{"procedure":{"code_type":"CPT","code":"90461","lay_name":"Giving each extra vaccine component, age 18 or under","blurb":"Add-on charge for administering each additional disease component in a vaccine given to a patient 18 or younger, including counseling; the first component is billed separately.","slug":"cpt-90461-giving-each-extra-vaccine-component-age-18-or-under","description":"Im Adm Thru 18yr Any Rte Addl Vac/Tox Compt","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"228","label":"Prophylactic vaccinations and inoculations","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2022-12-08","filing_date_max":"2026-09-22","checked_from":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":1241,"n_usable":1134,"n_not_usable":19,"n_labelled":26,"n_no_cash":62,"n_estimated":0,"n_states":50,"cash_p10":10.0,"cash_p20":13.0,"cash_p25":14.3,"cash_p50":22.5,"cash_p75":35.15,"cash_p80":42.18,"cash_p90":74.96,"cash_mean_trimmed":23.41,"gross_p50":33.6,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":9,"p20":null,"p50":null,"p80":null},{"state":"AL","n":8,"p20":null,"p50":null,"p80":null},{"state":"AR","n":9,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":11,"p20":17.07,"p50":33.75,"p80":69.0},{"state":"CA","n":69,"p20":20.0,"p50":63.96,"p80":202.16},{"state":"CO","n":16,"p20":13.01,"p50":19.51,"p80":53.8},{"state":"CT","n":8,"p20":null,"p50":null,"p80":null},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":29,"p20":25.62,"p50":101.28,"p80":131.92},{"state":"GA","n":34,"p20":24.29,"p50":31.5,"p80":127.8},{"state":"HI","n":6,"p20":null,"p50":null,"p80":null},{"state":"IA","n":53,"p20":12.79,"p50":20.0,"p80":27.2},{"state":"ID","n":14,"p20":14.4,"p50":19.12,"p80":110.0},{"state":"IL","n":40,"p20":12.77,"p50":24.6,"p80":37.1},{"state":"IN","n":35,"p20":11.9,"p50":23.84,"p80":33.12},{"state":"KS","n":23,"p20":12.0,"p50":17.2,"p80":28.0},{"state":"KY","n":20,"p20":11.9,"p50":15.6,"p80":246.45},{"state":"LA","n":12,"p20":5.8,"p50":6.72,"p80":20.24},{"state":"MA","n":18,"p20":19.0,"p50":28.5,"p80":51.51},{"state":"MD","n":6,"p20":null,"p50":null,"p80":null},{"state":"ME","n":12,"p20":8.58,"p50":11.7,"p80":19.2},{"state":"MI","n":61,"p20":11.9,"p50":20.4,"p80":23.03},{"state":"MN","n":34,"p20":13.58,"p50":22.5,"p80":26.4},{"state":"MO","n":28,"p20":14.95,"p50":25.35,"p80":44.55},{"state":"MS","n":20,"p20":10.37,"p50":19.55,"p80":88.15},{"state":"MT","n":19,"p20":13.6,"p50":18.0,"p80":22.5},{"state":"NC","n":42,"p20":22.2,"p50":24.0,"p80":52.8},{"state":"ND","n":9,"p20":null,"p50":null,"p80":null},{"state":"NE","n":34,"p20":19.5,"p50":24.0,"p80":35.15},{"state":"NH","n":13,"p20":9.9,"p50":13.21,"p80":25.33},{"state":"NJ","n":12,"p20":5.0,"p50":10.7,"p80":83.84},{"state":"NM","n":7,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":60,"p20":12.0,"p50":17.72,"p80":26.88},{"state":"OH","n":58,"p20":14.7,"p50":24.04,"p80":45.9},{"state":"OK","n":20,"p20":11.05,"p50":14.7,"p80":14.7},{"state":"OR","n":24,"p20":14.27,"p50":22.1,"p80":31.2},{"state":"PA","n":37,"p20":23.4,"p50":40.0,"p80":131.04},{"state":"RI","n":4,"p20":null,"p50":null,"p80":null},{"state":"SC","n":24,"p20":13.0,"p50":13.0,"p80":16.8},{"state":"SD","n":7,"p20":null,"p50":null,"p80":null},{"state":"TN","n":13,"p20":11.08,"p50":14.26,"p80":25.74},{"state":"TX","n":