CPT code 95115: Allergy shot, single injection, extract not included2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $12.18 for 95115 in the office.

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.

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 Washington, DC area 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. Washington, DC area pays $12.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

95115 rates by state

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

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.

Payment rules and modifiers for 95115

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

Codes related to 95115

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 95115 has changed in Washington, DC area

Price 95115 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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

Open CMS sourceHow we calculate rates