CPT code 95115: Allergy shot, single injection, extract not included2026 Medicare rate & RVUs in Riverside, CA

Administration of one subcutaneous allergen immunotherapy injection during an encounter, reported separately from any preparation and supply of the allergenic extract.

CMS RVU26DEffective Oct 1, 2026One payment locality681.1K Medicare services in 2024

In Riverside, CA, Medicare pays $11.27 for 95115 in the office.

$11.27Office (non-facility)
Not available in this settingHospital or facility
+8.9%vs the national office rate ($10.35)

Check a contract rate as a % of Medicare · 95115 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 95115 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Riverside, CA
  2. What 95115 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 95115 covers

This service is the administration of one allergy shot, usually into the upper arm, during a build-up or maintenance schedule. Staff observe the patient for a reaction after the injection. Nurses or medical assistants commonly administer shots in allergy, ENT, and primary care offices under a physician’s treatment plan. The extract may have been prepared by that practice or supplied by another allergy practice.

Report one unit for an encounter in which one allergen immunotherapy injection is given; use 95117 when two or more are given during the encounter. The administration code excludes preparation and supply of the extract, which may be reported separately when performed and supported. Document the extract or vial, dose, concentration, injection site, observation, and any reaction. CMS classifies this as an incident-to service, payable only when performed under physician supervision; its physician work RVU is zero. For Medicare, use the separate administration and extract preparation codes rather than the combined injection-and-extract codes.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Riverside, CA compares for 95115

Across 109 of 109 payment localities, the office rate for 95115 runs from $8.78 in Arkansas to $14.63 in San Benito County, CA. Riverside, CA pays $11.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

95115 in Riverside, CA vs other payment areas
  1. Riverside, CA · this page$11.27
  2. Bakersfield, CA · California$11.19−$0.08
  3. Chico, CA · California$11.16−$0.11
  4. El Centro, CA · California$11.16−$0.11
  5. Fresno, CA · California$11.16−$0.11
  6. Hanford, CA · California$11.16−$0.11
  7. Los Angeles, CA · California$12.08+$0.81

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

95115 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$11.16—
Merced, CACalifornia$11.16—
Modesto, CACalifornia$11.16—
Napa, CACalifornia$13.38—
Oxnard, CACalifornia$12.05—
Redding, CACalifornia$11.16—
Rest of CaliforniaCalifornia$11.16—
Sacramento, CACalifornia$11.83—

95115 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$8.78

$12.90

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95115 office rate range by state
State / territoryOffice rate rangeLocalities
AK$10.861
AL$8.961
AR$8.781
AZ$10.001
CA$11.16–$14.6329
CO$10.921
CT$11.201
DC$12.181
DE$10.201
FL$10.08–$11.283
GA$9.34–$10.582
GU$11.591
HI$11.591
IA$9.301
ID$9.381
IL$9.67–$10.884
IN$9.451
KS$9.231
KY$9.211
LA$9.19–$9.812
MA$10.82–$12.262
MD$10.45–$12.183
ME$9.43–$10.142
MI$9.53–$10.232
MN$10.411
MO$8.96–$9.873
MS$8.871
MT$10.351
NC$9.561
ND$10.161
NE$9.371
NH$10.721
NJ$11.31–$11.982
NM$9.591
NV$10.311
NY$9.75–$12.535
OH$9.491
OK$9.211
OR$10.21–$11.382
PA$9.51–$10.832
PR$10.461
RI$10.651
SC$9.541
SD$10.131
TN$9.291
TX$9.43–$10.908
UT$9.721
VA$10.09–$12.182
VI$10.461
VT$10.091
WA$10.81–$12.572
WI$9.701
WV$9.191
WY$10.271

See 95115 in every payment locality

How the 95115 rate is calculated

Each of 95115’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 95115

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.30

0.30 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.3100

Conversion factor

$33.4009

Medicare rate

$10.35

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Riverside, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,472

Code
95115
Physician work
0.00
Practice expense
0.30
Malpractice
0.01

GPCI2026.csv

20

Locality
Riverside, CA
Physician work
1.018
Practice expense
1.096
Malpractice
0.853
Office calculation for 95115 in Riverside, CA
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0180.0000
Practice expense0.30× 1.0960.3288
Malpractice0.01× 0.8530.0085
Total RVUs0.3373
Conversion factor× 33.4009

Office rate, Riverside, CA$11.27

Office: (0 × 1.018 + 0.3 × 1.096 + 0.01 × 0.853) × $33.4009 = $11.27

Open 95115 in the RVU calculator

Payment rules and modifiers for 95115

The CMS indicators that decide how 95115 is paid alongside other services.

CMS payment indicators · 95115

Allergy shot, single injection, extract not included

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical5Incident-to service.

