$11.36–$12.17
95115 is for one allergen immunotherapy injection during an encounter; 95117 is for two or more. Do not bill 95115 per injection when 95117 describes the injections given.
On this page
CMS RVU26D · Effective 2026-10-01
95115 Allergy shot Medicare reimbursement rates in Michigan
Administration of one subcutaneous allergen immunotherapy injection during an encounter, reported separately from any preparation and supply of the allergenic extract. Compare 95115 office and facility rates across CMS payment localities in Michigan.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 95115 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$9.53–$10.23
2 of 2 localities have a supported rate.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Allergy and immunology
About 95115: Single allergen immunotherapy injection administration
Administration of one subcutaneous allergen immunotherapy injection during an encounter, reported separately from any preparation and supply of the allergenic extract.
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.
CMS billing rules for 95115
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.30 · 97%
- Malpractice RVU0.01 · 3%
681.1K
Medicare services in 2024 · #188 by national volume
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.
95115 compared with similar codes
Office rates for Michigan, from the same CMS release.
95120
No office rateImmunotherapy one injection
95120 combines a single injection with provision of the extract. Medicare uses 95115 for the administration and a separate preparation code when extract preparation is performed and reportable.
$14.59–$15.27
96372 describes administration of a therapeutic or prophylactic substance. Use 95115, rather than 96372, for one subcutaneous allergen immunotherapy injection.
$16.10–$17.07
95165 describes preparation and provision of immunotherapy extract doses; 95115 describes administering one injection. Preparation may take place on a different date from the shot.
Compare 95115 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Detroit →
Office / nonfacility
$10.23
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$9.53
Facility
Unavailable
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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,46995070,,Inhlj brncl challenge tstg,A,,0.00,1.16,,1.16,NA,0.03,1.19,1.19,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,47095076,,Ingest challenge ini 120 min,A,,1.50,2.13,,0.31,,0.06,3.69,1.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,47195079,,Ingest challenge addl 60 min,A,,1.38,1.11,,0.29,,0.05,2.54,1.72,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,47295115,,Immunotherapy one injection,A,,0.00,0.30,,0.30,NA,0.01,0.31,0.31,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,47395117,,Immunotherapy injections,A,,0.00,0.36,,0.36,NA,0.01,0.37,0.37,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,47495120,,Immunotherapy one injection,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,47595125,,Immunotherapy 2/> injections,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00