CPT code 95149: Venom antigen preparation, five or more venoms2026 Medicare rate & RVUs in Miami, FL
Reports allergen immunotherapy antigen preparation and provision for a patient receiving treatment with five or more distinct stinging-insect venoms.
In Miami, FL, Medicare pays $123.85 for 95149 in the office and $3.20 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 95149 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 95149 covers
This service covers the supervision of preparing and supplying venom antigens for allergen immunotherapy when the treatment includes five or more distinct stinging-insect venoms. An allergist or other qualified clinician typically arranges this work in an allergy practice; the prepared extracts may include venoms such as honeybee, yellow jacket, or hornet. The service concerns the antigen preparation and provision, not the injection given to the patient.
Choose this level based on the number of distinct venom types prepared for the patient, rather than the number of injections or visits. The record should support the venom types and the preparation and provision performed. CMS assigns physician fee schedule relative values for work, practice expense, and malpractice; the practice-expense value differs between office and facility settings. Report a separate, appropriate immunotherapy administration service when an injection is also given, supported by the service documentation.
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 Miami, FL compares for 95149
Across 109 of 109 payment localities, the office rate for 95149 runs from $102.02 in Arkansas to $170.01 in San Benito County, CA. Miami, FL pays $123.85. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Miami, FL · this page$123.85
- Fort Lauderdale, FL · Florida$120.35−$3.50
- Rest of Florida · Florida$113.63−$10.22
- Los Angeles, CA · California$139.81+$15.96
- Washington, DC area · District of Columbia$139.41+$15.56
- Chicago, IL · Illinois$119.60−$4.25
- Manhattan, NY · New York$137.73+$13.88
Other areas in Florida first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlaskaAlaska | $126.98 | $3.55 |
| AlabamaAlabama | $103.90 | $2.49 |
| ArkansasArkansas | $102.02 | $2.46 |
| ArizonaArizona | $114.92 | $2.61 |
| Bakersfield, CACalifornia | $129.64 | $2.61 |
| Chico, CACalifornia | $129.61 | $2.58 |
| El Centro, CACalifornia | $129.61 | $2.58 |
| Fresno, CACalifornia | $129.61 | $2.58 |
| Hanford, CACalifornia | $129.61 | $2.58 |
| Madera, CACalifornia | $129.61 | $2.58 |
| Merced, CACalifornia | $129.61 | $2.58 |
| Modesto, CACalifornia | $129.61 | $2.58 |
| Napa, CACalifornia | $155.50 | $2.74 |
| Oxnard, CACalifornia | $139.66 | $2.66 |
| Redding, CACalifornia | $129.61 | $2.58 |
| Rest of CaliforniaCalifornia | $129.61 | $2.58 |
| Riverside, CACalifornia | $129.72 | $2.69 |
| Sacramento, CACalifornia | $137.44 | $2.64 |
| Salinas, CACalifornia | $136.96 | $2.63 |
| San Diego, CACalifornia | $141.26 | $2.64 |
| Marin County, CACalifornia | $166.24 | $2.82 |
| San Francisco, CACalifornia | $166.23 | $2.81 |
| San Benito County, CACalifornia | $170.01 | $2.89 |
