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Key place-of-service and program differences include: Public health and mass clinics: Medicare flu and pneumococcal administration uses G-codes and roster billing rather than 90471 Office (POS 11): The most common setting for 90471, billed to commercial or Medicaid with both administration and product lines Pharmacy and retail clinic: Administration billing follows the plan benefit, with Part D vaccines processed through the pharmacy system Vaccines for Children (VFC): The vaccine product is supplied free, so the practice bills the administration only at a capped fee What Are Example Clinical Scenarios or Use Cases for CPT Code 90471