Top billers · Codes · 90677

Who bills 90677?

90677 is the CPT code for: Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use. In 2024, 44,623 providers billed 90677 1,299,916 times, with an estimated $374.2M paid by Medicare.

$341.00
per 0.5 ml (2026 ASP file)
44,623
Providers billing it (2024)
1,299,916
Services billed
$374.2M
Est. Medicare paid
The fee

What does Medicare pay for 90677?

90677 is a Part B drug code: Medicare pays an ASP-based rate of $341.00 per 0.5 ml (2026 Q3 ASP drug pricing file). Total payment per patient depends on the dose billed.

ASP-based payment limit$341.00 per 0.5 ml
Pricing file2026 Q3 Average Sales Price (ASP)

A billed "service" on this code is one 0.5 ml unit, not one patient visit — that's why the service counts below run high.

What Medicare actually paid per service in 2024, on average: $287.84 (observed payment across all settings and modifiers — not a fee-schedule rate).

The list

Who bills 90677 the most.

The top 5 billers nationally, ranked by 2024 Medicare service volume.

#ProviderSpecialtyLocationServicesEst. Medicare paid
1Vaxcare LLCCentralized FluOrlando, FL63,213$18.3M
2Safeway IncCentralized FluBoise, ID19,195$5.6M
3Walgreen CoCentralized FluLakewood, CO15,676$4.5M
4Albertsons LLCCentralized FluBoise, ID7,732$2.2M
5American Drug Stores LLCCentralized FluBoise, ID5,626$1.6M

44,618 more providers billed 90677 in 2024. The full ranked list — filtered to your exact territory, with phone numbers and year-over-year history — is one search in Prospect 811.

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The breakdown

Where 90677 gets billed.

Top states by volume

Florida147,461 services
California115,891 services
Texas77,496 services
New York66,083 services
Illinois54,648 services
Pennsylvania53,400 services
New Jersey51,239 services
Idaho49,240 services

About this code

CMS descriptionPneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
Code typeCPT (Level I HCPCS)
Providers billing it (2024)44,623
Services billed (2024)1,299,916
Avg. Medicare payment per service (2024)$287.84
Where these numbers come from. Rates are CMS's own public fee-schedule files — the Physician Fee Schedule, Clinical Laboratory Fee Schedule, ASP drug pricing, DMEPOS, and the OPPS/ASC addenda — each labeled with its file year on this page; national amounts are shown before geographic adjustment. Codes with no separate rate render the fee schedule's own status in words, never a fake $0. Utilization comes from CMS's public Medicare Provider Utilization & Payment data for 2024, the most recent year released. It covers traditional Medicare fee-for-service only (no commercial insurance, no Medicare Advantage), and CMS suppresses any provider-and-code line with fewer than 11 beneficiaries before publishing, so low-volume billers don't appear at all. "Est. Medicare paid" is each billing line's average Medicare payment times its service count, summed — actual per-claim payment varies by setting and modifiers. For drug and supply codes, a "service" is a billed unit (a milligram, a milliliter, a square centimeter), not a patient visit. Code descriptions are CMS's own, from the utilization files. Prospect 811 organizes public data; it doesn't add to or alter it. Not affiliated with or endorsed by CMS. Full detail on the data page.

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