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See a sample rate comparisonHCPCS G0010 Fee Schedule
Last Verified: September 2026
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.
Administration of hepatitis B vaccine
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Vaccine Administration |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0010 |
National average reimbursement for HCPCS G0010 by major payers:
$25.46
$22.17
$17.40
$43.30
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HCPCS G0010
5 of 25 sample ratesHigher to lower in this preview
William Grist
Mm Jc Breathing Center Family Ltd Partnership
$31.87Published rateRubina Raza
Azz Medical Associates PC
$30.71Published rateElaine Zhai
$16.20Published rateMuhammed Ayub
$14.57Published rateMonica Barrientos
Monica Barrientos Md LLC
$9.35Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0010 vs. Other Vaccine Administration Codes
The HCPCS G0010 code is part of the Procedures / Professional Services services used for Vaccine Administration. 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 HCPCS G0010 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 |
|---|---|---|
| G0009-HCPCS | Low | Administration of pneumococcal vaccine |
| G0010-HCPCS | Low | Administration of hepatitis B vaccine |
| G0027-HCPCS | Low | Semen analysis; presence and/or motility of sperm excluding huhner |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0010 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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