HCPCS U0004
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r (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 2020–2023.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2023 | 259 | $22,878,109 | -85% | 311,338 | 185 | 6,338 | |
| 2022 | 710 | $153,549,774 | -7% | 2,071,362 | 104 | 13,635 | 0.00 |
| 2021 | 791 | $164,284,235 | -8% | 2,191,496 | 76 | 12,432 | 0.00 |
| 2020 | 723 | $178,691,334 | first year in data | 1,790,180 | 55 | 14,641 |
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 | |
|---|---|---|---|---|---|---|
| New York | 47 | $33,291,672 | 332,988 | 47 | 53,492 | |
| New Jersey | 27 | $21,144,028 | 211,511 | 2,011 | 29,794 | |
| Texas | 77 | $16,095,632 | 161,050 | 140 | 6,916 | |
| Pennsylvania | 17 | $14,868,282 | 148,721 | 418 | 50,463 | |
| Illinois | 18 | $12,971,417 | 129,724 | 635 | 35,928 | |
| Florida | 36 | $9,893,104 | 98,982 | 337 | 12,078 | |
| Alabama | 40 | $7,681,554 | 76,844 | 42 | 16,454 | |
| California | 46 | $7,037,805 | 70,548 | 258 | 6,007 | |
| Maryland | 16 | $5,635,947 | 56,715 | 218 | 16,625 | |
| Georgia | 17 | $5,378,009 | 54,009 | 208 | 13,122 | |
| Oklahoma | 27 | $3,267,391 | 32,707 | 47 | 7,507 | |
| Michigan | 12 | $2,489,115 | 24,939 | 482 | 8,669 | |
| Ohio | 11 | $2,391,650 | 23,918 | 26 | 10,657 | |
| North Carolina | 12 | $1,712,984 | 17,131 | 421 | 5,125 | |
| Washington | 157 | $1,522,726 | 15,661 | 24 | 127 |
Not listed: 24 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 2020.
Top metro areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 44 | $53,839,330 | 538,521 | 1,299 | |
| Chicago-Naperville-Elgin, IL-IN | 15 | $12,315,589 | 123,167 | 815 | |
| Houston-Pasadena-The Woodlands, TX | 29 | $8,069,178 | 80,743 | 528 | |
| Los Angeles-Long Beach-Anaheim, CA | 34 | $6,721,819 | 67,384 | 284 | |
| Birmingham, AL | 37 | $6,027,928 | 60,306 | 41 | |
| Dallas-Fort Worth-Arlington, TX | 17 | $5,874,639 | 58,780 | 244 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 19 | $4,109,159 | 41,443 | 144 | |
| Atlanta-Sandy Springs-Roswell, GA | 12 | $3,863,990 | 38,865 | 182 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 17 | $3,081,305 | 30,826 | 108 | |
| Seattle-Tacoma-Bellevue, WA | 110 | $1,353,928 | 13,972 | 26 | |
| Jacksonville, FL | 11 | $1,067,100 | 10,690 | 357 | |
| Boston-Cambridge-Newton, MA-NH | 52 | $787,800 | 7,893 | 27 | |
| Oklahoma City, OK | 11 | $485,459 | 4,877 | 46 | |
| Portland-Vancouver-Hillsboro, OR-WA | 47 | $168,798 | 1,689 | 21 | |
| Clinton, IA | 13 | $109,600 | 1,096 | 27 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 18 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.
Specialties billing U0004 nationally
Clinical Laboratory accounts for 95% of payment for U0004 nationally in 2020, across 12 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Clinical Laboratory | 282 | 39% | $168,996,160 | 95% | 1,692,474 | 6,002 |
| Pathology | 21 | 2.9% | $6,118,850 | 3.4% | 61,416 | 2,925 |
| Family Practice | 90 | 12% | $677,530 | 0.38% | 6,822 | 76 |
| Nurse Practitioner | 51 | 7.1% | $585,809 | 0.33% | 5,887 | 115 |
| Internal Medicine | 59 | 8.2% | $383,993 | 0.21% | 3,870 | 66 |
| Physician Assistant | 39 | 5.4% | $252,827 | 0.14% | 2,562 | 66 |
| Gastroenterology | 28 | 3.9% | $197,296 | 0.11% | 2,013 | 72 |
| Cardiology | 14 | 1.9% | $77,196 | 0.04% | 776 | 55 |
| Pulmonary Disease | 14 | 1.9% | $49,800 | 0.03% | 504 | 36 |
| Orthopedic Surgery | 12 | 1.7% | $46,298 | 0.03% | 470 | 39 |
| General Surgery | 14 | 1.9% | $34,600 | 0.02% | 351 | 25 |
| Urology | 11 | 1.5% | $28,396 | 0.02% | 286 | 26 |
Not listed: 27 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 2020.
Top billers of U0004 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