CPT code 95165: Allergy extract preparation, multidose vials, per dose2026 Medicare rate & RVUs in Arizona
Physician-supervised preparation of allergen extract in multidose vials for allergy shots, reported by doses prepared rather than injections administered.
In Arizona, Medicare pays $16.85 for 95165 in the office and $2.61 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 95165 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 95165 covers
This service covers an allergist's selection of allergens and concentrations and supervision of custom extract preparation in multidose vials. Allergy and immunology practices typically prepare extracts after testing and clinical history identify relevant sensitivities to pollens, molds, dust mites, or animal dander. The preparing practice may administer the shots or send the extract to another office, such as a primary care clinic. Preparation does not include administering an injection.
Report units based on doses prepared, not shots given. For Medicare, one dose is a 1 mL aliquot from a multidose vial, regardless of the volume injected at a visit; a 10 mL vial therefore supports 10 units. The record should identify each vial's allergens, concentration, volume, preparation date, and supervising physician. When administered, injections are reported separately with 95115 for one injection or 95117 for two or more. CMS assigns substantially more practice-expense RVUs to this service in the office than in a facility.
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 Arizona compares for 95165
Across 109 of 109 payment localities, the office rate for 95165 runs from $15.09 in Arkansas to $24.08 in San Benito County, CA. Arizona pays $16.85. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arizona · this page$16.85
- Los Angeles, CA · California$20.09+$3.24
- Washington, DC area · District of Columbia$20.19+$3.34
- Miami, FL · Florida$18.50+$1.65
- Chicago, IL · Illinois$17.89+$1.04
- Manhattan, NY · New York$20.13+$3.28
- Alaska · Alaska$19.20+$2.35
Other areas in Arizona first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $15.34 | $2.49 |
| ArkansasArkansas | $15.09 | $2.46 |
| Bakersfield, CACalifornia | $18.72 | $2.61 |
| Chico, CACalifornia | $18.69 | $2.58 |
| El Centro, CACalifornia | $18.69 | $2.58 |
| Fresno, CACalifornia | $18.69 | $2.58 |
| Hanford, CACalifornia | $18.69 | $2.58 |
| Madera, CACalifornia | $18.69 | $2.58 |
| Merced, CACalifornia | $18.69 | $2.58 |
| Modesto, CACalifornia | $18.69 | $2.58 |
| Napa, CACalifornia | $22.11 | $2.74 |
| Oxnard, CACalifornia | $20.03 | $2.66 |
| Redding, CACalifornia | $18.69 | $2.58 |
| Rest of CaliforniaCalifornia | $18.69 | $2.58 |
| Riverside, CACalifornia | $18.80 | $2.69 |
| Sacramento, CACalifornia | $19.74 | $2.64 |
| Salinas, CACalifornia | $19.67 | $2.63 |
| San Diego, CACalifornia | $20.22 | $2.64 |
| Marin County, CACalifornia | $23.54 | $2.82 |
| San Francisco, CACalifornia | $23.53 | $2.81 |
| San Benito County, CACalifornia | $24.08 | $2.89 |
| Santa Clara County, CACalifornia | $24.03 | $2.84 |
| San Luis Obispo, CACalifornia | $19.34 | $2.60 |
| Santa Cruz, CACalifornia | $20.49 | $2.63 |
| Santa Maria, CACalifornia | $19.76 | $2.63 |
| Santa Rosa, CACalifornia | $20.70 | $2.65 |
| Stockton, CACalifornia | $18.69 | $2.58 |
| Vallejo, CACalifornia | $22.09 | $2.72 |
