95165
Professional services for allergen immunotherapy, per injection
Professional services for allergen immunotherapy, per injection is the #313 most-billed Medicaid procedure code, with $434.2M in payments across 2.9M claims from 2018–2024. The national median cost per claim is $144.04. Costs vary widely — the 90th percentile is $292.32 per claim, 2.0× the median.
Total Paid
$434.2M
0.04% of all spending
Total Claims
2.9M
Providers
2K
Avg Cost/Claim
$148
National Cost Distribution
How much do providers bill per claim for 95165? Based on 2K providers billing this code nationally.
Median
$144.04
Average
$162.82
Std Dev
$136.21
Max
$2,086.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $78.19 and $219.08 per claim for this code.
90% bill between $32.05 and $292.32.
Top 1% bill above $536.09.
About This Procedure
HCPCS code 95165 (Professional services for allergen immunotherapy, per injection) was billed by 2K providers across 2.9M claims, totaling $434.2M in Medicaid payments from 2018–2024. This code was used for 1.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$144.04
Providers Billing
2K
National Spending
$434.2M
Avg/Median Ratio
1.13×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95165
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1376598326 | $16.7M |
| 2 | 1881785947 | $15.2M |
| 3 | 1306078514 | $15.0M |
| 4 | 1073508347 | $9.7M |
| 5 | 1215995444 | $5.7M |
| 6 | 1841484235 | $5.0M |
| 7 | 1821288606 | $4.5M |
| 8 | 1770594129 | $4.5M |
| 9 | 1134153083 | $4.3M |
| 10 | 1639306731 | $4.3M |
| 11 | 1093779696 | $4.1M |
| 12 | 1700882388 | $3.8M |
| 13 | 1184789653 | $3.7M |
| 14 | 1679609465 | $3.5M |
| 15 | 1891834552 | $3.5M |
| 16 | 1912089335 | $3.3M |
| 17 | 1487611844 | $3.2M |
| 18 | 1235843608 | $3.0M |
| 19 | 1033139498 | $2.9M |
| 20 | 1467656009 | $2.9M |
Showing top 20 of 2K providers billing this code