HCPCS K1034
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (CMS descriptor)
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 2022–2023.
Billers
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2023.
| observed | calculated | calculated | calculated | calculated | calculated | reported | |
|---|---|---|---|---|---|---|---|
| 2023 | 30,143 | $1,781,284,719 | +69% | 153,281,273 | 505 | 2,760 | |
| 2022 | 32,223 | $1,053,891,540 | not in the 2021 file | 92,795,222 | 762 | 3,756 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2023.
By state
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Illinois | 1,161 | $228,924,284 | 19,536,601 | 940 | 4,674 | |
| Florida | 2,933 | $194,731,254 | 16,882,934 | 995 | 4,701 | |
| Georgia | 1,043 | $65,078,464 | 5,598,622 | 558 | 2,361 | |
| California | 2,892 | $57,585,613 | 5,361,672 | 1,098 | 5,032 | |
| Maryland | 539 | $55,360,178 | 4,763,906 | 595 | 3,381 | |
| Idaho | 134 | $53,550,260 | 4,552,222 | 571 | 100,267 | |
| Texas | 2,681 | $46,386,881 | 4,112,255 | 616 | 2,836 | |
| New York | 1,869 | $41,431,904 | 3,756,575 | 1,054 | 4,438 | |
| Colorado | 459 | $34,666,328 | 2,998,344 | 474 | 1,607 | |
| Pennsylvania | 1,683 | $29,113,144 | 2,733,608 | 1,072 | 3,381 | |
| Kentucky | 398 | $23,039,644 | 1,982,068 | 470 | 1,820 | |
| New Jersey | 1,028 | $21,281,685 | 1,958,260 | 1,127 | 4,873 | |
| Ohio | 1,267 | $17,050,766 | 1,572,594 | 708 | 2,771 | |
| Massachusetts | 704 | $15,263,567 | 1,390,136 | 1,494 | 5,471 | |
| Michigan | 1,156 | $14,995,891 | 1,418,608 | 964 | 3,120 |
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 2022.
Top metro areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| Chicago-Naperville-Elgin, IL-IN | 822 | $225,755,096 | 19,246,296 | 1,140 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 791 | $98,074,291 | 8,445,271 | 1,072 | |
| Tampa-St. Petersburg-Clearwater, FL | 473 | $57,726,597 | 4,965,299 | 1,056 | |
| Savannah, GA | 53 | $53,541,118 | 4,554,634 | 535 | |
| Boise City, ID | 69 | $53,198,352 | 4,519,292 | 684 | |
| Baltimore-Columbia-Towson, MD | 269 | $52,891,831 | 4,529,020 | 672 | |
| New York-Newark-Jersey City, NY-NJ | 1,812 | $47,484,962 | 4,256,993 | 1,192 | |
| Denver-Aurora-Centennial, CO | 242 | $33,239,812 | 2,862,452 | 428 | |
| Los Angeles-Long Beach-Anaheim, CA | 1,000 | $22,050,220 | 2,069,946 | 1,366 | |
| Houston-Pasadena-The Woodlands, TX | 734 | $16,778,796 | 1,485,275 | 744 | |
| Lexington-Fayette, KY | 51 | $15,563,482 | 1,326,418 | 486 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 809 | $13,005,609 | 1,234,664 | 1,110 | |
| Cape Coral-Fort Myers, FL | 130 | $12,697,326 | 1,092,236 | 1,083 | |
| San Francisco-Oakland-Fremont, CA | 296 | $11,362,075 | 1,014,372 | 1,660 | |
| Boston-Cambridge-Newton, MA-NH | 491 | $11,050,707 | 1,003,827 | 1,569 |
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 2022.
Specialties billing K1034 nationally
Mass Immunizer Roster Biller accounts for 28% of payment for K1034 nationally in 2022, across 7 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Mass Immunizer Roster Biller | 22,126 | 69% | $291,219,269 | 28% | 27,224,844 | 1,230 |
| Clinical Laboratory | 177 | 0.55% | $268,281,440 | 25% | 22,816,803 | 128,908 |
| Centralized Flu | 8,813 | 27% | $223,722,154 | 21% | 19,724,093 | 2,238 |
| Pharmacy | 976 | 3.0% | $140,226,278 | 13% | 11,938,415 | 12,232 |
| All Other Suppliers | 16 | 0.05% | $41,921,257 | 4.0% | 3,564,703 | 222,794 |
| Family Practice | 27 | 0.08% | $9,558,821 | 0.91% | 812,843 | 30,105 |
| Internal Medicine | 26 | 0.08% | $4,678,790 | 0.44% | 397,858 | 15,302 |
Not listed: 23 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 K1034 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