CPT
90471 — Immunization administration, single vaccine
ACA-covered vaccines should be free, including the admin fee.
Pulmonology
94060 — Spirometry; before and after bronchodilator administration
This test measures your breathing before and after you inhale a bronchodilator (airway-opening medication) to see if your airways respond to treatment.
- Typical setting: Doctor's office, hospital outpatient
- National avg charge (illustrative): $80–$300 (includes pre- and post-medication measurements)
- Most-disputed reason: Billing 94060 plus 94010 on the same date — 94010 is included within 94060 and should not appear as a separate line item.
What it means
What 94060 actually means
This test measures your breathing before and after you inhale a bronchodilator (airway-opening medication) to see if your airways respond to treatment. It helps diagnose asthma versus COPD and guides treatment decisions.
Common errors with this code
What goes wrong on real bills.
Most bills that look correct still contain at least one of these issues. Up to 49% of medical bills contain errors (CFPB).
- Billing 94060 plus 94010 on the same date — 94010 is included within 94060 and should not appear as a separate line item.
- Billing for bronchodilator administration (94640 or similar) in addition to 94060 when the drug administration is part of the pre/post protocol — verify each line is for a distinct service.
- Bronchodilator responsiveness testing billed multiple times in one session without documentation that separate, independent tests with different medications were performed.
If you see 94060 on your bill
Three steps before paying.
1. Get the itemized bill. If your statement only shows a summary, request the CPT-level itemized bill before paying. Generate the request language →
2. Cross-check against the EOB. Compare what your insurer's Explanation of Benefits says you owe versus what the hospital is asking. They disagree more often than people think. Read the bill-vs-EOB guide →
3. Run a free Bill Scan. Upload the bill (and EOB if you have it) and BillBusted will flag the most likely issues with this specific code in your specific state. Run free scan →
Related codes
Other codes in this category.
People who land on 94060 often also see these adjacent codes on the same bill.
CPT
90472 — Immunization admin; each additional vaccine
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90651 — Human papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90670 — Pneumococcal conjugate vaccine, 13 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90671 — Pneumococcal conjugate vaccine, 15 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90677 — Pneumococcal conjugate vaccine, 20 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
Related BillBusted guides
Plain-English reads if you see 94060 on a bill.
94060 FAQ
Plain-English answers.
What does 94060 usually cost?
$80–$300 (includes pre- and post-medication measurements). Costs vary by region, payer contract, and whether the service was performed in a hospital outpatient department (which adds a facility fee) versus a free-standing clinic.
What's the most common billing error on 94060?
Billing 94060 plus 94010 on the same date — 94010 is included within 94060 and should not appear as a separate line item.
What should I do if I see 94060 on my bill?
Request the itemized bill and the matching EOB from your insurer. Compare the units/quantity billed against what you actually received. Run a free BillBusted scan to flag the most likely errors specific to 94060 before paying.
Don't pay 94060 blindly.
The free scan tells you in under 60 seconds whether this charge looks reasonable for your situation.