HCPCS 0013A
Other service (ClaimLight category; the code descriptor is not shown)
Other services
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 | 23 | $25,221 | -100% | 609 | 18 | 60 | 0.00 |
| 2022 | 5,593 | $9,798,310 | -91% | 249,481 | 24 | 137 | 0.00 |
| 2021 | 26,505 | $112,074,545 | not in the 2020 file | 2,832,606 | 44 | 366 |
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 | 2,159 | $9,811,960 | 223,752 | 52 | 316 | |
| Florida | 1,975 | $8,833,694 | 224,287 | 63 | 347 | |
| Texas | 2,346 | $8,504,392 | 216,650 | 45 | 311 | |
| New York | 1,652 | $7,934,864 | 184,501 | 55 | 436 | |
| Pennsylvania | 1,357 | $6,248,781 | 159,859 | 54 | 378 | |
| Michigan | 1,000 | $5,892,584 | 155,129 | 53 | 639 | |
| Idaho | 159 | $4,698,408 | 113,197 | 50 | 577 | |
| Colorado | 423 | $4,311,865 | 107,167 | 32 | 226 | |
| Ohio | 975 | $3,931,366 | 105,738 | 40 | 425 | |
| North Carolina | 851 | $3,338,512 | 87,927 | 39 | 405 | |
| Illinois | 668 | $2,996,045 | 75,431 | 49 | 418 | |
| New Jersey | 722 | $2,917,569 | 66,157 | 53 | 304 | |
| Washington | 547 | $2,868,547 | 70,324 | 54 | 382 | |
| Georgia | 1,017 | $2,821,436 | 75,527 | 40 | 255 | |
| Virginia | 713 | $2,529,405 | 62,866 | 41 | 328 |
Not listed: 1 billers with an armed-forces or unknown state code (AP); 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 | |
|---|---|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 1,476 | $6,897,375 | 152,406 | 57 | |
| Boise City, ID | 65 | $4,428,774 | 105,748 | 60 | |
| Denver-Aurora-Centennial, CO | 211 | $3,730,128 | 92,313 | 32 | |
| Los Angeles-Long Beach-Anaheim, CA | 741 | $3,688,891 | 82,989 | 57 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 596 | $2,290,701 | 54,743 | 53 | |
| Detroit-Warren-Dearborn, MI | 432 | $1,956,532 | 49,934 | 41 | |
| Chicago-Naperville-Elgin, IL-IN | 452 | $1,865,703 | 45,890 | 45 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 463 | $1,813,886 | 44,835 | 43 | |
| Houston-Pasadena-The Woodlands, TX | 579 | $1,589,516 | 39,916 | 37 | |
| Pittsburgh, PA | 297 | $1,501,382 | 38,985 | 54 | |
| Seattle-Tacoma-Bellevue, WA | 276 | $1,469,937 | 35,327 | 57 | |
| Dallas-Fort Worth-Arlington, TX | 496 | $1,459,118 | 36,531 | 41 | |
| Atlanta-Sandy Springs-Roswell, GA | 521 | $1,444,655 | 38,063 | 40 | |
| Boston-Cambridge-Newton, MA-NH | 345 | $1,407,548 | 32,317 | 44 | |
| San Francisco-Oakland-Fremont, CA | 203 | $1,223,762 | 26,180 | 53 |
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 0013A nationally
Mass Immunizer Roster Biller accounts for 53% of payment for 0013A nationally in 2021, across 26 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Mass Immunizer Roster Biller | 14,138 | 53% | $58,868,135 | 53% | 1,492,348 | 106 |
| Centralized Flu | 4,073 | 15% | $24,790,384 | 22% | 615,231 | 151 |
| Pharmacy | 1,625 | 6.1% | $9,344,992 | 8.3% | 241,635 | 149 |
| Family Practice | 2,755 | 10% | $6,938,443 | 6.2% | 178,183 | 65 |
| Internal Medicine | 1,924 | 7.3% | $5,663,397 | 5.1% | 140,362 | 73 |
| Nurse Practitioner | 701 | 2.6% | $1,373,301 | 1.2% | 36,824 | 53 |
| Clinical Laboratory | 188 | 0.71% | $956,314 | 0.85% | 24,936 | 133 |
| Pediatric Medicine | 74 | 0.28% | $624,737 | 0.56% | 15,151 | 205 |
| Infectious Disease | 40 | 0.15% | $557,020 | 0.50% | 12,675 | 317 |
| Emergency Medicine | 109 | 0.41% | $391,518 | 0.35% | 9,781 | 90 |
| Physician Assistant | 247 | 0.93% | $350,192 | 0.31% | 9,361 | 38 |
| General Practice | 106 | 0.40% | $284,884 | 0.25% | 7,266 | 69 |
| Public Health or Welfare Agency | 59 | 0.22% | $246,159 | 0.22% | 6,661 | 113 |
| Hospitalist | 17 | 0.06% | $153,308 | 0.14% | 3,590 | 211 |
| Allergy/ Immunology | 44 | 0.17% | $149,683 | 0.13% | 3,644 | 83 |
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 0013A 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