| Santa Clara County, CACalifornia | $169.97 | $2.84 |
| San Luis Obispo, CACalifornia | $134.61 | $2.60 |
| Santa Cruz, CACalifornia | $143.45 | $2.63 |
| Santa Maria, CACalifornia | $137.77 | $2.63 |
| Santa Rosa, CACalifornia | $144.98 | $2.65 |
| Stockton, CACalifornia | $129.61 | $2.58 |
| Vallejo, CACalifornia | $155.48 | $2.72 |
| Visalia, CACalifornia | $129.61 | $2.58 |
| Yuba City, CACalifornia | $129.61 | $2.58 |
| ColoradoColorado | $125.96 | $2.64 |
| ConnecticutConnecticut | $127.63 | $2.81 |
| DelawareDelaware | $117.15 | $2.64 |
| Atlanta, GAGeorgia | $120.51 | $2.75 |
| Rest of GeorgiaGeorgia | $106.08 | $2.70 |
| Hawaii, Guam, HIHawaii | $134.36 | $2.58 |
| IowaIowa | $108.49 | $2.44 |
| IdahoIdaho | $109.10 | $2.47 |
| East St. Louis, ILIllinois | $109.61 | $2.98 |
| Rest of IllinoisIllinois | $108.65 | $2.83 |
| Suburban Chicago, ILIllinois | $121.98 | $2.95 |
| IndianaIndiana | $109.92 | $2.48 |
| KansasKansas | $107.25 | $2.47 |
| KentuckyKentucky | $105.64 | $2.61 |
| New Orleans, LALouisiana | $111.76 | $2.70 |
| Rest of LouisianaLouisiana | $105.19 | $2.62 |
| Metropolitan Boston, MAMassachusetts | $141.17 | $2.78 |
| Rest of MassachusettsMassachusetts | $124.70 | $2.65 |
| Baltimore area, MDMaryland | $127.17 | $2.81 |
| Rest of MarylandMaryland | $119.96 | $2.67 |
| Rest of MaineMaine | $109.15 | $2.52 |
| Southern Maine, MEMaine | $117.40 | $2.55 |
| Detroit, MIMichigan | $114.73 | $2.89 |
| Rest of MichiganMichigan | $108.50 | $2.69 |
| MinnesotaMinnesota | $121.71 | $2.45 |
| Metropolitan Kansas City, MOMissouri | $111.48 | $2.64 |
| Metropolitan St. Louis, MOMissouri | $112.99 | $2.66 |
| Rest of MissouriMissouri | $102.52 | $2.62 |
| MississippiMississippi | $102.33 | $2.54 |
| MontanaMontana | $118.57 | $2.67 |
| North CarolinaNorth Carolina | $110.66 | $2.53 |
| North DakotaNorth Dakota | $118.37 | $2.47 |
| NebraskaNebraska | $109.42 | $2.44 |
| New HampshireNew Hampshire | $123.30 | $2.64 |
| Northern New JerseyNew Jersey | $137.32 | $2.87 |
| Rest of New JerseyNew Jersey | $129.38 | $2.82 |
| New MexicoNew Mexico | $108.99 | $2.71 |
| NevadaNevada | $118.63 | $2.62 |
| NYC suburbs and Long Island, NYNew York | $140.96 | $3.15 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $129.78 | $2.86 |
| Queens, NYNew York | $140.00 | $3.01 |
| Rest of New YorkNew York | $112.66 | $2.56 |
| OhioOhio | $108.46 | $2.65 |
| OklahomaOklahoma | $106.06 | $2.56 |
| Portland, OROregon | $131.42 | $2.66 |
| Rest of OregonOregon | $118.01 | $2.57 |
| Metropolitan Philadelphia, PAPennsylvania | $123.44 | $2.79 |
| Rest of PennsylvaniaPennsylvania | $109.02 | $2.63 |
| Puerto RicoPuerto Rico | $119.85 | $2.67 |
| Rhode IslandRhode Island | $122.41 | $2.69 |
| South CarolinaSouth Carolina | $109.69 | $2.60 |
| South DakotaSouth Dakota | $118.35 | $2.45 |
| TennesseeTennessee | $107.84 | $2.49 |
| Austin, TXTexas | $125.28 | $2.66 |
| Beaumont, TXTexas | $108.09 | $2.62 |
| Brazoria, TXTexas | $117.47 | $2.61 |
| Dallas, TXTexas | $118.08 | $2.64 |
| Fort Worth, TXTexas | $116.92 | $2.64 |
| Galveston, TXTexas | $117.72 | $2.63 |
| Houston, TXTexas | $117.90 | $2.81 |
