Primary Vaccine Analysis
90460, 90471-90474 compared to non-COVID/non-RSV product units. 90461 stays out of this direct match.
No data
Admins
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Products
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Diff
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Enter or paste data to calculate the match.
Immunization Admin/Product Check v3
Make sure the vaccine products you billed actually line up with the administrations you billed. Radical concept.
90461 Component Check
Expected additional antigen/component count based on combination products.
No data
Actual 90461
0
Expected
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Diff
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This is a warning light, not a compliance conclusion. It will get cranky when combination-vaccine logic and your billing data disagree.
Brief Instructions
Admin/product matchingPaste CPT / Unit Volume Data
2 columns: CPT code, unitsExample
| CPT | Units |
|---|---|
| 90460 | 2018 |
| 90677 | 315 |
| 91320 | 42 |
Paste from a code-level volume report. Tabs, commas, and ordinary spaces are OK. Duplicate CPTs are combined. Unknown CPTs are reported at the bottom of the import message.
Administration Code Entry
Manual entry or pasted import. COVID rows default to non-zero only so you don’t have to scroll through yesterday’s aquarium gravel.
| CPT / Description | Group | Units |
|---|
No visible administration rows. Turn off the non-zero filter for that subsection to enter data manually.
Primary Vaccine Product Unit Volumes
Non-COVID, non-RSV product codes. Includes old codes; v2 adds newly validated CPTs without removing legacy ones.
| CPT / Product | Addl Antigens | Units |
|---|
No primary product rows match the current filters.
COVID Analysis
COVID Product/Admin Match
COVID product CPTs compared with mapped COVID admin CPTs plus 90480.
No data
Admins
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Products
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Enter or paste COVID data to calculate the match.
COVID Product/Admin Detail
| Product CPT | Product Units | Mapped Admin Units | Diff |
|---|
No non-zero COVID rows yet. Uncheck the filter to show all COVID rows.
COVID Product Entry
| CPT / Product | Units |
|---|
No visible COVID product rows. Uncheck the non-zero filter to enter data manually.
RSV Analysis
RSV Product/Admin Match
RSV products compared with RSV administration codes 96380 and 96381.
No data
Admins
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Products
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Diff
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Enter or paste RSV data to calculate the match.
RSV Product Entry
| CPT / Product | Units |
|---|
No RSV product rows match the current filters.
How to Use This Tool
What this tool is checking
This tool compares immunization administration units billed to vaccine product units billed. Primary vaccine work is checked separately from COVID and RSV so one odd category does not contaminate the others.
Data needed
Start with a code-level procedure volume report. You need only two fields: CPT code and unit volume. Paste those two columns into the import box on the Calculator page, or manually type unit volume directly into the proper section.
Primary vaccine comparison
The primary comparison counts 90460, 90471, 90472, 90473, and 90474 as routine primary administration units. It does not count 90461 because 90461 is an additional-antigen/component code, not a separate vaccine product administration event.
COVID comparison
COVID has its own section at the bottom. Older COVID administration CPTs map to specific COVID product CPT families. The newer 90480 code is counted in the COVID administration total, but it is not manufacturer-specific in this tool, so the product-level detail shows it as unassigned.
RSV comparison
RSV has its own section because RSV monoclonal antibody and RSV vaccine product/admin logic does not behave like ordinary pediatric vaccine coding. RSV products are compared to RSV admin codes separately and excluded from the routine primary vaccine match.
CPT validation notes
v2 keeps the old workbook codes and adds newer CPTs identified in the CDC CPT-to-CVX table and AMA COVID/RSV coding guidance, including 90382, 90587, 90589, 90593, 90611, 90622, 90626, 90627, 90678, 90679, 90683, 90684, 90694, 90758, 90759, and 91323. The commercial names shown are practical references/examples, not payer-specific coding advice or NDC-level mapping.
Useful references: CDC CPT-to-CVX table and AMA COVID-19 and immunization CPT guidance.
Data hygiene notes
Practices should exclude VFC vaccine from the data if their state or payer workflow does not put both product and administration codes on the same kind of claim. Keep the numerator and denominator in the same universe. In other words: no Franken-reports.