — |
| DelawareDelaware | $12.27 | — |
| Fort Lauderdale, FLFlorida | $12.72 | — |
| Rest of FloridaFlorida | $12.22 | — |
| Atlanta, GAGeorgia | $12.55 | — |
| Rest of GeorgiaGeorgia | $11.66 | — |
| Hawaii, Guam, HIHawaii | $13.18 | — |
| IowaIowa | $11.56 | — |
| IdahoIdaho | $11.62 | — |
| East St. Louis, ILIllinois | $12.14 | — |
| Rest of IllinoisIllinois | $11.94 | — |
| Suburban Chicago, ILIllinois | $12.84 | — |
| IndianaIndiana | $11.67 | — |
| KansasKansas | $11.52 | — |
| KentuckyKentucky | $11.55 | — |
| New Orleans, LALouisiana | $11.99 | — |
| Rest of LouisianaLouisiana | $11.54 | — |
| Metropolitan Boston, MAMassachusetts | $13.89 | — |
| Rest of MassachusettsMassachusetts | $12.74 | — |
| Baltimore area, MDMaryland | $13.03 | — |
| Rest of MarylandMaryland | $12.47 | — |
| Rest of MaineMaine | $11.67 | — |
| Southern Maine, MEMaine | $12.17 | — |
| Detroit, MIMichigan | $12.34 | — |
| Rest of MichiganMichigan | $11.79 | — |
| MinnesotaMinnesota | $12.33 | — |
| Metropolitan Kansas City, MOMissouri | $11.92 | — |
| Metropolitan St. Louis, MOMissouri | $12.02 | — |
| Rest of MissouriMissouri | $11.38 | — |
| MississippiMississippi | $11.30 | — |
| MontanaMontana | $12.36 | — |
| North CarolinaNorth Carolina | $11.77 | — |
| North DakotaNorth Dakota | $12.16 | — |
| NebraskaNebraska | $11.61 | — |
| New HampshireNew Hampshire | $12.60 | — |
| Northern New JerseyNew Jersey | $13.82 | — |
| Rest of New JerseyNew Jersey | $13.24 | — |
| NevadaNevada | $12.31 | — |
| NYC suburbs and Long Island, NYNew York | $14.29 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $13.32 | — |
| Queens, NYNew York | $14.10 | — |
| Rest of New YorkNew York | $11.91 | — |
| OhioOhio | $11.75 | — |
| OklahomaOklahoma | $11.53 | — |
| Portland, OROregon | $13.13 | — |
| Rest of OregonOregon | $12.23 | — |
| Metropolitan Philadelphia, PAPennsylvania | $12.80 | — |
| Rest of PennsylvaniaPennsylvania | $11.76 | — |
| Puerto RicoPuerto Rico | $12.43 | — |
| Rhode IslandRhode Island | $12.65 | — |
| South CarolinaSouth Carolina | $11.78 | — |
| South DakotaSouth Dakota | $12.14 | — |
| TennesseeTennessee | $11.57 | — |
| Austin, TXTexas | $12.74 | — |
| Beaumont, TXTexas | $11.70 | — |
| Brazoria, TXTexas | $12.26 | — |
| Dallas, TXTexas | $12.33 | — |
| Fort Worth, TXTexas | $12.26 | — |
| Galveston, TXTexas | $12.29 | — |
| Houston, TXTexas | $12.47 | — |
| Rest of TexasTexas | $11.97 | — |
| UtahUtah | $11.90 | — |
| VirginiaVirginia | $12.14 | — |
| Virgin Islands, VIUnited States Virgin Islands | $12.43 | — |
| VermontVermont | $12.12 | — |
| Rest of WashingtonWashington | $12.72 | — |
| King County, WAWashington | $14.14 | — |
| WisconsinWisconsin | $11.83 | — |
| West VirginiaWest Virginia | $11.58 | — |
| WyomingWyoming | $12.27 | — |
90474 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.
