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 Work RVU per service none (2021 fee schedule; adds 0 work RVUs)
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 | |
|---|---|---|---|---|---|---|
| New Jersey | 168 | $28,525,056 | 1,141,117 | 37 | 32,567 | |
| California | 167 | $25,048,165 | 1,001,945 | 865 | 30,501 | |
| Texas | 290 | $17,821,182 | 712,859 | 50 | 10,192 | |
| New York | 382 | $17,714,500 | 708,616 | 40 | 5,433 | |
| Florida | 229 | $14,043,891 | 562,357 | 41 | 14,220 | |
| North Carolina | 83 | $13,401,381 | 536,075 | 41 | 9,746 | |
| Illinois | 55 | $12,144,884 | 486,270 | 710 | 56,602 | |
| Tennessee | 121 | $9,312,311 | 372,618 | 26 | 9,136 | |
| Maryland | 73 | $7,067,095 | 282,738 | 101 | 21,434 | |
| South Carolina | 22 | $7,066,783 | 288,805 | 475 | 42,217 | |
| Louisiana | 23 | $6,497,008 | 259,882 | 324 | 47,065 | |
| Georgia | 54 | $6,440,010 | 257,609 | 300 | 11,733 | |
| Pennsylvania | 33 | $6,273,556 | 250,962 | 2,020 | 23,595 | |
| Kentucky | 26 | $5,644,100 | 225,764 | 282 | 47,199 | |
| Arizona | 25 | $5,241,065 | 209,652 | 201 | 64,194 |
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 2021.
Top metro areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 356 | $43,779,347 | 1,751,287 | 43 | |
| Los Angeles-Long Beach-Anaheim, CA | 90 | $14,677,668 | 587,097 | 1,439 | |
| Chicago-Naperville-Elgin, IL-IN | 52 | $12,261,209 | 490,895 | 799 | |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 17 | $7,212,512 | 288,515 | 277 | |
| Houston-Pasadena-The Woodlands, TX | 54 | $6,379,425 | 255,181 | 448 | |
| Dallas-Fort Worth-Arlington, TX | 52 | $5,999,702 | 239,989 | 272 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 64 | $5,711,913 | 228,508 | 125 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 37 | $5,482,705 | 219,309 | 225 | |
| San Diego-Chula Vista-Carlsbad, CA | 21 | $5,475,450 | 219,036 | 559 | |
| Atlanta-Sandy Springs-Roswell, GA | 38 | $5,466,510 | 218,663 | 273 | |
| Phoenix-Mesa-Chandler, AZ | 17 | $5,222,665 | 208,916 | 534 | |
| Raleigh-Cary, NC | 23 | $4,548,505 | 181,941 | 43 | |
| Austin-Round Rock-San Marcos, TX | 154 | $4,287,500 | 171,502 | 32 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 16 | $4,058,281 | 162,349 | 2,268 | |
| Baltimore-Columbia-Towson, MD | 18 | $3,253,640 | 130,151 | 146 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 33 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 U0005 nationally
Clinical Laboratory accounts for 96% of payment for U0005 nationally in 2021, across 18 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Clinical Laboratory | 880 | 25% | $218,411,351 | 96% | 8,749,338 | 9,942 |
| Pathology | 68 | 2.0% | $5,325,424 | 2.3% | 213,155 | 3,135 |
| Family Practice | 721 | 21% | $1,274,365 | 0.56% | 51,217 | 71 |
| Emergency Medicine | 106 | 3.1% | $858,600 | 0.38% | 34,366 | 324 |
| Internal Medicine | 500 | 14% | $595,395 | 0.26% | 24,784 | 50 |
| Nurse Practitioner | 408 | 12% | $444,115 | 0.19% | 17,951 | 44 |
| Physician Assistant | 305 | 8.8% | $384,124 | 0.17% | 15,520 | 51 |
| Gastroenterology | 100 | 2.9% | $275,155 | 0.12% | 11,534 | 115 |
| Pulmonary Disease | 37 | 1.1% | $51,225 | 0.02% | 2,058 | 56 |
| Urology | 34 | 0.98% | $47,400 | 0.02% | 1,900 | 56 |
| Orthopedic Surgery | 38 | 1.1% | $45,600 | 0.02% | 1,838 | 48 |
| General Surgery | 41 | 1.2% | $38,750 | 0.02% | 1,556 | 38 |
| Cardiology | 41 | 1.2% | $36,425 | 0.02% | 1,468 | 36 |
| General Practice | 11 | 0.32% | $27,175 | 0.01% | 1,088 | 99 |
| Otolaryngology | 22 | 0.63% | $20,275 | <0.01% | 814 | 37 |
Not listed: 31 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 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