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VFC billing follows specific rules: The practice does not bill for the VFC-supplied vaccine product, since the product is federally funded The administration is billed at the state-capped regional maximum administration fee Many states require the product line reported at a zero charge with a state-supplied modifier, such as SL A child through age 18 who receives physician counseling shifts to 90460 and 90461 rather than CPT code 90471 Roster Billing Rules for Mass Immunization Clinics Roster billing is a simplified Medicare claim method for mass immunizers serving multiple beneficiaries

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Some studies observe amplification or positive correlation (Pi et al., 2007