2025 Influenza and Pneumococcal Vaccines and Administration Reimbursement

Published 07/08/2025

The following services are paid at 100 percent of the established fee schedule amount. Coinsurance and the annual deductible do not apply. 

  • Payment allowances for influenza vaccines are effective August 1, 2024, unless stated otherwise
  • Influenza and pneumococcal vaccine payment allowances are subject to change on a quarterly basis*
  • Administration payment allowances are updated annually on January 1

*Quarterly changes to influenza and pneumococcal vaccine payment allowances can be located on the CMS website.

Influenza, and Pneumococcal Administration Codes and Fees

Following are the 2024 influenza and pneumococcal administration fees for dates of service January 1 – December 31, 2024.

Table 1. Influenza, and Pneumococcal Administration Codes and Fees.
HCPCS Code Description Ala. 
FSY 2025
Amount
Tenn.
FSY 2025
Amount
Ga.-01
FSY 2025
Amount
Ga.-99
FSY 2025
Amount

G0008

Admin influenza virus vaccine

$30.74

$30.88

$33.81

$31.55

G0009

Admin pneumococcal vaccine

$30.74

$30.88

$33.81

$31.55

Influenza Virus Vaccine National Fees Effective August 1, 2024 – July 31, 2025

The 2024/2025 flu season fees are listed below. Contractors are required to implement these fees no later than September 27, 2024. Palmetto GBA implemented the following fees on August 28, 2024, for dates of service August 1, 2024, and after. All claims processed and paid prior to August 28, 2024, will be automatically adjusted. No further action is required. 

Table 2. Influenza Virus Vaccine National Fees Effective August 1, 2024 – July 31, 2025.
CPT®/HCPCS Code Description 08/01/24 – 7/31/25
Amount
90630* Flu vacc iiv4 no preserv id N/A
90653 Iiv adjuvant vaccine im $83.49
90654* Flu vacc iiv3 no preserv id N/A
90655* Iiv3 vacc no prsv 0.25 ml im N/A
90656 Iiv3 vacc no prsv 0.5 ml im $22.35
90657 Iiv3 vaccine splt 0.25 ml im $10.93
90658 Trivalent (IIV3), split virus, 0.5 ml $21.86
90660** Trivalent for Nasal $28.87
90661 Cciiv3 vac no prsv 0.5 ml im $36.85
90662 Iiv no prsv increased ag im $83.49
90672* Laiv4 vaccine intranasal N/A
90673 Riv3 vaccine no preserv im $83.49
90674* Cciiv4 vac no prsv 0.5 ml im N/A
90682* Riv4 vacc recombinant dna im N/A
90685* Iiv4 vacc no prsv 0.25 ml im N/A
90686* Iiv4 vacc no prsv 0.5 ml im N/A
90687* Iiv4 vaccine splt 0.25 ml im N/A
90688* Iiv4 vaccine splt 0.5 ml im N/A
90689* Vacc iiv4 no prsrv 0.25 ml im N/A
90694* Quadrivalent (aIIV4) inactivated, adjuvanted, pres free, 0.5 ml N/A
90756* Cciiv4 vacc abx free im N/A
Q2035* Afluria vacc, 3 yrs & >, im N/A
Q2036* Flulaval vacc, 3 yrs & >, im Pending — Please see important footnote below
Q2037* Fluvirin vacc, 3 yrs & >, im Pending — Please see important footnote below
Q2038* Fluzone vacc, 3 yrs & >, im Pending — Please see important footnote below
Q2039 Influenza virus vaccine, nos Specify Drug Name; May Require Invoice

**90660 Effective Aug. 6, 2024.

COVID-19 Administration Code and Fees

Following are the 2024/2025 COVID-19 administration fees effective January 1, 2024.

