How much does Medicare pay for CPT 95044?

Medicare allowed an average of $5.08 per service and paid $3.95 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $18.42, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95044?

Test for allergy using skin patch. It was billed 594,737 times to 7,825 Medicare beneficiaries by 373 providers in 2024.

Does 95044 pay differently in an office than a hospital?

Yes. The allowed amount averaged $5.09 in an office setting and $4.36 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 95044 most?

Dermatology, with 260,020 services from 135 clinicians. Next are Allergy/ Immunology, Nurse Practitioner, Physician Assistant.

CPT 95044

Test for allergy using skin patch

$5.08Medicare-allowed amount per service, averaged across 594,737 services

Providers submitted

$18.42

Asking price, not received

Medicare allowed

$5.08

The fee schedule figure

Medicare paid

$3.95

Balance is patient coinsurance

Providers submitted an average of $18.42 for this code and Medicare allowed $5.08 — 3.6× 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 $3.95 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $5.09
Hospital / facility: $4.36

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. 584,029 services were billed in an office setting and 10,708 in a facility.

Services: 594,737
Beneficiaries: 7,825
Providers billing it: 373
Total allowed: $3,021,264

What Medicare pays for CPT 95044

Across 594,737 services billed by 373 providers to 7,825 beneficiaries, Medicare allowed an average of $5.08 per service. That is 76.0 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 95044

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	260,020	3,005	$5.25	135
Allergy/ Immunology	230,449	3,637	$5.14	196
Nurse Practitioner	44,350	526	$4.38	13
Physician Assistant	28,055	344	$3.99	15
Internal Medicine	20,685	158	$5.41	7
Pathology	4,448	52	$4.27	1
Pediatric Medicine	2,962	45	$5.21	2
Anesthesiology	1,840	21	$5.70	1
Pulmonary Disease	754	12	$4.16	1
Rheumatology	740	12	$5.05	1
Otolaryngology	434	13	$4.90	1

95044 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
California	99,078	$5.63	$3.75	53
Florida	82,401	$4.85	$3.67	42
New York	67,812	$5.80	$3.80	38
Massachusetts	43,314	$5.43	$3.78	25
Illinois	34,762	$5.11	$3.76	12
New Jersey	29,388	$5.61	$3.80	21
Arizona	28,242	$4.79	$3.80	15
Texas	26,494	$5.04	$3.78	18
Kentucky	18,629	$4.07	$3.54	8
Utah	11,773	$4.65	$3.84	6
North Carolina	11,514	$4.43	$3.78	11
Indiana	10,888	$4.28	$3.67	9
Pennsylvania	9,770	$5.16	$3.70	9
Colorado	9,641	$4.92	$3.63	8
Minnesota	9,056	$4.78	$3.89	3
Wisconsin	8,323	$4.45	$3.87	6
Mississippi	7,887	$3.93	$3.65	5
Nevada	7,724	$4.78	$3.78	6
Washington	7,556	$4.57	$3.45	6
Ohio	7,461	$4.52	$3.67	8
Georgia	6,638	$4.42	$3.76	6
South Carolina	6,009	$4.53	$3.82	7
Tennessee	5,439	$4.20	$3.70	4
Michigan	5,254	$4.81	$3.89	5
Kansas	4,875	$3.77	$3.36	2
Maryland	4,169	$5.57	$3.89	5
Arkansas	4,019	$3.90	$3.27	5
Oklahoma	3,956	$4.31	$3.70	4
Virginia	3,944	$4.72	$3.81	4
Alabama	2,991	$4.04	$3.81	4
Iowa	2,699	$4.41	$3.57	4
Rhode Island	2,437	$4.81	$3.74	1
Oregon	2,144	$4.96	$3.81	2
Nebraska	1,803	$3.73	$3.08	1
Alaska	1,515	$5.15	$3.82	2
Missouri	1,095	$4.53	$3.71	2
Delaware	1,032	$4.85	$3.70	1
West Virginia	795	$4.17	$3.66	1
Montana	769	$4.59	$3.75	1
Louisiana	649	$4.21	$3.93	1
Connecticut	403	$4.91	$4.01	1
South Dakota	389	$4.71	$3.90	1

Related codes

95004Test for allergy$3.65
95024Test for allergy$7.59
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.