CPT 90734 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 • 50 - Federally Qualified Health Center |
| Common Modifiers | • None • SL • EP - Residential facility to Physician's office |
| Complexity Level | Moderate |
National average reimbursement for CPT 90734 by major payers:
$155.98
$173.93
$185.22
$181.57
| 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 90734 | ||||||
United | 90734 | $157.35 | 1114139300 - EDWARD CARRAWAY | 630837257 - (AL) CARDIOLOGY CONSULTANTS, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90734 | $157.35 | 1679507875 - FIRAS AL SOLAIMAN | 346004382 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90734 | $148.49 | 1932300571 - JIMMIE DOTSON | 383976603 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90734 | $177.80 | 1235136821 - THERESE LANGO | 272649285 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90734 | $181.78 | 1851400485 - GEORGE HEMSTREET | 636000271 - (AL) THE DCH HEALTH CARE AUTHORITY | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90734 | $178.24 | 1104037027 - JOSHUA COCKRELL | 631119002 - (AL) BIRMINGHAM HEART CLINIC, PC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90734 | $181.78 | 1801897772 - BANKIMCHANDRA PATEL | 631171060 - (AL) NORTH ALABAMA CARDIOLOGY CENTER, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90734 | $157.35 | 1679979603 - DALE RAILWAH | 383976603 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90734 | $180.94 | 1225014657 - CAROLINA RADIOLOGY ASSOCIATES LLC | 571049603 - (SC) CAROLINA RADIOLOGY ASSOCIATES, LLC | SC | Diagnostic Radiology Physician (2085R0202X) |
United | 90734 | $148.49 | 1407810013 - LOVDIE LEWIS | 630837257 - (AL) CARDIOLOGY CONSULTANTS, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90734 | $181.78 | 1558349860 - WARREN HARDY | 631159436 - (AL) MOBILE HEART SPECIALISTS, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90734 | $152.63 | 1487867172 - TAIMOOR HASHIM | 630888599 - (AL) SOUTHEASTERN CARDIOLOGY CONSULTANTS, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90734 | $271.80 | 1285086504 - JOHN KOLAWOLE | 203204949 - THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFF OF UAB HLTH SYSTM | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90734 | $181.78 | 1225014657 - CAROLINA RADIOLOGY ASSOCIATES LLC | 571049603 - (SC) CAROLINA RADIOLOGY ASSOCIATES, LLC | SC | Diagnostic Radiology Physician (2085R0202X) |
United | 90734 | $180.94 | 1225014657 - CAROLINA RADIOLOGY ASSOCIATES LLC | 571049603 - (SC) CAROLINA RADIOLOGY ASSOCIATES, LLC | SC | Diagnostic Radiology Physician (2085R0202X) |
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 |
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CPT 90734 vs. Other Vaccines, Toxoids Codes
The CPT 90734 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 90734 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 |
|---|---|---|
| 90717 | Low | Immunization, Active; Yellow Fever |
| 90732 | Low | Pneumococcal Polysaccharide Vaccine 23-Valent (Ppsv23) Adult Or Immunosuppressed Patient Dosage When Administered To Individuals 2 Years Or Older For Subcutaneous Or Intramuscular Use (Desc Revised 7/1/2015) |
| 90733 | Low | Meningococcal Polysaccharide Vaccine Serogroups A C Y W-135 Quadrivalent (Mpsv4) For Subcutaneous Use (Desc Rsvd (7/1/2015) |
| 90734 | Low | Meningococcal Conjugate Vaccine Serogroups A C W Y Quadrivalent Diphtheria Toxoid Carrier (Menacwy-D) Or Crm197 Carrier (Menacwy-Crm) For Intramuscular Use (Desc Revised 7/1/2019) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90734. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90734 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.
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