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 Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

3,685
93rd percentile among 6,253 codes billed · 2021
$651M
100th percentile among 6,253 codes billed · 2021
8.7M
99th percentile among 6,253 codes billed · 2021
35
65th percentile among 6,253 codes billed · 2021
9,513
98th percentile among 6,253 codes billed · 2021
-9.5%
Medicare payment on the code vs 2020; billers +73.0% · 2021

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
California162$92,573,3441,241,41472741,537
New Jersey149$77,828,7581,037,7983926,795
Texas284$50,806,728677,445429,710
North Carolina138$42,414,861565,652271,327
Florida229$37,308,617498,6073510,849
Tennessee124$33,588,809448,064252,879
New York390$31,853,790424,774381,002
Illinois331$27,848,938372,019291,634
Virginia27$24,571,410327,60126926,248
South Carolina54$20,263,375270,218221,691
Georgia38$18,103,700241,39328124,431
Arizona31$18,026,146240,3644560,228
Louisiana30$17,730,470236,4148444,355
Maryland99$16,295,439217,5914813,189
Washington94$16,206,519216,0983515,517

Not listed: 16 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-NJ344$102,496,9101,366,74443
Los Angeles-Long Beach-Anaheim, CA84$49,825,833670,7381,333
Nashville-Davidson--Murfreesboro--Franklin, TN20$29,534,359393,849113
Chicago-Naperville-Elgin, IL-IN328$28,167,063376,22429
San Diego-Chula Vista-Carlsbad, CA23$18,608,354248,137643
Phoenix-Mesa-Chandler, AZ21$17,991,946239,908307
Dallas-Fort Worth-Arlington, TX45$17,875,430238,348215
Houston-Pasadena-The Woodlands, TX43$16,046,613213,961355
Atlanta-Sandy Springs-Roswell, GA26$15,827,550211,038309
Washington-Arlington-Alexandria, DC-VA-MD-WV62$15,747,525210,28699
Miami-Fort Lauderdale-West Palm Beach, FL32$15,746,177210,489568
Austin-Round Rock-San Marcos, TX160$13,872,295184,96732
Raleigh-Cary, NC18$11,610,225154,80441
San Francisco-Oakland-Fremont, CA18$10,804,075144,057170
Seattle-Tacoma-Bellevue, WA74$9,554,219127,40430

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 30 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 U0003 nationally

Clinical Laboratory accounts for 95% of payment for U0003 nationally in 2021, across 17 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory75420%$621,109,39995%8,291,61910,997
Pathology621.7%$14,212,7652.2%189,6913,060
Family Practice84723%$4,299,0800.66%57,47968
Emergency Medicine1153.1%$2,746,9670.42%36,641319
Internal Medicine61817%$2,234,8580.34%30,80050
Physician Assistant3479.4%$1,557,7030.24%20,88860
Nurse Practitioner48713%$1,465,1750.22%19,78041
Gastroenterology952.6%$673,0250.10%9,546100
Urology591.6%$215,4000.03%2,87249
Pulmonary Disease290.79%$143,0500.02%1,91266
Pediatric Medicine140.38%$128,0250.02%1,708122
Orthopedic Surgery350.95%$117,1750.02%1,56245
General Surgery431.2%$113,4000.02%1,51235
General Practice140.38%$88,4000.01%1,17984
Ophthalmology120.33%$69,0000.01%92077

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 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