| Rest of TexasTexas | $112.61 | $2.62 |
| UtahUtah | $111.57 | $2.62 |
| VirginiaVirginia | $116.50 | $2.57 |
| Virgin Islands, VIUnited States Virgin Islands | $119.85 | $2.67 |
| VermontVermont | $117.25 | $2.50 |
| Rest of WashingtonWashington | $124.68 | $2.64 |
| King County, WAWashington | $145.00 | $2.79 |
| WisconsinWisconsin | $113.46 | $2.43 |
| West VirginiaWest Virginia | $103.49 | $2.77 |
| WyomingWyoming | $118.49 | $2.59 |
95149 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$102.02
$149.81
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $126.98 | 1 |
| AL | $103.90 | 1 |
| AR | $102.02 | 1 |
| AZ | $114.92 | 1 |
| CA | $129.61–$170.01 | 29 |
| CO | $125.96 | 1 |
| CT | $127.63 | 1 |
| DC | $139.41 | 1 |
| DE | $117.15 | 1 |
| FL | $113.63–$123.85 | 3 |
| GA | $106.08–$120.51 | 2 |
| GU | $134.36 | 1 |
| HI | $134.36 | 1 |
| IA | $108.49 | 1 |
| ID | $109.10 | 1 |
| IL | $108.65–$121.98 | 4 |
| IN | $109.92 | 1 |
| KS | $107.25 | 1 |
| KY | $105.64 | 1 |
| LA | $105.19–$111.76 | 2 |
| MA | $124.70–$141.17 | 2 |
| MD | $119.96–$139.41 | 3 |
| ME | $109.15–$117.40 | 2 |
| MI | $108.50–$114.73 | 2 |
| MN | $121.71 | 1 |
| MO | $102.52–$112.99 | 3 |
| MS | $102.33 | 1 |
| MT | $118.57 | 1 |
| NC | $110.66 | 1 |
| ND | $118.37 | 1 |
| NE | $109.42 | 1 |
| NH | $123.30 | 1 |
| NJ | $129.38–$137.32 | 2 |
| NM | $108.99 | 1 |
| NV | $118.63 | 1 |
| NY | $112.66–$140.96 | 5 |
| OH | $108.46 | 1 |
| OK | $106.06 | 1 |
| OR | $118.01–$131.42 | 2 |
| PA | $109.02–$123.44 | 2 |
| PR | $119.85 | 1 |
| RI | $122.41 | 1 |
| SC | $109.69 | 1 |
| SD | $118.35 | 1 |
| TN | $107.84 | 1 |
| TX | $108.09–$125.28 | 8 |
| UT | $111.57 | 1 |
| VA | $116.50–$139.41 | 2 |
| VI | $119.85 | 1 |
| VT | $117.25 | 1 |
| WA | $124.68–$145.00 | 2 |
| WI | $113.46 | 1 |
| WV | $103.49 | 1 |
| WY | $118.49 | 1 |
How the 95149 rate is calculated
Each of 95149’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 · 95149
RVUs × geographic indexes × conversion factor
Work0.06
0.06 RVUs× 1.000 GPCI
Practice expense3.48
3.48 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
3.5500
Conversion factor
$33.4009
Medicare rate
$118.57
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Miami, FL inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,486
- Code
- 95149
- Physician work
- 0.06
- Practice expense
- 3.48
- Malpractice
- 0.01
GPCI2026.csv
42
- Locality
- Miami, FL
- Physician work
- 1.000
- Practice expense
- 1.041
- Malpractice
- 2.529
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.06 | × 1.000 | 0.0600 |
| Practice expense | 3.48 | × 1.041 | 3.6227 |
| Malpractice | 0.01 | × 2.529 | 0.0253 |
| Total RVUs | 3.7080 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Miami, FL$123.85
Office: (0.06 × 1 + 3.48 × 1.041 + 0.01 × 2.529) × $33.4009 = $123.85
Facility: (0.06 × 1 + 0.01 × 1.041 + 0.01 × 2.529) × $33.4009 = $3.20
Payment rules and modifiers for 95149
95149 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 95149
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$118.57
- Non-facility (office)
- $118.57
- Facility
- $2.67
Higher because the practice carries its own overhead.
