HCPCS 0012A

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

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

956
85th percentile among 6,326 codes billed · 2022
$1.5M
74th percentile among 6,326 codes billed · 2022
39K
79th percentile among 6,326 codes billed · 2022
18
34th percentile among 6,326 codes billed · 2022
110
57th percentile among 6,326 codes billed · 2022
-99.6%
Medicare payment on the code vs 2021; billers -97.6% · 2022

Trend

Medicare payment on the code

$0$200M2021: $353M paid20212022: $1.5M paid2022$1.5M$0$200M2021: $353M paid20212022: $1.5M paid2022$1.5M$0$200M2021: $353M paid20212022: $1.5M paid2022$1.5M$0$200M2021: $353M paid20212022: $1.5M paid2022$1.5M

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

Billers

020K40K2020: 2 providers20202021: 40K providers20212022: 956 providers20222023: 8 providers20238020K40K2020: 2 providers20202021: 40K providers20212022: 956 providers20222023: 8 providers20238020K40K2020: 2 providers20202021: 40K providers20212022: 956 providers20222023: 8 providers20238020K40K2020: 2 providers20202021: 40K providers20212022: 956 providers20222023: 8 providers20238

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
20238fewer than 11 billers: figures not shown0.00
2022956$1,528,695-100%39,497181100.00
202140,028$353,496,088no comparison: 2020 has fewer than 11 billers10,138,551757910.00
20202fewer 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
California115$192,9424,72322134
Florida54$75,4021,9671894
New York58$68,3151,6511586
New Jersey35$61,8611,47919156
North Carolina41$59,2331,58421133
Pennsylvania26$50,3361,30818248
Maryland39$47,2551,1571894
Texas48$44,4771,1661753
Illinois43$39,9331,0161558
Tennessee37$39,8551,10319104
Washington28$38,15896416110
Indiana11$31,68986626297
Mississippi26$29,5448391774
Michigan30$29,1087561856
Louisiana18$28,8808073297

Not listed: 24 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-NJ77$113,5822,71418
Los Angeles-Long Beach-Anaheim, CA38$85,1012,08126
Chicago-Naperville-Elgin, IL-IN28$25,04162315
Baltimore-Columbia-Towson, MD20$23,11156219
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD15$19,55948018
Seattle-Tacoma-Bellevue, WA12$17,90044814
Washington-Arlington-Alexandria, DC-VA-MD-WV13$15,72337714
Boston-Cambridge-Newton, MA-NH17$14,23933516
North Port-Bradenton-Sarasota, FL11$14,19037128
Detroit-Warren-Dearborn, MI12$13,62934319
Miami-Fort Lauderdale-West Palm Beach, FL12$13,44134016

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 11 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 0012A nationally

Mass Immunizer Roster Biller accounts for 44% of payment for 0012A nationally in 2022, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller43145%$665,25944%17,19640
Centralized Flu22323%$363,04424%9,09741
Pharmacy19921%$317,90721%8,32242
Clinical Laboratory161.7%$39,1162.6%1,03164
Internal Medicine333.5%$36,3162.4%93528
Family Practice272.8%$33,4252.2%87432

Not listed: 10 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 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