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 (2022 fee schedule; adds 0 work RVUs)

3,546
93rd percentile among 6,326 codes billed · 2022
$493M
100th percentile among 6,326 codes billed · 2022
6.6M
99th percentile among 6,326 codes billed · 2022
33
63rd percentile among 6,326 codes billed · 2022
7,846
97th percentile among 6,326 codes billed · 2022
-24.3%
Medicare payment on the code vs 2021; billers -3.8% · 2022

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
California186$122,201,6381,652,2001,56345,904
New Jersey208$51,222,002691,0185110,903
Texas188$44,369,437596,9411029,472
Illinois331$39,197,341529,739313,983
New York439$24,203,577326,29833480
North Carolina81$20,521,389276,125262,103
Florida174$19,974,443268,7914010,777
Tennessee133$19,486,729262,341241,706
Virginia49$16,927,658227,7314016,948
Arizona18$11,811,619158,79780146,843
Maryland107$10,123,618136,397355,176
Washington66$9,626,573129,6112615,649
Pennsylvania25$9,276,930125,13644315,517
Louisiana32$9,174,445123,2906125,345
Georgia72$7,615,485102,2871514,777

Not listed: 18 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
Los Angeles-Long Beach-Anaheim, CA105$73,099,538989,7821,817
New York-Newark-Jersey City, NY-NJ431$69,408,215936,05641
Chicago-Naperville-Elgin, IL-IN327$39,316,092531,30531
Austin-Round Rock-San Marcos, TX73$21,170,843285,04923
Nashville-Davidson--Murfreesboro--Franklin, TN16$17,572,356236,517134
San Diego-Chula Vista-Carlsbad, CA23$17,123,703230,846940
San Francisco-Oakland-Fremont, CA22$11,930,036160,858667
Phoenix-Mesa-Chandler, AZ16$11,807,138158,7371,036
Houston-Pasadena-The Woodlands, TX37$11,066,774148,660760
Richmond, VA16$10,432,944140,12936
Dallas-Fort Worth-Arlington, TX51$9,728,810130,915226
Washington-Arlington-Alexandria, DC-VA-MD-WV65$9,298,919125,20782
Atlanta-Sandy Springs-Roswell, GA62$6,821,95591,661151
Seattle-Tacoma-Bellevue, WA46$6,694,49790,15323
Miami-Fort Lauderdale-West Palm Beach, FL36$6,689,10990,060259

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 2022.

Specialties billing U0003 nationally

Clinical Laboratory accounts for 96% of payment for U0003 nationally in 2022, across 15 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory86624%$471,258,22096%6,352,9157,336
Pathology601.7%$7,160,5321.5%96,5001,608
Family Practice69119%$3,168,2880.64%42,85062
Emergency Medicine1273.6%$2,858,5520.58%38,550304
Internal Medicine58617%$2,163,5670.44%29,96451
Nurse Practitioner46713%$1,950,7250.40%26,41057
Physician Assistant38611%$1,397,3240.28%18,90849
Hematology-Oncology150.42%$507,7610.10%6,851457
Gastroenterology752.1%$384,1490.08%5,61075
Urology451.3%$122,6050.02%1,65137
Pediatric Medicine120.34%$121,0440.02%1,630136
Pulmonary Disease200.56%$114,6100.02%1,54777
General Surgery320.90%$106,3600.02%1,43845
Orthopedic Surgery250.71%$100,2510.02%1,35354
Cardiology190.54%$49,169<0.01%66335

Not listed: 36 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 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