$11.21
$15.17
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 | $15.17 | 1 |
| AL | $11.34 | 1 |
| AR | $11.21 | 1 |
| AZ | $12.09 | 1 |
| CA | $12.96–$15.85 | 29 |
| CO | $12.79 | 1 |
| CT | $13.07 | 1 |
| DC | $13.92 | 1 |
| DE | $12.27 | 1 |
| FL | $12.22–$13.16 | 3 |
| GA | $11.66–$12.55 | 2 |
| GU | $13.18 | 1 |
| HI | $13.18 | 1 |
| IA | $11.56 | 1 |
| ID | $11.62 | 1 |
| IL | $11.94–$12.86 | 4 |
| IN | $11.67 | 1 |
| KS | $11.52 | 1 |
| KY | $11.55 | 1 |
| LA | $11.54–$11.99 | 2 |
| MA | $12.74–$13.89 | 2 |
| MD | $12.47–$13.92 | 3 |
| ME | $11.67–$12.17 | 2 |
| MI | $11.79–$12.34 | 2 |
| MN | $12.33 | 1 |
| MO | $11.38–$12.02 | 3 |
| MS | $11.30 | 1 |
| MT | $12.36 | 1 |
| NC | $11.77 | 1 |
| ND | $12.16 | 1 |
| NE | $11.61 | 1 |
| NH | $12.60 | 1 |
| NJ | $13.24–$13.82 | 2 |
| NM | $11.84 | 1 |
| NV | $12.31 | 1 |
| NY | $11.91–$14.29 | 5 |
| OH | $11.75 | 1 |
| OK | $11.53 | 1 |
| OR | $12.23–$13.13 | 2 |
| PA | $11.76–$12.80 | 2 |
| PR | $12.43 | 1 |
| RI | $12.65 | 1 |
| SC | $11.78 | 1 |
| SD | $12.14 | 1 |
| TN | $11.57 | 1 |
| TX | $11.70–$12.74 | 8 |
| UT | $11.90 | 1 |
| VA | $12.14–$13.92 | 2 |
| VI | $12.43 | 1 |
| VT | $12.12 | 1 |
| WA | $12.72–$14.14 | 2 |
| WI | $11.83 | 1 |
| WV | $11.58 | 1 |
| WY | $12.27 | 1 |
How the 90474 rate is calculated
Each of 90474’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 · 90474
RVUs × geographic indexes × conversion factor
Work0.15
0.15 RVUs× 1.000 GPCI
Practice expense0.21
0.21 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.3700
Conversion factor
$33.4009
Medicare rate
$12.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,417
- Code
- 90474
- Physician work
- 0.15
- Practice expense
- 0.21
- Malpractice
- 0.01
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.15 | × 1.000 | 0.1500 |
| Practice expense | 0.21 | × 0.917 | 0.1926 |
| Malpractice | 0.01 | × 1.201 | 0.0120 |
| Total RVUs | 0.3546 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$11.84
Office: (0.15 × 1 + 0.21 × 0.917 + 0.01 × 1.201) × $33.4009 = $11.84
Payment rules and modifiers for 90474
The CMS indicators that decide how 90474 is paid alongside other services.
CMS payment indicators · 90474
Vaccine administration, additional oral or nasal vaccine
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| 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 | 0 | Physician service: no professional/technical split. |
How 90474 has changed in New Mexico
90474 · Office / nonfacility
$11.84
Effective 2026-10-01
The base rate is $0.73 higher than on 2025-10-01, moving from $11.11 to $11.84 (6.6%).
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
$11.11changed to$11.84
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.20 changed to 0.21
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$11.43changed to$11.11
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$11.24changed to$11.43
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$11.29changed to$11.24
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.19 changed to 0.20
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$12.11changed to$11.29
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.21 changed to 0.19
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$12.21changed to$12.11
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$12.40changed to$12.21
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.20 changed to 0.21
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$12.49changed to$12.40
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$12.48changed to$12.49
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$12.42changed to$12.48
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$12.04changed to$12.42
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.19 changed to 0.20
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$12.41changed to$12.04
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.20 changed to 0.19
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$12.35changed to$12.41
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$12.01changed to$12.35
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.19 changed to 0.20
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
$11.99changed to$12.01
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.21 changed to 0.19
- Practice expense GPCI 0.916 changed to 0.918
- Malpractice GPCI 0.997 changed to 1.079
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $11.99
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $11.84 | Not available in this setting | RVU26D |
| 2026-07-01 | $11.84 | Not available in this setting | RVU26C |
| 2026-04-01 | $11.84 | Not available in this setting | RVU26B |
| 2026-01-01 | $11.84 | Not available in this setting | RVU26A |
| 2025-10-01 | $11.11 | Not available in this setting | RVU25D |
