HCPCS 0004A

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

Other services Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

27
51st percentile among 6,405 codes billed · 2023
$54K
37th percentile among 6,405 codes billed · 2023
1,254
47th percentile among 6,405 codes billed · 2023
15
20th percentile among 6,405 codes billed · 2023
193
67th percentile among 6,405 codes billed · 2023
-99.7%
Medicare payment on the code vs 2022; billers -99.8% · 2023

Trend

Medicare payment on the code

$0$200M2021: $286M paid20212022: $19M paid20222023: $54K paid2023$54K$0$200M2021: $286M paid20212022: $19M paid20222023: $54K paid2023$54K$0$200M2021: $286M paid20212022: $19M paid20222023: $54K paid2023$54K$0$200M2021: $286M paid20212022: $19M paid20222023: $54K paid2023$54K

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

Billers

020K2021: 33K providers20212022: 11K providers20222023: 27 providers202327020K2021: 33K providers20212022: 11K providers20222023: 27 providers202327020K2021: 33K providers20212022: 11K providers20222023: 27 providers202327020K2021: 33K providers20212022: 11K providers20222023: 27 providers202327

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
202327$53,886-100%1,254151930.00
202211,002$19,203,903-93%484,19119115
202133,439$285,625,410not in the 2020 file7,051,914100590

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

By state

No state has a reportable line for 0004A in 2023.

Top metro areas

No metro area has a reportable line for 0004A in 2023.

Specialties billing 0004A nationally

observed calculated calculated calculated calculated calculated

Not listed: 9 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 2023.

Top billers of 0004A 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