61,"p20":5.75,"p50":22.16,"p80":22.38},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":21,"p20":16.88,"p50":24.8,"p80":31.5},{"state":"WI","n":42,"p20":20.7,"p50":31.2,"p80":40.5},{"state":"WV","n":24,"p20":11.0,"p50":14.0,"p80":38.63},{"state":"WY","n":8,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":733,"p20":13.0,"p50":23.28,"p80":52.8},{"key":"childrens","n":26,"p20":8.1,"p50":15.75,"p80":35.0},{"key":"critical_access","n":372,"p20":13.63,"p50":21.0,"p80":31.5}],"ownership":[{"key":"for_profit","n":71,"p20":12.0,"p50":30.0,"p80":69.0},{"key":"government","n":245,"p20":13.45,"p50":21.72,"p80":31.5},{"key":"nonprofit","n":815,"p20":13.0,"p50":22.59,"p80":44.25}],"affiliation":[{"key":"affiliated","n":896,"p20":13.0,"p50":22.5,"p80":42.18},{"key":"independent","n":238,"p20":14.0,"p50":22.37,"p80":41.52}]},"histogram":[{"lo":7.29,"hi":9.71,"n":45},{"lo":9.71,"hi":12.93,"n":117},{"lo":12.93,"hi":17.22,"n":164},{"lo":17.22,"hi":22.94,"n":192},{"lo":22.94,"hi":30.55,"n":201},{"lo":30.55,"hi":40.68,"n":122},{"lo":40.68,"hi":54.18,"n":67},{"lo":54.18,"hi":72.16,"n":53},{"lo":72.16,"hi":96.11,"n":26},{"lo":96.11,"hi":128.0,"n":35}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2022-12-08","filing_date_max":"2026-09-22","checked_from":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":778,"n_usable":733,"n_not_usable":3,"n_labelled":16,"n_no_cash":26,"n_estimated":0,"n_states":50,"cash_p10":11.4,"cash_p20":13.65,"cash_p25":14.95,"cash_p50":23.03,"cash_p75":37.0,"cash_p80":45.0,"cash_p90":105.3,"cash_mean_trimmed":24.57,"gross_p50":35.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":6,"p20":null,"p50":null,"p80":null},{"state":"AR","n":7,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":5,"p20":null,"p50":null,"p80":null},{"state":"CA","n":61,"p20":22.65,"p50":63.96,"p80":202.16},{"state":"CO","n":9,"p20":null,"p50":null,"p80":null},{"state":"CT","n":3,"p20":null,"p50":null,"p80":null},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":25,"p20":21.33,"p50":123.2,"p80":131.92},{"state":"GA","n":32,"p20":27.5,"p50":31.5,"p80":127.8},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":35,"p20":12.79,"p50":21.0,"p80":27.2},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":23,"p20":11.9,"p50":21.0,"p80":37.0},{"state":"IN","n":16,"p20":11.9,"p50":12.87,"p80":18.15},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":8,"p20":null,"p50":null,"p80":null},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MA","n":16,"p20":20.8,"p50":28.5,"p80":51.51},{"state":"MD","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":9,"p20":null,"p50":null,"p80":null},{"state":"MI","n":54,"p20":7.65,"p50":20.4,"p80":23.03},{"state":"MN","n":25,"p20":13.58,"p50":22.5,"p80":26.4},{"state":"MO","n":12,"p20":18.7,"p50":37.4,"p80":44.55},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":13,"p20":13.65,"p50":18.0,"p80":27.0},{"state":"NC","n":26,"p20":9.5,"p50":23.28,"p80":24.0},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":9,"p20":null,"p50":null,"p80":null},{"state":"NH","n":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":7,"p20":null,"p50":null,"p80":null},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":26,"p20":14.97,"p50":18.0,"p80":25.0},{"state":"OH","n":55,"p20":15.5,"p50":25.2,"p80":45.9},