HCPCS 0013A

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

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

5,593
95th percentile among 6,326 codes billed · 2022
$9.8M
88th percentile among 6,326 codes billed · 2022
249K
90th percentile among 6,326 codes billed · 2022
24
50th percentile among 6,326 codes billed · 2022
137
62nd percentile among 6,326 codes billed · 2022
-91.3%
Medicare payment on the code vs 2021; billers -78.9% · 2022

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
Texas521$1,293,70233,96535201
California534$1,033,81924,14223159
New York390$659,72215,32223126
Pennsylvania369$640,49516,32228144
Washington187$472,55611,56835180
Michigan270$349,4989,2462496
Ohio242$346,8019,29423119
New Jersey182$316,5887,21725127
Florida196$296,9247,70121122
Maryland148$267,0336,35926139
Colorado48$252,1026,29822148
Virginia150$243,5766,19727114
Illinois165$243,1766,1912272
North Carolina167$209,2975,5722389
Massachusetts90$191,6324,51722169

Not listed: 1 billers with an armed-forces or unknown state code (AP); they are in the national totals.

Not listed: 7 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-NJ360$639,42714,24023
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD182$386,5809,27931
Los Angeles-Long Beach-Anaheim, CA186$333,8207,60821
San Antonio-New Braunfels, TX63$265,8047,00455
Seattle-Tacoma-Bellevue, WA104$251,0155,96934
Austin-Round Rock-San Marcos, TX70$245,7966,45369
Denver-Aurora-Centennial, CO22$208,9485,20119
Boston-Cambridge-Newton, MA-NH78$176,0554,21428
Chicago-Naperville-Elgin, IL-IN103$165,0074,11119
Houston-Pasadena-The Woodlands, TX92$162,8524,26436
Detroit-Warren-Dearborn, MI105$147,5213,77820
Boise City, ID16$128,3953,09229
Baltimore-Columbia-Towson, MD67$115,4312,76724
Dallas-Fort Worth-Arlington, TX54$114,7402,95124
Washington-Arlington-Alexandria, DC-VA-MD-WV62$109,3752,49525

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 76 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 0013A nationally

Mass Immunizer Roster Biller accounts for 64% of payment for 0013A nationally in 2022, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller3,34860%$6,254,15264%159,00947
Pharmacy60211%$1,063,38911%27,60646
Centralized Flu4287.7%$906,1509.2%22,63053
Family Practice4638.3%$522,4315.3%13,49229
Internal Medicine3947.0%$506,3725.2%12,74632
Clinical Laboratory661.2%$157,7481.6%4,08362
Nurse Practitioner1001.8%$119,1561.2%3,21132
Emergency Medicine320.57%$45,1350.46%1,11935
Public Health or Welfare Agency160.29%$32,4070.33%82552
Physician Assistant260.46%$23,3150.24%60323
General Practice110.20%$10,8630.11%29727

Not listed: 31 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 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