HCPCS 0013A

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

Other services

26,505
99th percentile among 6,253 codes billed · 2021
$112M
98th percentile among 6,253 codes billed · 2021
2.8M
98th percentile among 6,253 codes billed · 2021
44
71st percentile among 6,253 codes billed · 2021
366
78th percentile among 6,253 codes billed · 2021

Trend

Medicare payment on the code

$0$50M$100M2021: $112M paid20212022: $9.8M paid20222023: $25K paid2023$25K$0$50M$100M2021: $112M paid20212022: $9.8M paid20222023: $25K paid2023$25K$0$50M$100M2021: $112M paid20212022: $9.8M paid20222023: $25K paid2023$25K$0$50M$100M2021: $112M paid20212022: $9.8M paid20222023: $25K paid2023$25K

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

Billers

010K20K2021: 27K providers20212022: 5,593 providers20222023: 23 providers202323010K20K2021: 27K providers20212022: 5,593 providers20222023: 23 providers202323010K20K2021: 27K providers20212022: 5,593 providers20222023: 23 providers202323010K20K2021: 27K providers20212022: 5,593 providers20222023: 23 providers202323

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
202323$25,221-100%60918600.00
20225,593$9,798,310-91%249,481241370.00
202126,505$112,074,545not in the 2020 file2,832,60644366

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
California2,159$9,811,960223,75252316
Florida1,975$8,833,694224,28763347
Texas2,346$8,504,392216,65045311
New York1,652$7,934,864184,50155436
Pennsylvania1,357$6,248,781159,85954378
Michigan1,000$5,892,584155,12953639
Idaho159$4,698,408113,19750577
Colorado423$4,311,865107,16732226
Ohio975$3,931,366105,73840425
North Carolina851$3,338,51287,92739405
Illinois668$2,996,04575,43149418
New Jersey722$2,917,56966,15753304
Washington547$2,868,54770,32454382
Georgia1,017$2,821,43675,52740255
Virginia713$2,529,40562,86641328

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-NJ1,476$6,897,375152,40657
Boise City, ID65$4,428,774105,74860
Denver-Aurora-Centennial, CO211$3,730,12892,31332
Los Angeles-Long Beach-Anaheim, CA741$3,688,89182,98957
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD596$2,290,70154,74353
Detroit-Warren-Dearborn, MI432$1,956,53249,93441
Chicago-Naperville-Elgin, IL-IN452$1,865,70345,89045
Miami-Fort Lauderdale-West Palm Beach, FL463$1,813,88644,83543
Houston-Pasadena-The Woodlands, TX579$1,589,51639,91637
Pittsburgh, PA297$1,501,38238,98554
Seattle-Tacoma-Bellevue, WA276$1,469,93735,32757
Dallas-Fort Worth-Arlington, TX496$1,459,11836,53141
Atlanta-Sandy Springs-Roswell, GA521$1,444,65538,06340
Boston-Cambridge-Newton, MA-NH345$1,407,54832,31744
San Francisco-Oakland-Fremont, CA203$1,223,76226,18053

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 Biller14,13853%$58,868,13553%1,492,348106
Centralized Flu4,07315%$24,790,38422%615,231151
Pharmacy1,6256.1%$9,344,9928.3%241,635149
Family Practice2,75510%$6,938,4436.2%178,18365
Internal Medicine1,9247.3%$5,663,3975.1%140,36273
Nurse Practitioner7012.6%$1,373,3011.2%36,82453
Clinical Laboratory1880.71%$956,3140.85%24,936133
Pediatric Medicine740.28%$624,7370.56%15,151205
Infectious Disease400.15%$557,0200.50%12,675317
Emergency Medicine1090.41%$391,5180.35%9,78190
Physician Assistant2470.93%$350,1920.31%9,36138
General Practice1060.40%$284,8840.25%7,26669
Public Health or Welfare Agency590.22%$246,1590.22%6,661113
Hospitalist170.06%$153,3080.14%3,590211
Allergy/ Immunology440.17%$149,6830.13%3,64483

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