0004A

CPT/HCPCS

Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; booster dose

Physician Fee Schedule

Office

Medicare Payment

$42.11

Submitted Charge$65.92

Medicare Allowed$42.11

Providers404

Beneficiaries1,946

Total Services1,963