How much does Medicare pay for CPT 95024?

Medicare allowed an average of $7.59 per service and paid $5.92 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $18.95, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95024?

Test for allergy using allergenic extract injected into skin. It was billed 1,074,940 times to 52,886 Medicare beneficiaries by 1,763 providers in 2024.

Does 95024 pay differently in an office than a hospital?

Yes. The allowed amount averaged $7.63 in an office setting and $0.98 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 95024 most?

Allergy/ Immunology, with 598,570 services from 1,003 clinicians. Next are Otolaryngology, Nurse Practitioner, Physician Assistant.

CPT 95024

Test for allergy using allergenic extract injected into skin

$7.59Medicare-allowed amount per service, averaged across 1,074,940 services

Providers submitted

$18.95

Asking price, not received

Medicare allowed

$7.59

The fee schedule figure

Medicare paid

$5.92

Balance is patient coinsurance

Providers submitted an average of $18.95 for this code and Medicare allowed $7.59 — 2.5× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $5.92 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $7.63
Hospital / facility: $0.98

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 1,068,533 services were billed in an office setting and 6,407 in a facility.

Services: 1,074,940
Beneficiaries: 52,886
Providers billing it: 1,763
Total allowed: $8,158,795

What Medicare pays for CPT 95024

Across 1,074,940 services billed by 1,763 providers to 52,886 beneficiaries, Medicare allowed an average of $7.59 per service. That is 20.3 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 95024

Specialty	Services	Beneficiaries	Avg allowed	Providers
Allergy/ Immunology	598,570	32,910	$7.73	1,003
Otolaryngology	374,654	14,392	$7.59	532
Nurse Practitioner	43,138	2,598	$6.27	113
Physician Assistant	24,949	1,481	$6.46	57
Internal Medicine	11,309	630	$7.57	23
Family Practice	6,676	285	$7.37	12
General Practice	4,355	36	$8.22	1
Pediatric Medicine	3,851	150	$7.42	4
Pulmonary Disease	2,827	172	$7.95	9
Hospitalist	1,778	79	$7.34	2
Dermatology	952	68	$6.48	3
Plastic and Reconstructive Surgery	754	45	$6.89	1
Rheumatology	441	15	$7.98	1
Ophthalmology	394	14	$8.37	1
Critical Care (Intensivists)	292	11	$7.71	1

95024 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	200,330	$7.75	$6.06	205
Texas	132,750	$7.42	$6.07	204
California	82,937	$8.58	$6.00	113
Virginia	56,549	$7.60	$6.06	68
Massachusetts	47,349	$8.05	$5.86	78
New York	38,769	$8.87	$6.13	72
Pennsylvania	37,919	$7.52	$6.07	65
Tennessee	36,572	$6.64	$5.99	72
Kentucky	35,161	$6.87	$6.22	46
North Carolina	33,973	$7.08	$6.10	75
South Carolina	28,704	$7.12	$6.10	47
Georgia	27,902	$7.17	$6.02	63
New Jersey	25,644	$8.92	$6.10	56
Indiana	23,999	$6.96	$6.09	37
Illinois	22,287	$7.91	$5.91	61
Michigan	20,563	$7.61	$6.21	49
Maryland	20,445	$8.18	$5.96	29
Delaware	19,343	$7.74	$6.18	15
Ohio	17,160	$6.53	$5.64	48
Arizona	15,831	$7.59	$6.11	31
Louisiana	12,939	$7.01	$5.99	23
Oklahoma	11,889	$6.72	$6.03	18
Missouri	11,648	$7.00	$5.89	27
Washington	11,453	$7.06	$5.35	21
Iowa	9,893	$6.52	$5.79	17
Arkansas	9,557	$6.70	$6.05	20
Alabama	8,366	$6.55	$6.07	20
Colorado	8,104	$7.84	$5.98	27
West Virginia	7,804	$6.62	$6.22	8
Kansas	7,446	$6.75	$5.69	15
Mississippi	7,433	$6.23	$5.73	19
Wisconsin	7,047	$6.89	$5.57	12
Connecticut	5,657	$8.49	$6.10	16
Oregon	5,439	$7.58	$5.82	12
Nevada	3,549	$7.54	$6.15	7
Idaho	3,115	$6.89	$5.94	12
Rhode Island	2,864	$7.89	$6.21	7
Maine	2,786	$7.24	$5.50	8
New Mexico	2,588	$7.14	$6.04	6
South Dakota	2,543	$7.52	$6.03	4
New Hampshire	1,524	$8.11	$5.86	5
Minnesota	1,194	$7.32	$5.95	6
Wyoming	1,130	$7.37	$5.45	3
Puerto Rico	802	$7.85	$6.17	1
North Dakota	775	$6.78	$6.19	2
Nebraska	695	$7.03	$6.14	3
Hawaii	683	$8.65	$6.28	1
District of Columbia	592	$8.56	$6.10	2
Vermont	416	$7.28	$5.88	1
Alaska	315	$8.36	$6.27	3
Montana	281	$6.71	$4.37	1
Utah	226	$6.77	$6.41	2

Related codes

95004Test for allergy$3.65
95044Test for allergy$5.08
95012Test to measure the level of nitric oxide gas$19.39
95027Test for allergy$4.88
95018Test for allergy$17.77
95076Test for allergy$110.90
95070Test for allergy$34.15

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.