| 2025-07-01 | $11.11 | Not available in this setting | RVU25C |
| 2025-04-01 | $11.11 | Not available in this setting | RVU25B |
| 2025-01-01 | $11.11 | Not available in this setting | RVU25A |
| 2024-10-01 | $11.43 | Not available in this setting | RVU24D |
| 2024-07-01 | $11.43 | Not available in this setting | RVU24C |
| 2024-04-01 | $11.43 | Not available in this setting | RVU24B |
| 2024-03-09 | $11.43 | Not available in this setting | RVU24AR |
| 2024-01-01 | $11.24 | Not available in this setting | RVU24A |
| 2023-10-01 | $11.29 | Not available in this setting | RVU23D |
| 2023-07-01 | $11.29 | Not available in this setting | RVU23C |
| 2023-04-01 | $11.29 | Not available in this setting | RVU23B |
| 2023-01-01 | $11.29 | Not available in this setting | RVU23A |
| 2022-10-01 | $12.11 | Not available in this setting | RVU22D |
| 2022-07-01 | $12.11 | Not available in this setting | RVU22C |
| 2022-04-01 | $12.11 | Not available in this setting | RVU22B |
| 2022-01-01 | $12.11 | Not available in this setting | RVU22A |
| 2021-10-01 | $12.21 | Not available in this setting | RVU21D |
| 2021-07-01 | $12.21 | Not available in this setting | RVU21C |
| 2021-04-01 | $12.21 | Not available in this setting | RVU21B |
| 2021-01-01 | $12.21 | Not available in this setting | RVU21A |
| 2020-10-01 | $12.40 | Not available in this setting | RVU20D |
| 2020-07-01 | $12.40 | Not available in this setting | RVU20C |
| 2020-04-01 | $12.40 | Not available in this setting | RVU20B |
| 2020-01-01 | $12.40 | Not available in this setting | RVU20A |
| 2019-10-01 | $12.49 | Not available in this setting | RVU19D |
| 2019-07-01 | $12.49 | Not available in this setting | RVU19C |
| 2019-04-01 | $12.49 | Not available in this setting | RVU19B |
| 2019-01-01 | $12.49 | Not available in this setting | RVU19A |
| 2018-10-01 | $12.48 | Not available in this setting | RVU18D |
| 2018-07-01 | $12.48 | Not available in this setting | RVU18C |
| 2018-04-01 | $12.48 | Not available in this setting | RVU18B |
| 2018-01-01 | $12.48 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $12.42 | Not available in this setting | RVU17D |
| 2017-07-01 | $12.42 | Not available in this setting | RVU17C |
| 2017-04-01 | $12.42 | Not available in this setting | RVU17B |
| 2017-01-01 | $12.42 | Not available in this setting | RVU17A |
| 2016-10-01 | $12.04 | Not available in this setting | RVU16D |
| 2016-07-01 | $12.04 | Not available in this setting | RVU16C |
| 2016-04-01 | $12.04 | Not available in this setting | RVU16B |
| 2016-01-01 | $12.04 | Not available in this setting | RVU16A |
| 2015-10-01 | $12.41 | Not available in this setting | RVU15D |
| 2015-07-01 | $12.41 | Not available in this setting | RVU15C |
| 2015-04-01 | $12.35 | Not available in this setting | RVU15B |
| 2015-01-01 | $12.35 | Not available in this setting | RVU15A |
| 2014-10-01 | $12.01 | Not available in this setting | RVU14D |
| 2014-07-01 | $12.01 | Not available in this setting | RVU14C |
| 2014-04-01 | $12.01 | Not available in this setting | RVU14B |
| 2014-01-01 | $12.01 | Not available in this setting | RVU14A |
| 2013-10-01 | $11.99 | Not available in this setting | RVU13D |
| 2013-07-01 | $11.99 | Not available in this setting | RVU13C |
| 2013-04-01 | $11.99 | Not available in this setting | RVU13B |
| 2013-01-01 | $11.99 | Not available in this setting | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
90474 billing questions
When should 90474 be used instead of 90473?
Use 90473 for the first or only vaccine administered orally or intranasally. Use 90474 for each additional vaccine given by either of those routes during the encounter.
How is 90474 used when the encounter includes injected vaccines?
Choose the additional-administration code based on the route of each additional vaccine: 90474 for an oral or intranasal vaccine and 90472 for an injected vaccine. Report the applicable primary administration service as well.
Is 90474 reported per vaccine or per vaccine component?
Report one unit for each additional vaccine administered by mouth or intranasally. Do not count the components of a combination vaccine separately.
Does 90474 include the vaccine product?
No. It represents the administration service; the vaccine product is separate when separately reportable.
What documentation supports 90474?
Document the vaccine administered, its oral or intranasal route, and that it was an additional vaccine in the encounter. The record should also support the primary administration service.
Can 90474 be billed by itself?
No. CMS classifies it as an add-on code, so it must be reported with a primary procedure; payment is within that procedure's global period.
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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