How 95115 has changed in Riverside, CA

95115 · Office / nonfacility

$11.27

Effective 2026-10-01

The base rate is $0.02 higher than on 2025-10-01, moving from $11.25 to $11.27 (0.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $11.25changed to$11.27

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.31 changed to 0.30
    • Work GPCI 1.014 changed to 1.018
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.892 changed to 0.853

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $11.21changed to$11.25

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.30 changed to 0.31

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $11.03changed to$11.21

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $10.92changed to$11.03

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.29 changed to 0.30
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.924 changed to 0.892
  5. January 1, 2023

    RVU23A

    $10.28changed to$10.92

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.27 changed to 0.29
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.955 changed to 0.924

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $9.97changed to$10.28

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.26 changed to 0.27
    • Malpractice GPCI 0.896 changed to 0.955

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $9.95changed to$9.97

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.25 changed to 0.26
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.830 changed to 0.896

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $9.95changed to$9.95

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.021 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.753 changed to 0.830

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $9.53changed to$9.95

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.24 changed to 0.25
    • Work GPCI 1.020 changed to 1.021
    • Malpractice GPCI 0.689 changed to 0.753

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $9.52changed to$9.53

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.626 changed to 0.689

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$9.52

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$11.27Not available in this settingRVU26D
2026-07-01$11.27Not available in this settingRVU26C
2026-04-01$11.27Not available in this settingRVU26B
2026-01-01$11.27Not available in this settingRVU26A
2025-10-01$11.25Not available in this settingRVU25D
2025-07-01$11.25Not available in this settingRVU25C
2025-04-01$11.25Not available in this settingRVU25B
2025-01-01$11.25Not available in this settingRVU25A
2024-10-01$11.21Not available in this settingRVU24D
2024-07-01$11.21Not available in this settingRVU24C
2024-04-01$11.21Not available in this settingRVU24B
2024-03-09$11.21Not available in this settingRVU24AR
2024-01-01$11.03Not available in this settingRVU24A
2023-10-01$10.92Not available in this settingRVU23D
2023-07-01$10.92Not available in this settingRVU23C
2023-04-01$10.92Not available in this settingRVU23B
2023-01-01$10.92Not available in this settingRVU23A
2022-10-01$10.28Not available in this settingRVU22D
2022-07-01$10.28Not available in this settingRVU22C
2022-04-01$10.28Not available in this settingRVU22B
2022-01-01$10.28Not available in this settingRVU22A
2021-10-01$9.97Not available in this settingRVU21D
2021-07-01$9.97Not available in this settingRVU21C
2021-04-01$9.97Not available in this settingRVU21B
2021-01-01$9.97Not available in this settingRVU21A
2020-10-01$9.95Not available in this settingRVU20D
2020-07-01$9.95Not available in this settingRVU20C
2020-04-01$9.95Not available in this settingRVU20B
2020-01-01$9.95Not available in this settingRVU20A
2019-10-01$9.95Not available in this settingRVU19D
2019-07-01$9.95Not available in this settingRVU19C
2019-04-01$9.95Not available in this settingRVU19B
2019-01-01$9.95Not available in this settingRVU19A
2018-10-01$9.53Not available in this settingRVU18D
2018-07-01$9.53Not available in this settingRVU18C
2018-04-01$9.53Not available in this settingRVU18B
2018-01-01$9.53Not available in this settingRVU18AR1
2017-10-01$9.52Not available in this settingRVU17D
2017-07-01$9.52Not available in this settingRVU17C
2017-04-01$9.52Not available in this settingRVU17B
2017-01-01$9.52Not available in this settingRVU17A
2016-10-01Rate data unavailableNot available in this settingRVU16D
2016-07-01Rate data unavailableNot available in this settingRVU16C
2016-04-01Rate data unavailableNot available in this settingRVU16B
2016-01-01Rate data unavailableNot available in this settingRVU16A
2015-10-01Rate data unavailableNot available in this settingRVU15D
2015-07-01Rate data unavailableNot available in this settingRVU15C
2015-04-01Rate data unavailableNot available in this settingRVU15B
2015-01-01Rate data unavailableNot available in this settingRVU15A
2014-10-01Rate data unavailableNot available in this settingRVU14D
2014-07-01Rate data unavailableNot available in this settingRVU14C
2014-04-01Rate data unavailableNot available in this settingRVU14B
2014-01-01Rate data unavailableNot available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 95115 for an earlier date of service

Where the Riverside, CA rate applies

Riverside, CA is a Medicare payment area, not a city. Our Census mapping connects it to 127 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Ontario
  • Riverside
  • San Bernardino
  • Adelanto
  • Aguanga
  • Anza
  • Apple Valley
  • Baker

Browse all communities in California

95115 billing questions

When should 95117 be reported instead of 95115?

Use 95117 when two or more allergen immunotherapy injections are given during an encounter, such as injections from separate vials. Do not report one unit of 95115 for each shot or report both codes for the same set of injections.

Does 95115 include the allergenic extract?

No. It covers administration of the injection. Preparation and supply may be reported separately when performed and documented, such as with 95165 for doses prepared for immunotherapy.

Can an E/M visit be billed on the same day as an allergy shot?

A significant, separately identifiable E/M service beyond the routine pre-injection check may be reported with modifier 25 on the E/M code. Do not separately report 99211 solely for the routine check before the shot.

Who can perform the injection for Medicare billing?

Clinical staff such as nurses or medical assistants commonly administer it. CMS treats 95115 as an incident-to service, so physician supervision requirements must be met.

Should 96372 be used for allergy shots?

No. Allergen immunotherapy injections have dedicated administration codes: 95115 for one injection and 95117 for two or more during an encounter.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 95115PPRRVU2026_Oct_nonQPP.csv, line 12,472 (RVU26D)
Geographic factors for Riverside, CAGPCI2026.csv, line 20 (RVU26D)

Open CMS sourceHow we calculate rates

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