| Visalia, CACalifornia | $18.69 | $2.58 |
| Yuba City, CACalifornia | $18.69 | $2.58 |
| ColoradoColorado | $18.28 | $2.64 |
| ConnecticutConnecticut | $18.64 | $2.81 |
| DelawareDelaware | $17.16 | $2.64 |
| Fort Lauderdale, FLFlorida | $17.83 | $2.95 |
| Rest of FloridaFlorida | $16.88 | $2.83 |
| Atlanta, GAGeorgia | $17.68 | $2.75 |
| Rest of GeorgiaGeorgia | $15.81 | $2.70 |
| Hawaii, Guam, HIHawaii | $19.29 | $2.58 |
| IowaIowa | $15.89 | $2.44 |
| IdahoIdaho | $15.99 | $2.47 |
| East St. Louis, ILIllinois | $16.50 | $2.98 |
| Rest of IllinoisIllinois | $16.25 | $2.83 |
| Suburban Chicago, ILIllinois | $18.05 | $2.95 |
| IndianaIndiana | $16.10 | $2.48 |
| KansasKansas | $15.76 | $2.47 |
| KentuckyKentucky | $15.67 | $2.61 |
| New Orleans, LALouisiana | $16.53 | $2.70 |
| Rest of LouisianaLouisiana | $15.63 | $2.62 |
| Metropolitan Boston, MAMassachusetts | $20.33 | $2.78 |
| Rest of MassachusettsMassachusetts | $18.13 | $2.65 |
| Baltimore area, MDMaryland | $18.58 | $2.81 |
| Rest of MarylandMaryland | $17.54 | $2.67 |
| Rest of MaineMaine | $16.04 | $2.52 |
| Southern Maine, MEMaine | $17.11 | $2.55 |
| Detroit, MIMichigan | $17.07 | $2.89 |
| Rest of MichiganMichigan | $16.10 | $2.69 |
| MinnesotaMinnesota | $17.57 | $2.45 |
| Metropolitan Kansas City, MOMissouri | $16.44 | $2.64 |
| Metropolitan St. Louis, MOMissouri | $16.65 | $2.66 |
| Rest of MissouriMissouri | $15.29 | $2.62 |
| MississippiMississippi | $15.19 | $2.54 |
| MontanaMontana | $17.37 | $2.67 |
| North CarolinaNorth Carolina | $16.24 | $2.53 |
| North DakotaNorth Dakota | $17.17 | $2.47 |
| NebraskaNebraska | $16.00 | $2.44 |
| New HampshireNew Hampshire | $17.94 | $2.64 |
| Northern New JerseyNew Jersey | $19.92 | $2.87 |
| Rest of New JerseyNew Jersey | $18.86 | $2.82 |
| New MexicoNew Mexico | $16.19 | $2.71 |
| NevadaNevada | $17.33 | $2.62 |
| NYC suburbs and Long Island, NYNew York | $20.62 | $3.15 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $18.96 | $2.86 |
| Queens, NYNew York | $20.38 | $3.01 |
| Rest of New YorkNew York | $16.52 | $2.56 |
| OhioOhio | $16.06 | $2.65 |
| OklahomaOklahoma | $15.69 | $2.56 |
| Portland, OROregon | $18.98 | $2.66 |
| Rest of OregonOregon | $17.21 | $2.57 |
| Metropolitan Philadelphia, PAPennsylvania | $18.09 | $2.79 |
| Rest of PennsylvaniaPennsylvania | $16.12 | $2.63 |
| Puerto RicoPuerto Rico | $17.53 | $2.67 |
| Rhode IslandRhode Island | $17.87 | $2.69 |
| South CarolinaSouth Carolina | $16.18 | $2.60 |
| South DakotaSouth Dakota | $17.15 | $2.45 |
| TennesseeTennessee | $15.85 | $2.49 |
| Austin, TXTexas | $18.21 | $2.66 |
| Beaumont, TXTexas | $15.99 | $2.62 |
| Brazoria, TXTexas | $17.18 | $2.61 |
| Dallas, TXTexas | $17.28 | $2.64 |
| Fort Worth, TXTexas | $17.13 | $2.64 |
| Galveston, TXTexas | $17.22 | $2.63 |
| Houston, TXTexas | $17.40 | $2.81 |
| Rest of TexasTexas | $16.57 | $2.62 |
| UtahUtah | $16.43 | $2.62 |
| VirginiaVirginia | $17.01 | $2.57 |
| Virgin Islands, VIUnited States Virgin Islands | $17.53 | $2.67 |
| VermontVermont | $17.05 | $2.50 |
| Rest of WashingtonWashington | $18.11 | $2.64 |
| King County, WAWashington | $20.82 | $2.79 |
| WisconsinWisconsin | $16.51 | $2.43 |
| West VirginiaWest Virginia | $15.54 | $2.77 |
| WyomingWyoming | $17.28 | $2.59 |
95165 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.
