HCPCS 0001A

Other service (ClaimLight category; the code descriptor is not shown)

Other services Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

542
81st percentile among 6,326 codes billed · 2022
$1.3M
72nd percentile among 6,326 codes billed · 2022
32K
77th percentile among 6,326 codes billed · 2022
23
48th percentile among 6,326 codes billed · 2022
175
67th percentile among 6,326 codes billed · 2022
-99.5%
Medicare payment on the code vs 2021; billers -98.3% · 2022

Trend

Medicare payment on the code

$0$100M$200M2020: $2.7M paid20202021: $238M paid20212022: $1.3M paid2022$1.3M$0$100M$200M2020: $2.7M paid20202021: $238M paid20212022: $1.3M paid2022$1.3M$0$100M$200M2020: $2.7M paid20202021: $238M paid20212022: $1.3M paid2022$1.3M$0$100M$200M2020: $2.7M paid20202021: $238M paid20212022: $1.3M paid2022$1.3M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2023.

Billers

020K2020: 1,423 providers20202021: 32K providers20212022: 542 providers20222023: 10 providers202310020K2020: 1,423 providers20202021: 32K providers20212022: 542 providers20222023: 10 providers202310020K2020: 1,423 providers20202021: 32K providers20212022: 542 providers20222023: 10 providers202310020K2020: 1,423 providers20202021: 32K providers20212022: 542 providers20222023: 10 providers202310

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
202310fewer than 11 billers: figures not shown0.00
2022542$1,287,884-99%32,092231750.00
202131,787$237,990,198+8870%9,283,229598830.00
20201,423$2,653,215first year in data158,05368286

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
California107$381,1368,87625269
New Jersey26$199,4904,98232157
Florida30$116,1243,04430344
New York30$56,3201,37719204
Texas38$49,7051,2792089
Pennsylvania26$35,16789617157
Virginia17$34,63689222142
Illinois21$34,17785328105
Massachusetts11$26,39659533183
Washington12$19,70749018130
Arkansas19$18,6375271965
Maryland11$14,7073461899
Mississippi12$13,2493751992
North Carolina12$9,9452652135

Not listed: 33 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ47$245,3836,09827
Los Angeles-Long Beach-Anaheim, CA27$59,4691,43027
San Francisco-Oakland-Fremont, CA18$40,62788623
Chicago-Naperville-Elgin, IL-IN20$28,60970927
Boston-Cambridge-Newton, MA-NH11$25,74458026
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD11$25,72563415
Dallas-Fort Worth-Arlington, TX11$19,11848318

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 7 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 0001A nationally

Mass Immunizer Roster Biller accounts for 43% of payment for 0001A nationally in 2022, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller22542%$547,44043%13,90062
Pharmacy14627%$302,30823%7,72653
Internal Medicine468.5%$138,46811%3,28871
Family Practice356.5%$114,6808.9%2,60774
Centralized Flu163.0%$83,0266.4%2,080130
Clinical Laboratory183.3%$22,3051.7%58633
Nurse Practitioner152.8%$13,9591.1%34423

Not listed: 12 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 2022.

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