CPT 90622 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Vaccines, Toxoids |
| Common Place of Service | • 11 - Office • 60 - Mass Immunization Center |
| Common Modifiers | • None • PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments • SL |
| Complexity Level | Moderate |
National average reimbursement for CPT 90622 by major payers:
$5.89
$127.83
$1.03
$29.64
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 90622 | ||||||
United | 90622 | $0.01 | 1306800602 - ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD, ST. ANTHONY'S MEMORIAL HOSPITAL | 370661233 - (IL) ST ANTHONYS MEMORIAL HOSPITAL SIS OF THIRD ORDER OF ST FRANCIS | IL | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1205307378 - CHEROKEE MEDICAL CENTER, CMC WOUND SERVICES | 832531807 | SC | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1225034333 - PIEDMONT HENRY HOSPITAL, INC. | 582200195 - (GA) PIEDMONT HENRY HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1255401519 - THE MEDICAL CENTER INC, PIEDMONT COLUMBUS REGIONAL MIDTOWN | 581685139 - (GA) THE MEDICAL CENTER INC | GA | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1093705428 - JACKSON MADISON COUNTY GENERAL HOSPITAL | 626010402 - (TN) JACKSON MADISON COUNTY GENERAL HOSPITAL | TN | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1811942238 - KPH-CONSOLIDATION, INC., HCA HOUSTON HEALTHCARE NORTH CYPRESS A CAMPUS OF HCA HOUSTON HEALTHCAR | 621619857 | TX | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.02 | 1881780302 - CHILDREN'S HOSPITAL OF WISCONSIN, INC., CHILDREN'S HOSPITAL OF WISCONSIN, INC. - FOX VALLEY | 390812532 - CHILDRENS HOSPITAL OF WISCONSIN INC | WI | Children's Hospital (282NC2000X) |
United | 90622 | $0.01 | 1710915467 - OGALLALA COMMUNITY HOSPITAL | 470395795 | NE | Critical Access Hospital (282NC0060X) |
United | 90622 | $0.01 | 1255384533 - COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP, MEDICAL CITY LEWISVILLE | 621682210 - (TX) COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP | TX | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.02 | 1376574277 - NORTHSIDE HOSPITAL, INC., NORTHSIDE HOSPITAL FORSYTH | 581954432 - (GA) NORTHSIDE HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1811927544 - MAURY REGIONAL HOSPITAL, WAYNE MEDICAL CENTER | 621605071 - (TN) MAURY REGIONAL HOSPITAL | TN | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1669410643 - COMMUNITY HOSPITAL | 510147309 | WY | Critical Access Hospital (282NC0060X) |
United | 90622 | $0.01 | 1669410643 - COMMUNITY HOSPITAL | 510147309 | WY | Critical Access Hospital (282NC0060X) |
United | 90622 | $0.01 | 1235134024 - VIRTUA OUR LADY OF LOURDES HOSPITAL INC, VIRTUA OUR LADY OF LOURDES HOSPITAL | 210635001 - (NJ) VIRTUA OUR LADY OF LOURDES HOSPITAL INC | NJ | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1629057302 - ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER, HSHS ST. ELIZABETH'S HOSPITAL | 370663567 - (IL) ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDE | IL | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 90622 vs. Other Vaccines, Toxoids Codes
The CPT 90622 code is part of the Medicine Services and Procedures services used for Vaccines, Toxoids. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 90622 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 90611 | Moderate | Smallpox And Monkeypox Vaccine, Attenuated Vaccinia Virus, Live, Non-Replicating, Preservative Free, 0.5 Ml Dosage, Suspension, For Subcutaneous Injection |
| 90619 | Low | Meningococcal Conjugate Vaccine, Serogroups A, C, W, Y, Quadrivalent, Tetanus Toxoid Carrier (Menacwy-Tt), For Intramuscular Use |
| 90620 | Moderate | Meningococcal Recombinant Protein And Outer Membrane Vesicle Vaccine Serogroup B (Menb-4c) 2 Dose Schedule For Intramuscular Use (Desc Revised 7/1/2017) Comprehensive Consultation (Eff. 01011935 - Deleted 03312003) |
| 90622 | Low | Vaccinia (Smallpox) Virus Vaccine, Live, Lyophilized, 0.3 Ml Dosage, For Percutaneous Use |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90622. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90622 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 90622) and we'll show you how you compare in 15 minutes or less.
Medicare Reimbursement Lookup Tool
PayerPrice provides a free medicare lookup tool for physician fee schedule, drug ASP, MS-DRG weights, anesthesia conversion factors and other medicare related data.