HCPCS 0012A
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 | 8 | fewer than 11 billers: figures not shown | 0.00 | ||||
| 2022 | 956 | $1,528,695 | -100% | 39,497 | 18 | 110 | 0.00 |
| 2021 | 40,028 | $353,496,088 | no comparison: 2020 has fewer than 11 billers | 10,138,551 | 75 | 791 | 0.00 |
| 2020 | 2 | fewer than 11 billers: figures not shown |
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 | 3,011 | $40,266,743 | 1,056,126 | 64 | 953 | |
| Florida | 2,434 | $29,937,959 | 878,106 | 104 | 1,521 | |
| New York | 2,558 | $24,090,226 | 623,855 | 89 | 823 | |
| Pennsylvania | 1,789 | $16,326,208 | 463,360 | 107 | 759 | |
| Texas | 3,229 | $15,018,156 | 433,429 | 57 | 442 | |
| Idaho | 242 | $13,560,031 | 388,757 | 73 | 813 | |
| Michigan | 1,396 | $13,475,971 | 389,524 | 87 | 808 | |
| Colorado | 814 | $12,736,513 | 358,269 | 77 | 453 | |
| Ohio | 1,437 | $12,211,983 | 378,070 | 113 | 718 | |
| Georgia | 1,612 | $12,138,871 | 378,670 | 126 | 749 | |
| North Carolina | 1,480 | $10,278,758 | 325,663 | 55 | 813 | |
| Illinois | 1,248 | $9,776,894 | 286,146 | 61 | 852 | |
| New Jersey | 908 | $8,928,277 | 225,975 | 61 | 839 | |
| Virginia | 1,325 | $8,766,660 | 240,527 | 59 | 772 | |
| Wisconsin | 753 | $8,190,152 | 251,976 | 105 | 857 |
Not listed: 1 billers with an armed-forces or unknown state code (AP); they are in the national totals.
Not listed: 1 state 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 | |
|---|---|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 2,192 | $18,989,784 | 459,297 | 62 | |
| Los Angeles-Long Beach-Anaheim, CA | 1,030 | $14,965,580 | 385,482 | 57 | |
| Boise City, ID | 63 | $12,833,084 | 365,997 | 110 | |
| Denver-Aurora-Centennial, CO | 439 | $10,854,430 | 304,000 | 78 | |
| San Francisco-Oakland-Fremont, CA | 231 | $7,337,236 | 182,472 | 59 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 740 | $6,366,229 | 165,813 | 105 | |
| Indianapolis-Carmel-Greenwood, IN | 164 | $5,715,288 | 188,995 | 138 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 521 | $5,706,502 | 163,094 | 85 | |
| Atlanta-Sandy Springs-Roswell, GA | 790 | $5,666,162 | 170,978 | 124 | |
| Detroit-Warren-Dearborn, MI | 601 | $5,661,749 | 158,346 | 71 | |
| Chicago-Naperville-Elgin, IL-IN | 872 | $5,125,590 | 142,392 | 63 | |
| Boston-Cambridge-Newton, MA-NH | 547 | $5,058,237 | 124,519 | 51 | |
| Phoenix-Mesa-Chandler, AZ | 636 | $4,996,904 | 150,815 | 77 | |
| Tampa-St. Petersburg-Clearwater, FL | 361 | $4,415,826 | 127,410 | 102 | |
| Riverside-San Bernardino-Ontario, CA | 335 | $3,724,215 | 101,756 | 110 |
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 0012A nationally
Mass Immunizer Roster Biller accounts for 47% of payment for 0012A nationally in 2021, across 35 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Mass Immunizer Roster Biller | 18,934 | 47% | $167,838,021 | 47% | 4,739,525 | 250 |
| Centralized Flu | 5,638 | 14% | $73,544,666 | 21% | 2,131,867 | 378 |
| Family Practice | 5,450 | 14% | $33,693,540 | 9.5% | 1,008,245 | 185 |
| Internal Medicine | 3,344 | 8.4% | $25,005,320 | 7.1% | 711,147 | 213 |
| Pharmacy | 1,813 | 4.5% | $13,671,206 | 3.9% | 396,944 | 219 |
| Pediatric Medicine | 177 | 0.44% | $9,854,981 | 2.8% | 258,661 | 1,461 |
| Nurse Practitioner | 2,027 | 5.1% | $6,205,114 | 1.8% | 193,969 | 96 |
| Emergency Medicine | 209 | 0.52% | $4,064,728 | 1.1% | 119,282 | 571 |
| Public Health or Welfare Agency | 174 | 0.43% | $3,559,513 | 1.0% | 110,103 | 633 |
| Physician Assistant | 833 | 2.1% | $2,121,072 | 0.60% | 65,981 | 79 |
| Infectious Disease | 66 | 0.16% | $1,702,803 | 0.48% | 49,055 | 743 |
| Clinical Laboratory | 240 | 0.60% | $1,577,119 | 0.45% | 45,830 | 191 |
| Allergy/ Immunology | 52 | 0.13% | $1,355,459 | 0.38% | 36,917 | 710 |
| Hospitalist | 32 | 0.08% | $1,281,226 | 0.36% | 35,074 | 1,096 |
| General Practice | 168 | 0.42% | $949,785 | 0.27% | 27,001 | 161 |
Not listed: 33 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 0012A 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