$15.09
$21.38
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 | $19.20 | 1 |
| AL | $15.34 | 1 |
| AR | $15.09 | 1 |
| AZ | $16.85 | 1 |
| CA | $18.69–$24.08 | 29 |
| CO | $18.28 | 1 |
| CT | $18.64 | 1 |
| DC | $20.19 | 1 |
| DE | $17.16 | 1 |
| FL | $16.88–$18.50 | 3 |
| GA | $15.81–$17.68 | 2 |
| GU | $19.29 | 1 |
| HI | $19.29 | 1 |
| IA | $15.89 | 1 |
| ID | $15.99 | 1 |
| IL | $16.25–$18.05 | 4 |
| IN | $16.10 | 1 |
| KS | $15.76 | 1 |
| KY | $15.67 | 1 |
| LA | $15.63–$16.53 | 2 |
| MA | $18.13–$20.33 | 2 |
| MD | $17.54–$20.19 | 3 |
| ME | $16.04–$17.11 | 2 |
| MI | $16.10–$17.07 | 2 |
| MN | $17.57 | 1 |
| MO | $15.29–$16.65 | 3 |
| MS | $15.19 | 1 |
| MT | $17.37 | 1 |
| NC | $16.24 | 1 |
| ND | $17.17 | 1 |
| NE | $16.00 | 1 |
| NH | $17.94 | 1 |
| NJ | $18.86–$19.92 | 2 |
| NM | $16.19 | 1 |
| NV | $17.33 | 1 |
| NY | $16.52–$20.62 | 5 |
| OH | $16.06 | 1 |
| OK | $15.69 | 1 |
| OR | $17.21–$18.98 | 2 |
| PA | $16.12–$18.09 | 2 |
| PR | $17.53 | 1 |
| RI | $17.87 | 1 |
| SC | $16.18 | 1 |
| SD | $17.15 | 1 |
| TN | $15.85 | 1 |
| TX | $15.99–$18.21 | 8 |
| UT | $16.43 | 1 |
| VA | $17.01–$20.19 | 2 |
| VI | $17.53 | 1 |
| VT | $17.05 | 1 |
| WA | $18.11–$20.82 | 2 |
| WI | $16.51 | 1 |
| WV | $15.54 | 1 |
| WY | $17.28 | 1 |
How the 95165 rate is calculated
Each of 95165’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 · 95165
RVUs × geographic indexes × conversion factor
Work0.06
0.06 RVUs× 1.000 GPCI
Practice expense0.45
0.45 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.5200
Conversion factor
$33.4009
Medicare rate
$17.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arizona inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,487
- Code
- 95165
- Physician work
- 0.06
- Practice expense
- 0.45
- Malpractice
- 0.01
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.06 | × 1.000 | 0.0600 |
| Practice expense | 0.45 | × 0.969 | 0.4360 |
| Malpractice | 0.01 | × 0.856 | 0.0086 |
| Total RVUs | 0.5046 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Arizona$16.85
Office: (0.06 × 1 + 0.45 × 0.969 + 0.01 × 0.856) × $33.4009 = $16.85
Facility: (0.06 × 1 + 0.01 × 0.969 + 0.01 × 0.856) × $33.4009 = $2.61
Payment rules and modifiers for 95165
95165 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 · 95165
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$17.37
- Non-facility (office)
- $17.37
- Facility
- $2.67
Higher because the practice carries its own overhead.
