HCPCS 0003A
Other service (ClaimLight category; the code descriptor is not shown)
Other services Work RVU per service none (2022 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 2021–2023.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2023 | 12 | $26,913 | -99% | 653 | 20 | 170 | 0.00 |
| 2022 | 2,313 | $3,427,028 | -98% | 86,498 | 18 | 101 | 0.00 |
| 2021 | 33,157 | $165,392,888 | not in the 2020 file | 4,146,396 | 49 | 388 |
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 | |
|---|---|---|---|---|---|---|
| California | 209 | $309,380 | 7,238 | 19 | 116 | |
| Illinois | 97 | $248,186 | 6,157 | 19 | 157 | |
| New Jersey | 86 | $239,170 | 5,451 | 19 | 75 | |
| New York | 110 | $239,132 | 5,519 | 17 | 228 | |
| Florida | 82 | $237,771 | 6,205 | 20 | 279 | |
| Pennsylvania | 92 | $175,626 | 4,488 | 20 | 113 | |
| Texas | 129 | $173,009 | 4,429 | 18 | 125 | |
| Colorado | 24 | $162,039 | 3,996 | 18 | 125 | |
| Michigan | 139 | $124,435 | 3,285 | 21 | 44 | |
| Ohio | 79 | $111,909 | 2,997 | 15 | 169 | |
| Virginia | 88 | $88,899 | 2,176 | 17 | 58 | |
| North Carolina | 102 | $82,039 | 2,177 | 16 | 54 | |
| Arkansas | 60 | $77,716 | 2,203 | 17 | 105 | |
| Massachusetts | 49 | $76,895 | 1,758 | 17 | 115 | |
| Idaho | 24 | $67,475 | 1,684 | 24 | 176 |
Not listed: 13 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-NJ | 142 | $382,220 | 8,537 | 19 | |
| Chicago-Naperville-Elgin, IL-IN | 79 | $226,631 | 5,599 | 19 | |
| Denver-Aurora-Centennial, CO | 11 | $146,137 | 3,603 | 17 | |
| Los Angeles-Long Beach-Anaheim, CA | 67 | $115,955 | 2,677 | 22 | |
| Dallas-Fort Worth-Arlington, TX | 40 | $86,804 | 2,214 | 17 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 64 | $83,525 | 1,982 | 17 | |
| Tampa-St. Petersburg-Clearwater, FL | 21 | $80,363 | 2,167 | 19 | |
| Boston-Cambridge-Newton, MA-NH | 35 | $65,705 | 1,501 | 20 | |
| Detroit-Warren-Dearborn, MI | 67 | $63,241 | 1,655 | 22 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 38 | $59,308 | 1,326 | 17 | |
| Pittsburgh, PA | 12 | $45,703 | 1,206 | 17 | |
| Columbus, OH | 15 | $41,876 | 1,124 | 15 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 14 | $37,999 | 957 | 18 | |
| San Francisco-Oakland-Fremont, CA | 20 | $32,104 | 692 | 17 | |
| Baltimore-Columbia-Towson, MD | 33 | $31,683 | 750 | 17 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 43 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 0003A nationally
Mass Immunizer Roster Biller accounts for 43% of payment for 0003A nationally in 2022, across 9 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Mass Immunizer Roster Biller | 1,014 | 44% | $1,456,636 | 43% | 36,862 | 36 |
| Pharmacy | 252 | 11% | $576,622 | 17% | 14,647 | 58 |
| Centralized Flu | 391 | 17% | $463,476 | 14% | 11,471 | 29 |
| Family Practice | 250 | 11% | $326,834 | 9.5% | 8,399 | 34 |
| Internal Medicine | 213 | 9.2% | $256,020 | 7.5% | 6,420 | 30 |
| Clinical Laboratory | 31 | 1.3% | $86,380 | 2.5% | 2,136 | 69 |
| Nurse Practitioner | 38 | 1.6% | $57,540 | 1.7% | 1,494 | 39 |
| Emergency Medicine | 22 | 0.95% | $54,575 | 1.6% | 1,317 | 60 |
| Physician Assistant | 15 | 0.65% | $19,803 | 0.58% | 491 | 33 |
Not listed: 27 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 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