CPT 95115

Across 519,686 services billed by 1,726 providers to 55,401 beneficiaries, Medicare allowed an average of $9.48 per service. That is 9.4 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.

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.

• 95165Professional service for preparation and provision of 1 or more antige$13.88
• 95117Professional service for multiple injections of allergen$11.66
• 95144Professional service for preparation and provision of single-dose vial$15.85
• 95180Injection for rapid desensitization to allergen$136.44
• 95170Professional service for preparation and provision of whole body extra$10.50
• 95148Professional service for preparation and provision of 4 stinging insec$89.39
• 95149Professional service for preparation and provision of 5 stinging insec$118.84

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.

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