How 95149 has changed in Miami, FL
95149 · Office / nonfacility
$123.85
Effective 2026-10-01
The base rate is $1.51 higher than on 2025-10-01, moving from $122.34 to $123.85 (1.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$122.34changed to$123.85
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 3.60 changed to 3.48
- Practice expense GPCI 1.027 changed to 1.041
- Malpractice GPCI 2.500 changed to 2.529
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$132.40changed to$122.34
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.79 changed to 3.60
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$130.23changed to$132.40
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$119.96changed to$130.23
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.37 changed to 3.79
- Practice expense GPCI 1.025 changed to 1.027
- Malpractice GPCI 2.564 changed to 2.500
January 1, 2023
RVU23A
$126.19changed to$119.96
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 3.48 changed to 3.37
- Practice expense GPCI 1.023 changed to 1.025
- Malpractice GPCI 2.629 changed to 2.564
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$126.87changed to$126.19
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.47 changed to 3.48
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$116.04changed to$126.87
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.05 changed to 3.47
- Practice expense GPCI 1.026 changed to 1.023
- Malpractice GPCI 2.598 changed to 2.629
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$110.63changed to$116.04
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.90 changed to 3.05
- Practice expense GPCI 1.029 changed to 1.026
- Malpractice GPCI 2.566 changed to 2.598
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$99.77changed to$110.63
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.61 changed to 2.90
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$95.93changed to$99.77
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.51 changed to 2.61
- Practice expense GPCI 1.031 changed to 1.029
- Malpractice GPCI 2.528 changed to 2.566
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$73.68changed to$95.93
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.91 changed to 2.51
- Practice expense GPCI 1.033 changed to 1.031
- Malpractice GPCI 2.490 changed to 2.528
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$73.95changed to$73.68
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$73.58changed to$73.95
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$73.78changed to$73.58
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.89 changed to 1.91
- Practice expense GPCI 1.044 changed to 1.033
- Malpractice GPCI 2.653 changed to 2.490
Held through RVU15B.
January 1, 2014
RVU14A
$78.31changed to$73.78
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 2.10 changed to 1.89
- Practice expense GPCI 1.054 changed to 1.044
- Malpractice GPCI 2.815 changed to 2.653
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $78.31
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $123.85 | $3.20 | RVU26D |
| 2026-07-01 | $123.85 | $3.20 | RVU26C |
| 2026-04-01 | $123.85 | $3.20 | RVU26B |
| 2026-01-01 | $123.85 | $3.20 | RVU26A |
| 2025-10-01 | $122.34 | $3.75 | RVU25D |
| 2025-07-01 | $122.34 | $3.75 | RVU25C |
| 2025-04-01 | $122.34 | $3.75 | RVU25B |
| 2025-01-01 | $122.34 | $3.75 | RVU25A |
| 2024-10-01 | $132.40 | $3.51 | RVU24D |
| 2024-07-01 | $132.40 | $3.51 | RVU24C |
