HCPCS U0003

Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r (CMS descriptor)

Other services

973
86th percentile among 6,405 codes billed · 2023
$95M
98th percentile among 6,405 codes billed · 2023
1.3M
96th percentile among 6,405 codes billed · 2023
84
84th percentile among 6,405 codes billed · 2023
4,999
96th percentile among 6,405 codes billed · 2023
-80.8%
Medicare payment on the code vs 2022; billers -72.6% · 2023

Trend

Medicare payment on the code

$0$500M2020: $720M paid20202021: $651M paid20212022: $493M paid20222023: $95M paid2023$95M$0$500M2020: $720M paid20202021: $651M paid20212022: $493M paid20222023: $95M paid2023$95M$0$500M2020: $720M paid20202021: $651M paid20212022: $493M paid20222023: $95M paid2023$95M$0$500M2020: $720M paid20202021: $651M paid20212022: $493M paid20222023: $95M paid2023$95M

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

Billers

02,0004,0002020: 2,130 providers20202021: 3,685 providers20212022: 3,546 providers20222023: 973 providers202397302,0004,0002020: 2,130 providers20202021: 3,685 providers20212022: 3,546 providers20222023: 973 providers202397302,0004,0002020: 2,130 providers20202021: 3,685 providers20212022: 3,546 providers20222023: 973 providers202397302,0004,0002020: 2,130 providers20202021: 3,685 providers20212022: 3,546 providers20222023: 973 providers2023973

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
2023973$94,931,075-81%1,292,001844,999
20223,546$493,149,136-24%6,649,680337,8460.00
20213,685$651,494,320-9%8,699,096359,5130.00
20202,130$719,559,418first year in data7,216,3963315,483

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
California133$32,772,733445,93673215,322
Illinois97$24,164,512328,79723116,017
New Jersey76$7,726,437105,2051117,065
North Carolina14$6,490,49188,3079431,045
Texas64$4,143,77356,4411002,628
New York122$2,819,34438,364312,182
Florida54$2,542,55634,6041872,687
Arizona11$1,832,30224,9332349,441
Louisiana14$1,034,21914,072414,893
Virginia15$921,83412,549734,207
Tennessee26$901,50012,280232,211
Maryland38$825,06211,238511,694
Ohio12$818,17811,1361412,985
Pennsylvania16$799,16610,8732411,856
Washington18$670,0149,121341,949

Not listed: 29 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 2023.

Top metro areas

observed calculated calculated calculated calculated
Chicago-Naperville-Elgin, IL-IN96$24,154,369328,659234
Los Angeles-Long Beach-Anaheim, CA78$19,214,207261,4631,056
New York-Newark-Jersey City, NY-NJ119$9,032,336122,97552
San Diego-Chula Vista-Carlsbad, CA19$1,940,50426,402151
Phoenix-Mesa-Chandler, AZ11$1,832,30224,933234
Dallas-Fort Worth-Arlington, TX24$1,563,93221,301120
Miami-Fort Lauderdale-West Palm Beach, FL21$951,01912,945186
Houston-Pasadena-The Woodlands, TX19$676,1279,19990
Atlanta-Sandy Springs-Roswell, GA17$544,5627,40954
Washington-Arlington-Alexandria, DC-VA-MD-WV26$441,9536,03261
Baltimore-Columbia-Towson, MD19$439,5555,98025
Detroit-Warren-Dearborn, MI21$429,9045,850234
Boston-Cambridge-Newton, MA-NH43$390,5065,31419
Kiryas Joel-Poughkeepsie-Newburgh, NY59$189,5602,58035
Minneapolis-St. Paul-Bloomington, MN-WI15$86,8041,20413

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 16 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing U0003 nationally

Clinical Laboratory accounts for 98% of payment for U0003 nationally in 2023, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory59661%$92,603,52698%1,260,2002,114
Pathology232.4%$838,1160.88%11,406496
Nurse Practitioner596.1%$241,5950.25%3,29456
Emergency Medicine293.0%$230,4230.24%3,143108
Family Practice586.0%$181,9860.19%2,49043
Internal Medicine575.9%$169,1300.18%2,36642
Physician Assistant596.1%$105,1070.11%1,43224
Gastroenterology171.7%$73,2060.08%1,02260
Pulmonary Disease131.3%$31,2540.03%42933

Not listed: 25 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 2023.

Top billers of U0003 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