{"state":"OK","n":11,"p20":14.7,"p50":14.7,"p80":14.7},{"state":"OR","n":12,"p20":14.27,"p50":15.6,"p80":24.75},{"state":"PA","n":34,"p20":23.4,"p50":40.0,"p80":131.72},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":24,"p20":13.0,"p50":13.0,"p80":16.8},{"state":"SD","n":6,"p20":null,"p50":null,"p80":null},{"state":"TN","n":10,"p20":11.6,"p50":15.2,"p80":25.74},{"state":"TX","n":41,"p20":22.16,"p50":22.38,"p80":24.0},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":10,"p20":15.6,"p50":24.8,"p80":28.0},{"state":"WI","n":36,"p20":22.2,"p50":31.2,"p80":40.5},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":532,"p20":13.81,"p50":23.28,"p80":58.14},{"key":"childrens","n":12,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":186,"p20":13.86,"p50":22.16,"p80":32.0}],"ownership":[{"key":"for_profit","n":59,"p20":11.9,"p50":24.0,"p80":63.0},{"key":"government","n":115,"p20":14.75,"p50":23.28,"p80":34.0},{"key":"nonprofit","n":556,"p20":13.81,"p50":23.03,"p80":45.0}],"affiliation":[{"key":"affiliated","n":606,"p20":13.81,"p50":23.03,"p80":44.55},{"key":"independent","n":127,"p20":13.42,"p50":24.8,"p80":46.0}]},"histogram":[{"lo":8.58,"hi":11.38,"n":37},{"lo":11.38,"hi":15.09,"n":120},{"lo":15.09,"hi":20.0,"n":89},{"lo":20.0,"hi":26.52,"n":146},{"lo":26.52,"hi":35.17,"n":112},{"lo":35.17,"hi":46.64,"n":51},{"lo":46.64,"hi":61.84,"n":26},{"lo":61.84,"hi":82.0,"n":34},{"lo":82.0,"hi":108.73,"n":9},{"lo":108.73,"hi":144.18,"n":37}],"previous":null}},"related":[{"code_type":"CPT","code":"90471","lay_name":"Giving a vaccine by injection, first shot","slug":"cpt-90471-giving-a-vaccine-by-injection-first-shot"},{"code_type":"CPT","code":"90472","lay_name":"Giving a vaccine by injection, each additional shot","slug":"cpt-90472-giving-a-vaccine-by-injection-each-additional-shot"},{"code_type":"CPT","code":"90715","lay_name":"Tetanus, diphtheria and whooping cough booster shot","slug":"cpt-90715-tetanus-diphtheria-and-whooping-cough-booster-shot"},{"code_type":"CPT","code":"90675","lay_name":"Rabies vaccine, injected into muscle","slug":"cpt-90675-rabies-vaccine-injected-into-muscle"},{"code_type":"CPT","code":"90656","lay_name":"Flu shot, full dose, preservative free","slug":"cpt-90656-flu-shot-full-dose-preservative-free"},{"code_type":"CPT","code":"90707","lay_name":"Measles, mumps and rubella shot","slug":"cpt-90707-measles-mumps-and-rubella-shot"},{"code_type":"CPT","code":"90732","lay_name":"Pneumonia shot, 23-strain polysaccharide","slug":"cpt-90732-pneumonia-shot-23-strain-polysaccharide"},{"code_type":"CPT","code":"90375","lay_name":"Rabies immune globulin shot","slug":"cpt-90375-rabies-immune-globulin-shot"},{"code_type":"CPT","code":"90744","lay_name":"Hepatitis B vaccine, child or teen dose, single shot","slug":"cpt-90744-hepatitis-b-vaccine-child-or-teen-dose-single-shot"},{"code_type":"CPT","code":"90746","lay_name":"Hepatitis B vaccine, adult dose, one shot","slug":"cpt-90746-hepatitis-b-vaccine-adult-dose-one-shot"},{"code_type":"CPT","code":"90677","lay_name":"Pneumonia vaccine, 20-strain conjugate","slug":"cpt-90677-pneumonia-vaccine-20-strain-conjugate"},{"code_type":"CPT","code":"90700","lay_name":"Childhood diphtheria, tetanus, whooping cough shot","slug":"cpt-90700-childhood-diphtheria-tetanus-whooping-cough-shot"}]}