HCPCS 0001A
Other service (ClaimLight category; the code descriptor is not shown)
Other services Work RVU per service none (2021 fee schedule; adds 0 work RVUs)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2023.
Billers
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2023.
| observed | calculated | calculated | calculated | calculated | calculated | reported | |
|---|---|---|---|---|---|---|---|
| 2023 | 10 | fewer than 11 billers: figures not shown | 0.00 | ||||
| 2022 | 542 | $1,287,884 | -99% | 32,092 | 23 | 175 | 0.00 |
| 2021 | 31,787 | $237,990,198 | +8870% | 9,283,229 | 59 | 883 | 0.00 |
| 2020 | 1,423 | $2,653,215 | first year in data | 158,053 | 68 | 286 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2023.
By state
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| California | 2,422 | $27,063,122 | 1,044,815 | 57 | 974 | |
| Texas | 2,493 | $14,707,148 | 563,337 | 63 | 590 | |
| Florida | 2,201 | $14,425,848 | 492,504 | 105 | 815 | |
| Colorado | 588 | $12,765,647 | 475,878 | 56 | 733 | |
| Pennsylvania | 1,393 | $12,490,660 | 473,955 | 44 | 1,336 | |
| Ohio | 1,484 | $10,524,055 | 462,043 | 58 | 1,075 | |
| New York | 1,601 | $9,737,951 | 333,625 | 44 | 957 | |
| Illinois | 1,203 | $9,396,037 | 363,412 | 69 | 871 | |
| Michigan | 966 | $7,719,939 | 316,883 | 71 | 1,297 | |
| Idaho | 184 | $7,589,908 | 264,968 | 93 | 4,628 | |
| Wisconsin | 746 | $6,027,421 | 265,872 | 97 | 861 | |
| North Carolina | 1,187 | $5,944,152 | 239,318 | 38 | 483 | |
| Georgia | 1,048 | $5,910,894 | 243,406 | 47 | 772 | |
| Virginia | 1,048 | $5,778,335 | 221,990 | 59 | 862 | |
| Massachusetts | 518 | $5,418,347 | 206,737 | 77 | 2,148 |
Not listed: 2 billers with an armed-forces or unknown state code (XX, ZZ); they are in the national totals.
Not listed: 3 states with fewer than 11 billers (small cells).
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2021.
Top metro areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| Denver-Aurora-Centennial, CO | 333 | $11,427,418 | 416,405 | 50 | |
| New York-Newark-Jersey City, NY-NJ | 1,364 | $10,063,819 | 318,321 | 50 | |
| Los Angeles-Long Beach-Anaheim, CA | 798 | $9,245,478 | 362,059 | 53 | |
| Boise City, ID | 80 | $6,959,826 | 235,555 | 137 | |
| San Francisco-Oakland-Fremont, CA | 268 | $6,459,921 | 255,767 | 63 | |
| Chicago-Naperville-Elgin, IL-IN | 775 | $5,499,386 | 198,950 | 65 | |
| Houston-Pasadena-The Woodlands, TX | 650 | $4,898,392 | 200,143 | 45 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 578 | $4,707,354 | 173,696 | 54 | |
| Indianapolis-Carmel-Greenwood, IN | 214 | $4,147,540 | 198,017 | 38 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 620 | $4,099,886 | 145,950 | 118 | |
| St. Louis, MO-IL | 255 | $4,003,245 | 159,587 | 72 | |
| Phoenix-Mesa-Chandler, AZ | 373 | $3,928,695 | 191,239 | 52 | |
| Atlanta-Sandy Springs-Roswell, GA | 588 | $3,745,314 | 153,489 | 49 | |
| Minneapolis-St. Paul-Bloomington, MN-WI | 558 | $3,683,654 | 154,350 | 35 | |
| Boston-Cambridge-Newton, MA-NH | 380 | $3,587,910 | 139,331 | 75 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.
Specialties billing 0001A nationally
Mass Immunizer Roster Biller accounts for 39% of payment for 0001A nationally in 2021, across 30 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Mass Immunizer Roster Biller | 15,932 | 50% | $91,971,740 | 39% | 3,487,055 | 219 |
| Centralized Flu | 6,534 | 21% | $59,297,088 | 25% | 2,060,555 | 315 |
| Family Practice | 3,249 | 10% | $25,358,789 | 11% | 1,116,003 | 343 |
| Internal Medicine | 1,822 | 5.7% | $23,045,477 | 9.7% | 981,836 | 539 |
| Pediatric Medicine | 130 | 0.41% | $6,684,042 | 2.8% | 283,629 | 2,182 |
| Nurse Practitioner | 1,495 | 4.7% | $5,014,349 | 2.1% | 233,425 | 156 |
| Pharmacy | 990 | 3.1% | $4,925,990 | 2.1% | 170,861 | 173 |
| Infectious Disease | 58 | 0.18% | $2,899,781 | 1.2% | 124,789 | 2,152 |
| Preventive Medicine | 16 | 0.05% | $2,336,991 | 0.98% | 114,691 | 7,168 |
| Emergency Medicine | 151 | 0.48% | $1,860,193 | 0.78% | 74,073 | 491 |
| Clinical Laboratory | 265 | 0.83% | $1,757,040 | 0.74% | 62,419 | 236 |
| Physician Assistant | 455 | 1.4% | $1,470,132 | 0.62% | 70,021 | 154 |
| Obstetrics & Gynecology | 30 | 0.09% | $1,290,762 | 0.54% | 55,353 | 1,845 |
| Hospitalist | 15 | 0.05% | $1,261,561 | 0.53% | 56,250 | 3,750 |
| Gastroenterology | 12 | 0.04% | $1,135,383 | 0.48% | 40,565 | 3,380 |
Not listed: 36 specialties with fewer than 11 billers (small cells).
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2021.
Top billers of 0001A nationally
Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.
Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations