{
    "code": "95004",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/95004/2015/D",
    "release_specific_url": "https://localishealth.com/cpt/95004/2015/D",
    "description": "Allergy testing in which small amounts of prepared allergen extracts are introduced into the surface of the skin, usually on the forearm or back, by pricking or scratching rather than by deep injection. A raised itchy bump surrounding a red flare within about fifteen minutes signals a reaction to that allergen, and a histamine and a saline spot are placed alongside as controls. The record is kept per individual allergen applied, so a panel covering many pollens, foods, moulds and animal danders is counted by the number of separate tests placed.",
    "answer": {
        "question": "How much did Medicare pay for CPT 95004 in Q4 2015?",
        "text": "Medicare paid $6.47 for CPT 95004 in the office (non-facility) setting and $6.47 in a facility under the Q4 2015 Physician Fee Schedule, effective October 2015. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.5% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2015,
        "quarter": "D",
        "label": "Q4 2015",
        "effective": "October 1 – December 31, 2015",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 6.47,
        "facility": 6.47,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.01,
        "practice_expense_non_facility": 0.16,
        "practice_expense_facility": 0.16,
        "malpractice": 0.01
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.9335,
    "source": {
        "label": "Physician relative value file (Q4 2015)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2015/D",
        "file": "PPRRVU15_OCT05_V1001.csv",
        "row": 15457,
        "sha256": "302a55af716b26df5b42e80da7b2bd7cf5268007658df88133553f5e4e75523f"
    },
    "modified_at": "2026-08-04T03:06:14+00:00"
}