Table 3. COVID-19 Administration Code and Fees.
CPT® Code Description Ala.
 FSY 2025
Amount
Tenn.
FSY 2025
Amount
Ga.-01
FSY 2025
Amount
Ga.-99
FSY 2025
Amount

90480

Immunization administration by intramuscular inj. Coronavirus $40.99 $41.17 $45.08 $42.07

*Important: Please verify coding where there is no fee. This is usually an indication that there are no sources available to establish a fee. If billing a code with fee pending, you will need to provide a valid NDC for the current 2024/2025 flu season. Your claim will be rejected if incorrectly coded. The following HCPCS code to NDC crosswalk is made available for your reference. Note that some sources listed in this crosswalk represent 2019/2020. 2021/2022, 2022/2023 and 2023/2024 flu season vaccines. These resources could be rejected if provided during the current 2024/2025 flu season. This information is also located on the CMS website.

Excerpt from CMS file: October 2024 AWP NDC-HCPCS Crosswalk_00/000.xlsx

Table 4. Excerpt from October 2024 CMS File.
CPT® Code Short Descriptor Labeler Name NDC Drug Name

90653

Liv adjuvant vaccine im

Seqirus Inc.

70461-0024-03

Fluad Trivalent (2024/2025) (Pres Free)

90656

IIV3 VACC NO PRSV 0.5 ML IM

Seqirus Inc.

33332-0024-03

Afluria Trivalent (2024/2025) (Pres Free)

90657

IIV3 VACCINE SPLT 0.25 ML IM

Seqirus Inc.

33332-0124-10

Afluria Trivalent (2024/2025)

90657

IIV3 VACCINE SPLT 0.25 ML IM

Sanofi Pasteur

49281-0641-15

Fluzone Trivalent (2024/2025)

90658

IIV3 VACCINE SPLT 0.5 ML IM

Seqirus Inc.

33332-0124-10

Afluria Trivalent (2024/2025)

90662

Iiv no prsv increased ag im

Sanofi Pasteur

49281-0124-65

Fluzone High-Dose (2024/2025) (Pres Free)

90662

Liv no prsv increased ag im

Sanofi Pasteur

49281-0123-65

Fluzone High-Dose Quadrivalent (2023/2024) (Pres Free)

90670

PCV13 Vaccine IM

Wyeth/Pfizer U.S.

00005-1971-02

Prevnar 13

90670

PCV13 Vaccine IM

Wyeth/Pfizer U.S.

00005-1971-05

Prevnar 13

90671

PCV15 VaccineIM

Merck

00006-4329-02

Vaxneuvance

90671

PCV15 Vaccine IM

Merck

00006-4329-03

Vaxneuvance

90672

Laiv4 vaccine intranasal

MedImmune, LLC

66019-0310-10

FluMist Quadrivalent (2023/2024)

90674

CCIIV4 VAC NO PRSV 0.5 ML IM

Seqirus Inc.

70461-0323-03

Flucelvax Quadrivalent (2023/2024) (Pres Free)

90677

PCV20 Vaccine IM

Pfizer

00005-2000-02

Prevnar 20

90677

PCV20 Vaccine IM

Pfizer

00005-2000-10

Prevnar 20

90682

RIV4 VACC RECOMBINANT DNA IM

Sanofi Pasteur

49281-0723-10

Flublok Quadrivalent (2023/2024) (Pres Free)

90684

PCV21 Vaccine IM

Merck

00006-4347-01

Capvaxive

90684

PCV21 Vaccine IM

Merck

00006-4347-02

Capvaxive

90685

IIV4 VACC NO PRSV 0.25 ML IM

Seqirus Inc.

33332-0323-03

Afluria Quadrivalent 0.25 ml (2023/2024) (Pres Free)

90686

IIV4 VACC NO PRSV 0.5 ML IM

GlaxoSmithKline

58160-0909-52

Fluarix Quadrivalent (2023/2024) (Pres Free)

90686

IIV4 VACC NO PRSV 0.5 ML IM

GlaxoSmithKline

19515-0814-52

Fluarix Quadrivalent (2023/2024) (Pres Free)

90686

IIV4 VACC NO PRSV 0.5 ML IM

Sanofi Pasteur

49281-0423-50

Fluzone Quadrivalent  (2023/2024) (Pres Free)

90686

IIV4 VACC NO PRSV 0.5 ML IM

Seqirus Inc.