| 2024-04-01 | $132.40 | $3.51 | RVU24B |
| 2024-03-09 | $132.40 | $3.51 | RVU24AR |
| 2024-01-01 | $130.23 | $3.46 | RVU24A |
| 2023-10-01 | $119.96 | $3.60 | RVU23D |
| 2023-07-01 | $119.96 | $3.60 | RVU23C |
| 2023-04-01 | $119.96 | $3.60 | RVU23B |
| 2023-01-01 | $119.96 | $3.60 | RVU23A |
| 2022-10-01 | $126.19 | $3.69 | RVU22D |
| 2022-07-01 | $126.19 | $3.69 | RVU22C |
| 2022-04-01 | $126.19 | $3.69 | RVU22B |
| 2022-01-01 | $126.19 | $3.69 | RVU22A |
| 2021-10-01 | $126.87 | $3.72 | RVU21D |
| 2021-07-01 | $126.87 | $3.72 | RVU21C |
| 2021-04-01 | $126.87 | $3.72 | RVU21B |
| 2021-01-01 | $126.87 | $3.72 | RVU21A |
| 2020-10-01 | $116.04 | $3.84 | RVU20D |
| 2020-07-01 | $116.04 | $3.84 | RVU20C |
| 2020-04-01 | $116.04 | $3.84 | RVU20B |
| 2020-01-01 | $116.04 | $3.84 | RVU20A |
| 2019-10-01 | $110.63 | $3.83 | RVU19D |
| 2019-07-01 | $110.63 | $3.83 | RVU19C |
| 2019-04-01 | $110.63 | $3.83 | RVU19B |
| 2019-01-01 | $110.63 | $3.83 | RVU19A |
| 2018-10-01 | $99.77 | $3.82 | RVU18D |
| 2018-07-01 | $99.77 | $3.82 | RVU18C |
| 2018-04-01 | $99.77 | $3.82 | RVU18B |
| 2018-01-01 | $99.77 | $3.82 | RVU18AR1 |
| 2017-10-01 | $95.93 | $3.80 | RVU17D |
| 2017-07-01 | $95.93 | $3.80 | RVU17C |
| 2017-04-01 | $95.93 | $3.80 | RVU17B |
| 2017-01-01 | $95.93 | $3.80 | RVU17A |
| 2016-10-01 | $73.68 | $3.78 | RVU16D |
| 2016-07-01 | $73.68 | $3.78 | RVU16C |
| 2016-04-01 | $73.68 | $3.78 | RVU16B |
| 2016-01-01 | $73.68 | $3.78 | RVU16A |
| 2015-10-01 | $73.95 | $3.79 | RVU15D |
| 2015-07-01 | $73.95 | $3.79 | RVU15C |
| 2015-04-01 | $73.58 | $3.77 | RVU15B |
| 2015-01-01 | $73.58 | $3.77 | RVU15A |
| 2014-10-01 | $73.78 | $3.85 | RVU14D |
| 2014-07-01 | $73.78 | $3.85 | RVU14C |
| 2014-04-01 | $73.78 | $3.85 | RVU14B |
| 2014-01-01 | $73.78 | $3.85 | RVU14A |
| 2013-10-01 | $78.31 | $3.72 | RVU13D |
| 2013-07-01 | $78.31 | $3.72 | RVU13C |
| 2013-04-01 | $78.31 | $3.72 | RVU13B |
| 2013-01-01 | $78.31 | $3.72 | RVU13AR |
Where the Miami, FL rate applies
Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.
- Miami
- Aventura
- Bal Harbour
- Bay Harbor Islands
- Big Coppitt Key
- Big Pine Key
- Biscayne Gardens
- Biscayne Park
95149 billing questions
How is 95149 different from 95148?
95149 is for preparation and provision involving five or more distinct stinging-insect venoms. 95148 is the adjacent level for four venoms.
Does 95149 include giving the injection?
No. It covers supervision of venom-antigen preparation and provision; report an appropriate injection service separately when an injection is administered.
Can 95149 be reported with 95134?
They represent different services: venom-antigen preparation and provision versus immunotherapy administration for five or more stinging-insect venoms. Report both when each service was performed and documented.
Is 95149 selected by the number of injection visits?
No. Select it according to the number of distinct venom types prepared, with this level representing five or more.
What documentation supports 95149?
Document the distinct stinging-insect venom types included and the preparation and provision service. The record should support that the service involved five or more venoms.
How does 95149 differ from 95165?
95149 is the level for five or more stinging-insect venoms. 95165 is used for allergen antigen preparation services outside this specific venom-count level.
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
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