How much does Medicare pay for CPT 95144?

Medicare allowed an average of $15.85 per service and paid $12.30 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $30.43, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95144?

Professional service for preparation and provision of single-dose vial of allergen. It was billed 130,510 times to 1,602 Medicare beneficiaries by 46 providers in 2024.

Which specialty bills 95144 most?

Family Practice, with 33,505 services from 5 clinicians. Next are Allergy/ Immunology, Internal Medicine, Osteopathic Manipulative Medicine.

CPT 95144

Professional service for preparation and provision of single-dose vial of allergen

$15.85Medicare-allowed amount per service, averaged across 130,510 services

Providers submitted

$30.43

Asking price, not received

Medicare allowed

$15.85

The fee schedule figure

Medicare paid

$12.30

Balance is patient coinsurance

Providers submitted an average of $30.43 for this code and Medicare allowed $15.85 — 1.9× 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 $12.30 (78%); the rest is the patient’s coinsurance and deductible.

Services: 130,510
Beneficiaries: 1,602
Providers billing it: 46
Total allowed: $2,068,584

What Medicare pays for CPT 95144

Across 130,510 services billed by 46 providers to 1,602 beneficiaries, Medicare allowed an average of $15.85 per service. That is 81.5 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 95144

Specialty	Services	Beneficiaries	Avg allowed	Providers
Family Practice	33,505	164	$15.37	5
Allergy/ Immunology	20,842	632	$17.67	15
Internal Medicine	20,355	122	$16.98	4
Osteopathic Manipulative Medicine	16,046	85	$15.86	1
Nurse Practitioner	14,217	80	$13.62	5
Otolaryngology	8,987	300	$14.62	10
Pulmonary Disease	8,490	148	$17.68	4
Plastic and Reconstructive Surgery	5,340	57	$13.86	1
Physician Assistant	2,728	14	$13.45	1

95144 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
Arizona	42,451	$15.18	$12.39	7
Texas	29,172	$16.43	$12.60	10
Tennessee	10,235	$14.73	$13.01	1
Connecticut	6,797	$17.46	$12.40	3
New Mexico	6,535	$14.90	$13.01	1
California	6,408	$19.18	$11.98	8
Illinois	6,210	$17.21	$12.99	2
New York	5,673	$19.25	$12.19	3
Arkansas	5,420	$14.12	$12.28	4
Kansas	5,340	$13.86	$12.37	1
Nevada	4,260	$13.81	$11.04	2
Michigan	940	$14.97	$11.87	2
Washington	770	$14.79	$11.76	1
Indiana	299	$15.09	$12.36	1

Related codes

95165Professional service for preparation and provision of 1 or more antige$13.88
95117Professional service for multiple injections of allergen$11.66
95115Professional service for single injection of allergen$9.48
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

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.