HCPCS 0003A

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

Other services

33,157
99th percentile among 6,253 codes billed · 2021
$165M
98th percentile among 6,253 codes billed · 2021
4.1M
98th percentile among 6,253 codes billed · 2021
49
74th percentile among 6,253 codes billed · 2021
388
78th percentile among 6,253 codes billed · 2021

Trend

Medicare payment on the code

$0$100M2021: $165M paid20212022: $3.4M paid20222023: $27K paid2023$27K$0$100M2021: $165M paid20212022: $3.4M paid20222023: $27K paid2023$27K$0$100M2021: $165M paid20212022: $3.4M paid20222023: $27K paid2023$27K$0$100M2021: $165M paid20212022: $3.4M paid20222023: $27K paid2023$27K

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2021–2023.

Billers

020K2021: 33K providers20212022: 2,313 providers20222023: 12 providers202312020K2021: 33K providers20212022: 2,313 providers20222023: 12 providers202312020K2021: 33K providers20212022: 2,313 providers20222023: 12 providers202312020K2021: 33K providers20212022: 2,313 providers20222023: 12 providers202312

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2021–2023.

observed calculated calculated calculated calculated calculated reported
202312$26,913-99%653201700.00
20222,313$3,427,028-98%86,498181010.00
202133,157$165,392,888not in the 2020 file4,146,39649388

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2021–2023.

By state

observed calculated calculated calculated calculated calculated
California2,609$14,856,314336,49555317
Colorado541$11,043,285272,49254397
Florida2,609$10,469,856264,07852330
Texas2,477$9,857,545247,41642248
Michigan1,110$8,448,608219,42882819
New York1,665$7,539,837175,75755361
Pennsylvania1,734$7,387,148187,71445332
Idaho204$7,182,349174,45144865
Ohio1,429$6,339,785167,00053409
North Carolina1,291$5,999,715157,42052424
Illinois1,047$5,005,770123,43945419
Wisconsin749$4,820,057126,72373594
Washington761$3,951,25896,07452439
New Jersey772$3,576,84080,44259307
Virginia996$3,560,51787,13340322

Not listed: 1 billers with an armed-forces or unknown state code (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, CO284$9,951,922245,14258
Boise City, ID128$6,756,608162,76935
New York-Newark-Jersey City, NY-NJ1,435$6,603,116144,25455
Los Angeles-Long Beach-Anaheim, CA912$4,449,996100,82962
San Francisco-Oakland-Fremont, CA305$4,173,76589,49855
Miami-Fort Lauderdale-West Palm Beach, FL751$4,028,21398,90964
Houston-Pasadena-The Woodlands, TX716$4,003,62298,60842
Chicago-Naperville-Elgin, IL-IN720$3,915,73795,23050
Detroit-Warren-Dearborn, MI492$3,559,15290,40292
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD709$3,075,59372,45458
Pittsburgh, PA495$2,600,74767,25647
Seattle-Tacoma-Bellevue, WA459$2,357,47256,33651
Dallas-Fort Worth-Arlington, TX575$2,292,60557,53946
Phoenix-Mesa-Chandler, AZ340$2,176,73256,23096
Boston-Cambridge-Newton, MA-NH354$2,124,60048,71469

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 0003A nationally

Mass Immunizer Roster Biller accounts for 39% of payment for 0003A nationally in 2021, across 28 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller15,91648%$64,140,15739%1,623,446102
Centralized Flu6,72620%$59,293,92236%1,468,494218
Family Practice4,38413%$12,386,1237.5%317,76872
Internal Medicine2,5087.6%$10,271,7296.2%256,125102
Pharmacy1,1853.6%$6,680,5404.0%169,692143
Infectious Disease500.15%$3,517,9672.1%79,6291,593
Nurse Practitioner1,0183.1%$1,611,1640.97%42,44242
Clinical Laboratory2230.67%$1,380,7230.83%35,864161
Emergency Medicine1120.34%$949,1080.57%23,513210
Pediatric Medicine950.29%$902,2810.55%22,292235
General Practice1380.42%$721,1070.44%18,119131
Public Health or Welfare Agency480.14%$566,4600.34%14,687306
Physician Assistant3781.1%$472,5360.29%12,22732
Hospitalist190.06%$313,2820.19%7,789410
All Other Suppliers250.08%$154,6670.09%3,933157

Not listed: 32 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 0003A 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