0031A

CPT/HCPCS

Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, dna, spike protein, adenovirus type 26 (ad26) vector, preservative free, 5x1010 viral particles/0.5ml dosage; single dose

Physician Fee Schedule

Office

Medicare Payment

$39.55

Submitted Charge$61.44

Medicare Allowed$39.55

Providers103

Beneficiaries287

Total Services291