33332-0323-03

Afluria Quadrivalent (2023/2024) (Pres Free)

90687

IIV4 Vaccine SPLT 0.25 ML IM

Sanofi Pasteur

49281-0639-15

Fluzone Quadrivalent  0.25 mL (2023/2024)

90687

IIV4 Vaccine SPLT 0.25 ML IM

Seqirus Inc.

33332-0423-10

Afluria Quadrivalent 0.25 ml (2023/2024)

90688

IIV4 Vaccine SPLT 0.5 ML IM

Sanofi Pasteur

49281-0639-15

Fluzone Quadrivalent  (2023/2024)

90688

IIV4 Vaccine SPLT 0.5 ML IM

Seqirus Inc.

33332-0423-10

Afluria Quadrivalent (2023/2024)

90694

VACC AIIV4 NO PRSRV 0.5 ML IM

Seqirus Inc.

70461-0123-03

Fluad Quadrivalent (2023/2024) (Pres Free)

90732

PPSV23 VACC 2 YRS+ SUBQ/IM

Merck

00006-4739-00

Pneumovax 23

90732

PPSV23 VACC 2 YRS+ SUBQ/IM

Merck

00006-4837-02

Pneumovax 23

90732

PPSV23 VACC 2 YRS+ SUBQ/IM

Merck

00006-4837-03

Pneumovax 23

90732

PPSV23 VACC 2 YRS+ SUBQ/IM

Merck

00006-4943-00

Pneumovax 23

90732

PPSV23 VACC 2 YRS+ SUBQ/IM

A-S Medication  Solutions LLC

50090-7036-00

Pneumovax 23

90739

HEPB VACC 2 DOSE ADULT IM

Dynavax Technologies

43528-0002-05

Heplisav-B

90739

HEPB VACC 2 DOSE ADULT IM

Dynavax Technologies

43528-0003-05

Heplisav-B

90740

HEPB VACC 3 DOSE IMMUNSUP IM

Merck

00006-4992-00

Recombivax Hb

90740

HEPB VACC 3 DOSE IMMUNSUP IM

A-S Medication  Solutions LLC

50090-1223-00

ENGERIX-B

90740

HEPB VACC 3 DOSE IMMUNSUP IM

A-S Medication  Solutions LLC

50090-1223-01

ENGERIX-B

90740

HEPB VACC 3 DOSE IMMUNSUP IM

GlaxoSmithKline

58160-0821-11

ENGERIX-B

90740

HEPB VACC 3 DOSE IMMUNSUP IM

GlaxoSmithKline

58160-0821-34

ENGERIX-B

90740

HEPB VACC 3 DOSE IMMUNSUP IM

GlaxoSmithKline

58160-0821-43

ENGERIX-B

90740

HEPB VACC 3 DOSE IMMUNSUP IM

GlaxoSmithKline

58160-0821-52

ENGERIX-B

90743

HEPB VACC 2 DOSE ADOLESC IM

Merck

00006-4094-02

Recombivax Hb

90743

HEPB VACC 2 DOSE ADOLESC IM

Merck

00006-4995-00

Recombivax Hb

90743

HEPB VACC 2 DOSE ADOLESC IM

Merck

00006-4995-41

Recombivax Hb

90744

HEPB VACC 3 DOSE PED/ADOL IM

Merck

00006-4094-09

Recombivax Hb

90744

HEPB VACC 3 DOSE PED/ADOL IM

Merck

00006-4981-00

Recombivax Hb

90744

HEPB VACC 3 DOSE PED/ADOL IM

Merck

00006-4995-41

Recombivax Hb

90744

HEPB VACC 3 DOSE PED/ADOL IM

A-S Medication  Solutions LLC

50090-1706-00

ENGERIX-B Pediatric

90744

HEPB VACC 3 DOSE PED/ADOL IM

GlaxoSmithKline

58160-0820-11

ENGERIX-B Pediatric

90744

HEPB VACC 3 DOSE PED/ADOL IM

GlaxoSmithKline

58160-0820-52

