CPT 90740 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 • 71 - Public Health Clinic |
| Common Modifiers | • None • AY - ESRD patient non-ESRD service • SL |
| Complexity Level | Moderate |
National average reimbursement for CPT 90740 by major payers:
$176.71
$188.79
$184.77
$203.61
| 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 90740 | ||||||
United | 90740 | $180.96 | 1841571841 - OMOTOLA AJIBADE | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | GA | Psychiatry Physician (2084P0800X) |
United | 90740 | $175.07 | 1215968755 - STACEY OCCOMY | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IN | Psychiatry Physician (2084P0800X) |
United | 90740 | $175.07 | 1982268959 - SIDRAH NAJAM | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IN | Psychiatry Physician (2084P0800X) |
United | 90740 | $162.88 | 1174859284 - MATTHEW NIEDZWIECKI | 811324691 | IL | Psychiatry Physician (2084P0800X) |
United | 90740 | $162.88 | 1174859284 - MATTHEW NIEDZWIECKI | 910844563 | WI | Psychiatry Physician (2084P0800X) |
United | 90740 | $224.00 | 1881647576 - MELISSA CHAPPELL | 363383867 | IL | Psychiatry Physician (2084P0800X) |
United | 90740 | $175.07 | 1164786836 - REBECCA GILFILLAN | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 90740 | $180.30 | 1033215868 - MOHAMMED ALI | 320552496 | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90740 | $162.88 | 1710206545 - NEIL JARIWALA | 910844563 | IL | Psychiatry Physician (2084P0800X) |
United | 90740 | $162.88 | 1962791343 - JEREMY WONG | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90740 | $162.88 | 1609888320 - NANCY SCHELL | 364306053 - PATIENT FIRST INC | IL | Psychiatry Physician (2084P0800X) |
United | 90740 | $192.19 | 1760419311 - PETER HEYDEMANN | 366006541 - (IL) VETERANS ASSISTANCE COMMISSION C | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90740 | $340.07 | 1790936540 - SRISHTI NANGIA | 131623978 | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90740 | $162.88 | 1174859284 - MATTHEW NIEDZWIECKI | 910844563 | IL | Psychiatry Physician (2084P0800X) |
United | 90740 | $182.42 | 1366883555 - DAVID BANAYAN | 911780160 | TX | Psychiatry Physician (2084P0800X) |
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 90740 vs. Other Vaccines, Toxoids Codes
The CPT 90740 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 90740 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 |
|---|---|---|
| 90739 | Low | Hepatitis B Vaccine (Hepb) Cpg-Adjuvanted Adult Dosage 2 Dose Or 4 Dose Schedule For Intramus- Cular Use (Desc Rvsd 7/1/22) |
| 90740 | Low | Hepatitis B Vaccine (Hepb) Dialysis Or Immunosuppressed Patient Dosage 3 Dose Schedule For Intramuscular Use (Desc Rsvd 7/1/2015) |
| 90743 | Low | Hepatitis B Vaccine, Adolescent For Intramuscular Use |
| 90746 | Low | Hepatitis B Vaccine (Hepb) Adult Dosage 3 Dose Schedule For Intramuscular Use (Desc Revised 7/1/2015) Note: The Age Was Updated To Reflect The Manufacturers Age Allowance. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90740. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90740 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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