How 95165 has changed in Arizona
95165 · Office / nonfacility
$16.85
Effective 2026-10-01
The base rate is $3.28 higher than on 2025-10-01, moving from $13.57 to $16.85 (24.2%).
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
$13.57changed to$16.85
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.36 changed to 0.45
- Practice expense GPCI 0.975 changed to 0.969
- Malpractice GPCI 0.854 changed to 0.856
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$14.29changed to$13.57
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.37 changed to 0.36
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$14.06changed to$14.29
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$14.72changed to$14.06
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.38 changed to 0.37
- Practice expense GPCI 0.963 changed to 0.975
- Malpractice GPCI 0.855 changed to 0.854
January 1, 2023
RVU23A
$15.21changed to$14.72
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.39 changed to 0.38
- Practice expense GPCI 0.951 changed to 0.963
- Malpractice GPCI 0.857 changed to 0.855
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$15.33changed to$15.21
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$14.26changed to$15.33
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.34 changed to 0.39
- Practice expense GPCI 0.961 changed to 0.951
- Malpractice GPCI 0.846 changed to 0.857
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$14.01changed to$14.26
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.33 changed to 0.34
- Practice expense GPCI 0.971 changed to 0.961
- Malpractice GPCI 0.834 changed to 0.846
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$12.95changed to$14.01
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.30 changed to 0.33
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$13.08changed to$12.95
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.986 changed to 0.971
- Malpractice GPCI 0.856 changed to 0.834
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$12.85changed to$13.08
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.29 changed to 0.30
- Practice expense GPCI 1.000 changed to 0.986
- Malpractice GPCI 0.877 changed to 0.856
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$12.89changed to$12.85
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$12.83changed to$12.89
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$12.76changed to$12.83
- Conversion factor 35.8228 changed to 35.7547
- Practice expense GPCI 0.989 changed to 1.000
- Malpractice GPCI 0.946 changed to 0.877
Held through RVU15B.
January 1, 2014
RVU14A
$13.03changed to$12.76
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.32 changed to 0.29
- Practice expense GPCI 0.978 changed to 0.989
- Malpractice GPCI 1.015 changed to 0.946
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $13.03
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $16.85 | $2.61 | RVU26D |
| 2026-07-01 | $16.85 | $2.61 | RVU26C |
| 2026-04-01 | $16.85 | $2.61 | RVU26B |
| 2026-01-01 | $16.85 | $2.61 | RVU26A |
| 2025-10-01 | $13.57 | $3.16 | RVU25D |
| 2025-07-01 | $13.57 | $3.16 | RVU25C |
| 2025-04-01 | $13.57 | $3.16 | RVU25B |
| 2025-01-01 | $13.57 | $3.16 | RVU25A |
| 2024-10-01 | $14.29 | $3.26 | RVU24D |
| 2024-07-01 | $14.29 | $3.26 | RVU24C |
| 2024-04-01 | $14.29 | $3.26 | RVU24B |
| 2024-03-09 | $14.29 | $3.26 | RVU24AR |
| 2024-01-01 | $14.06 | $3.20 | RVU24A |
| 2023-10-01 | $14.72 | $3.30 | RVU23D |
