HCPCS U0005
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, cdc or non-cdc, making use of high throughput technologies, completed within (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 2021–2023.
Billers
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2021–2023.
| observed | calculated | calculated | calculated | calculated | calculated | reported | |
|---|---|---|---|---|---|---|---|
| 2023 | 1,090 | $36,198,574 | -81% | 1,477,810 | 99 | 5,558 | |
| 2022 | 3,802 | $193,861,115 | -15% | 7,841,589 | 36 | 9,667 | 0.00 |
| 2021 | 3,469 | $228,648,517 | not in the 2020 file | 9,161,207 | 40 | 11,101 | 0.00 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2021–2023.
By state
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| California | 153 | $11,497,282 | 469,259 | 780 | 11,741 | |
| Illinois | 101 | $8,711,955 | 355,616 | 270 | 15,384 | |
| New Jersey | 90 | $3,178,598 | 129,766 | 122 | 8,491 | |
| North Carolina | 15 | $2,371,979 | 96,831 | 306 | 28,312 | |
| Texas | 66 | $1,469,764 | 60,042 | 106 | 2,651 | |
| New York | 130 | $1,460,144 | 59,602 | 37 | 2,748 | |
| Louisiana | 11 | $861,592 | 35,167 | 456 | 13,196 | |
| Florida | 64 | $727,224 | 29,706 | 85 | 2,175 | |
| Pennsylvania | 25 | $617,198 | 25,192 | 294 | 2,225 | |
| Arizona | 11 | $395,825 | 16,162 | 234 | 5,047 | |
| Maryland | 35 | $347,361 | 14,190 | 111 | 2,006 | |
| Alabama | 15 | $328,253 | 13,403 | 104 | 4,031 | |
| Virginia | 19 | $322,041 | 13,141 | 146 | 2,607 | |
| Tennessee | 27 | $270,431 | 11,038 | 20 | 2,060 | |
| Oklahoma | 12 | $252,473 | 10,305 | 260 | 3,685 |
Not listed: 26 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-IN | 101 | $8,712,372 | 355,633 | 270 | |
| Los Angeles-Long Beach-Anaheim, CA | 96 | $6,911,244 | 282,070 | 872 | |
| New York-Newark-Jersey City, NY-NJ | 137 | $4,111,387 | 167,840 | 77 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 14 | $856,465 | 34,958 | 580 | |
| San Diego-Chula Vista-Carlsbad, CA | 19 | $613,018 | 25,025 | 147 | |
| Dallas-Fort Worth-Arlington, TX | 23 | $538,162 | 21,977 | 65 | |
| Houston-Pasadena-The Woodlands, TX | 24 | $388,816 | 15,871 | 125 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 32 | $249,325 | 10,181 | 115 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 25 | $201,341 | 8,218 | 71 | |
| Detroit-Warren-Dearborn, MI | 24 | $167,679 | 6,845 | 235 | |
| Atlanta-Sandy Springs-Roswell, GA | 23 | $165,436 | 6,752 | 59 | |
| Baltimore-Columbia-Towson, MD | 12 | $139,797 | 5,707 | 74 | |
| Boston-Cambridge-Newton, MA-NH | 43 | $123,578 | 5,045 | 19 | |
| Seattle-Tacoma-Bellevue, WA | 27 | $122,505 | 5,021 | 25 | |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 59 | $63,046 | 2,574 | 35 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 17 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 U0005 nationally
Clinical Laboratory accounts for 98% of payment for U0005 nationally in 2023, across 9 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Clinical Laboratory | 719 | 66% | $35,344,270 | 98% | 1,442,806 | 2,007 |
| Pathology | 23 | 2.1% | $338,131 | 0.93% | 13,804 | 600 |
| Emergency Medicine | 30 | 2.8% | $79,490 | 0.22% | 3,248 | 108 |
| Family Practice | 54 | 5.0% | $77,249 | 0.21% | 3,159 | 59 |
| Nurse Practitioner | 50 | 4.6% | $77,053 | 0.21% | 3,152 | 63 |
| Internal Medicine | 48 | 4.4% | $47,998 | 0.13% | 2,024 | 42 |
| Gastroenterology | 26 | 2.4% | $35,697 | 0.10% | 1,491 | 57 |
| Physician Assistant | 59 | 5.4% | $35,060 | 0.10% | 1,435 | 24 |
| Pulmonary Disease | 15 | 1.4% | $11,475 | 0.03% | 472 | 31 |
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 2023.
Top billers of U0005 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