CPT 90744 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 90744 by major payers:
$34.82
$31.74
$36.49
$32.55
| 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 90744 | ||||||
United | 90744 | $25.92 | 1114905429 - CHAD ALFORD | 631159436 - (AL) MOBILE HEART SPECIALISTS, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $25.35 | 1477588408 - TIMOTHY LEE | 452803595 - (AL) ALABAMA HEART AND VASCULAR, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $25.35 | 1114905429 - CHAD ALFORD | 631159436 - (AL) MOBILE HEART SPECIALISTS, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $28.17 | 1952353153 - WILLIAM COX | 631211664 - (AL) HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $28.17 | 1386085793 - ASHWINI SHARMA | 630691533 - (AL) MONTGOMERY CARDIOVASCULAR ASSOCIATES, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $39.04 | 1861831067 - JAMES GLADDEN | 630889615 - (AL) CARDIOLOGY ASSOCIATES OF MOBILE, INC. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $28.17 | 1528599222 - THOMAS WOOL | 630691533 - (AL) MONTGOMERY CARDIOVASCULAR ASSOCIATES, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $31.82 | 1235136821 - THERESE LANGO | 272451336 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $40.88 | 1235136821 - THERESE LANGO | 272451336 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $33.79 | 1285086504 - JOHN KOLAWOLE | 203204949 - THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFF OF UAB HLTH SYSTM | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $28.17 | 1912282948 - IMRAN KHALIL | 61330992 - NORTHEAST MEDICAL GROUP INC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $33.95 | 1851400485 - GEORGE HEMSTREET | 451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINE | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $31.32 | 1164737490 - MOHAN EDUPUGANTI | 452867352 - INTEGRIS CARDIOVASCULAR PHYSICIANS LLC | MO | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $27.77 | 1235136821 - THERESE LANGO | 811585825 - (AL) ECM TVCC LLC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90744 | $31.82 | 1861446866 - MONICA HUNTER | 631185612 - (AL) SOUTHVIEW MEDICAL GROUP, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
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 90744 vs. Other Vaccines, Toxoids Codes
The CPT 90744 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 90744 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 |
| 90744 | Low | Immunization, Hepatitis B; Pediatric/Adolescent For Intramuscular Use |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90744. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90744 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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