Perks obtainable via leveling up past Level 50 in Fallout 76, offering passive abilities, and are able to be ranked up via perk coins, obtained by scrapping unused regular perks. Perks of a companion, affecting only them. Companion perks are disabled when not traveling with their respective companions. Perks which are obtainable by having a good relationship with the respective companions.
Perks obtained as a reward for challenges.
In Fallout: New Vegas, the number of original implant perks (not those of Old World Blues) you can receive is equal to the player character's Endurance statistic.
All of these conditions add up to one conclusion: you can look elsewhere for your V.A.T.S. These are perks obtained through implants by an Auto-Doc, which cost money. high Action Point total isnt as useful in New Vegas. Perks obtained by special actions or interactions with other characters. They are classed by level or point required and generally have stat requirements to appear selectable.
The most common perks, selected during leveling up, per the Perk Rate.