You may make a little on a vaccination - assuming you never get one denied, they never decide that since you did on the day of a visit that they will bundle the admin charge and only pay you for the visit or the admin fee (have not had with pneumovax, but have had insurance companies decide to pay me 28 dollars for EKG and disallow the Level 4 office visit). The problem is that we can spend a lot of time trying to see if we can make a few dollars doing something or just concentrate on visits and medical management. I have seen tetanus shots denied left and right by Medicare even when given for an open wound so I just figured that if you make 10 bucks on one, but get one disallowed out of 10 then you are not ahead.