| 2023-07-01 | $14.72 | $3.30 | RVU23C |
| 2023-04-01 | $14.72 | $3.30 | RVU23B |
| 2023-01-01 | $14.72 | $3.30 | RVU23A |
| 2022-10-01 | $15.21 | $3.03 | RVU22D |
| 2022-07-01 | $15.21 | $3.03 | RVU22C |
| 2022-04-01 | $15.21 | $3.03 | RVU22B |
| 2022-01-01 | $15.21 | $3.03 | RVU22A |
| 2021-10-01 | $15.33 | $3.06 | RVU21D |
| 2021-07-01 | $15.33 | $3.06 | RVU21C |
| 2021-04-01 | $15.33 | $3.06 | RVU21B |
| 2021-01-01 | $15.33 | $3.06 | RVU21A |
| 2020-10-01 | $14.26 | $3.16 | RVU20D |
| 2020-07-01 | $14.26 | $3.16 | RVU20C |
| 2020-04-01 | $14.26 | $3.16 | RVU20B |
| 2020-01-01 | $14.26 | $3.16 | RVU20A |
| 2019-10-01 | $14.01 | $3.16 | RVU19D |
| 2019-07-01 | $14.01 | $3.16 | RVU19C |
| 2019-04-01 | $14.01 | $3.16 | RVU19B |
| 2019-01-01 | $14.01 | $3.16 | RVU19A |
| 2018-10-01 | $12.95 | $3.16 | RVU18D |
| 2018-07-01 | $12.95 | $3.16 | RVU18C |
| 2018-04-01 | $12.95 | $3.16 | RVU18B |
| 2018-01-01 | $12.95 | $3.16 | RVU18AR1 |
| 2017-10-01 | $13.08 | $3.17 | RVU17D |
| 2017-07-01 | $13.08 | $3.17 | RVU17C |
| 2017-04-01 | $13.08 | $3.17 | RVU17B |
| 2017-01-01 | $13.08 | $3.17 | RVU17A |
| 2016-10-01 | $12.85 | $3.18 | RVU16D |
| 2016-07-01 | $12.85 | $3.18 | RVU16C |
| 2016-04-01 | $12.85 | $3.18 | RVU16B |
| 2016-01-01 | $12.85 | $3.18 | RVU16A |
| 2015-10-01 | $12.89 | $3.19 | RVU15D |
| 2015-07-01 | $12.89 | $3.19 | RVU15C |
| 2015-04-01 | $12.83 | $3.17 | RVU15B |
| 2015-01-01 | $12.83 | $3.17 | RVU15A |
| 2014-10-01 | $12.76 | $3.20 | RVU14D |
| 2014-07-01 | $12.76 | $3.20 | RVU14C |
| 2014-04-01 | $12.76 | $3.20 | RVU14B |
| 2014-01-01 | $12.76 | $3.20 | RVU14A |
| 2013-10-01 | $13.03 | $3.38 | RVU13D |
| 2013-07-01 | $13.03 | $3.38 | RVU13C |
| 2013-04-01 | $13.03 | $3.38 | RVU13B |
| 2013-01-01 | $13.03 | $3.38 | RVU13AR |
Where the Arizona rate applies
Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.
- Aguila
- Ajo
- Ak Chin
- Ak-Chin Village
- Alamo Lake
- Ali Chuk
- Ali Chukson
- Ali Molina
95165 billing questions
How many units should be billed for a multidose vial?
Medicare counts one unit per 1 mL aliquot from the vial: a 5 mL vial supports 5 units, and a 10 mL vial supports 10. The volume injected at each visit does not change that count.
Can 95165 be billed on the same day as an injection code?
Yes, when extract preparation and administration both occur that day. Report preparation with 95165 and administration with 95115 for one injection or 95117 for two or more.
What if the allergist prepares the extract but another physician gives the shots?
The preparing practice reports 95165 for the doses prepared. The administering practice reports 95115 or 95117 for injections it gives, rather than reporting 95165 for extract it did not prepare.
Should the complete-service codes 95120 through 95134 be used for Medicare patients?
No. Medicare does not recognize those combined injection-and-extract codes. Report the appropriate injection and antigen preparation codes separately when both services are furnished.
When is 95144 used instead of 95165?
Use 95144 for extract prepared in single-dose vials. Use 95165 for extract prepared in multidose vials, with units based on the doses the vials contain.
Can an E/M visit be billed on an injection day?
A separately identifiable evaluation of new symptoms may be reported when it goes beyond routine injection screening and is documented. Append modifier 25 to the E/M code.
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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