ENGERIX-B Pediatric

90746

HEPB VACCINE 3 DOSE ADULT IM

Merck

00006-4094-02

Recombivax Hb

90746

HEPB VACCINE 3 DOSE ADULT IM

Merck

00006-4094-09

Recombivax Hb

90746

HEPB VACCINE 3 DOSE ADULT IM

Merck

00006-4995-00

Recombivax Hb

90746

HEPB VACCINE 3 DOSE ADULT IM

Merck

00006-4995-41

Recombivax Hb

90746

HEPB Vaccine 3 DOSE ADULT IM

A-S Medication  Solutions LLC

50090-1223-00

ENGERIX-B

90746

HEPB Vaccine 3 DOSE ADULT IM

A-S Medication  Solutions LLC

50090-1223-01

ENGERIX-B

90746

HEPB Vaccine 3 DOSE ADULT IM

GlaxoSmithKline

58160-0821-11

ENGERIX-B

90746

HEPB Vaccine 3 DOSE ADULT IM

GlaxoSmithKline

58160-0821-34

ENGERIX-B

90746

HEPB Vaccine 3 DOSE ADULT IM

GlaxoSmithKline

58160-0821-43

ENGERIX-B

90746

HEPB Vaccine 3 DOSE ADULT IM

GlaxoSmithKline

58160-0821-43

ENGERIX-B

90747

HEPB VACC 4 DOSE IMMUNSUP IM

Merck

00006-4992-00

Recombivax Hb

90747

HEPB VACC 4 DOSE IMMUNSUP IM

A-S Medication  Solutions LLC

50090-1223-00

ENGERIX-B

90747

HEPB VACC 4 DOSE IMMUNSUP IM

A-S Medication  Solutions LLC

50090-1223-01

ENGERIX-B

90747

HEPB VACC 4 DOSE IMMUNSUP IM

GlaxoSmithKline

58160-0821-11

ENGERIX-B

90747

HEPB VACC 4 DOSE IMMUNSUP IM

GlaxoSmithKline

58160-0821-34

ENGERIX-B

90747

HEPB VACC 4 DOSE IMMUNSUP IM

GlaxoSmithKline

58160-0821-43

ENGERIX-B

90747

HEPB VACC 4 DOSE IMMUNSUP IM

GlaxoSmithKline

58160-0821-52

ENGERIX-B

90756

CCIIV4 VACC ABX FREE IM

Seqirus Inc.

70461-0423-10

Flucelvax Quadrivalent (2023/2024)

90759

HEPB VAC 3AG 10MCG 3 DOS IM

VBI Vaccines 

75052-0001-10

PreHevbrio

91304

SARSCOV2 VAC 5MCG/0.5 ML IM

Novavax

80631-0105-02

Novavax COVID-19 Vaccine (2023/2024)

91318

SARSCOV2 VAC 3MCG TRS-SUC IM

Pfizer

59267-4315-02

COVID-19 Vaccine (2023/2024)

91319

SARSCV2 VAC 10MCG TRS-SUC IM

Pfizer

59267-4331-02

COVID-19 Vaccine (2023/2024)

91320

SARSCV2 VAC 30MCG TRS-SUC IM

Pfizer

00069-2362-10

COMIRNATY (2023/2024)

91320

SARSCV2 VAC 30MCG TRS-SUC IM

Pfizer

00069-2392-10

COMIRNATY (2023/2024)

91320

SARSCV2 VAC 30MCG TRS-SUC IM

Pfizer

00069-2377-10

COMIRNATY (2023/2024)

91321

SARSCOV2 VAC 25 MCG/.25 ML IM

Moderna

80777-0287-92

COVID-19 Vaccine (2023/2024)

91322

SARSCOV2 VAC 50 MCG/0.5 ML IM

Moderna

80777-0102-96

Spikevax (2023/2024)

91322

SARSCOV2 VAC 50 MCG/0.5 ML IM

Moderna

80777-0102-93

Spikevax (2023/2024)

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