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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
0240U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid-19), influenza a, and influenza b) in upper respiratory specimen, each reported as detected or not detected HCPCS · Molecular Testing
Classification Test Molecular Testing Infectious Agent Detection by DNA/RNA (CMS RBCS)
First observed 2020
National scale 109,887 services · est. ▼ 71.3% YoY · 5,887 FFS beneficiaries (CY2024, all-Medicare estimate) — 54,808 observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Data year CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Market overview
Market Brief 0240U
The whole of 0240U, written up and sourced.

The Brief is a national document for 0240U. Its findings page carries one finding per chapter, each opening the chapter that prints its figure and the table behind it — like these, from the United States, CY2024, the market on this page.

  1. 1Size and growth. The national market for 0240U ran ~109,887 all-Medicare services (estimated), 54,808 observed fee-for-service in CY2024. The market is down 71.3% year over year. 25 billing groups and 95 clinicians bill it.
  2. 2Payment. Half the field lists between $178 and $285 per service; the median group lists $256. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. FL, WI, KS and IL lead the state markets — together 96% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~109,887 services

54,808 observed fee-for-service (50%) · ~55,079 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Average charge
per service, submitted list amounts — not payments · named-group basis, observed FFS
Average payment
per service, Medicare paid amounts — not charges · all disclosed claims, observed FFS basis
Charge-to-payment ratio
average list price vs average Medicare payment per service · named-group basis
What they charge

Half the field lists between $178 and $285

Submitted charges are provider-set list amounts, not payments · median $256 (named groups)
Every group, one dot25 billing groups · median $256

The same field as one dot per billing group: where the cluster sits, and how far the tail reaches

$0$250$500average submitted charge per service, per billing groupmedian $256
One dot per billing group, 0240U nationwide CY2024 — average submitted charge per service, provider-set list amounts, not payments. The axis caps near the 95th percentile so the cluster is legible; groups beyond it draw at the cap in accent and are counted on the chart.
Where the market isobserved FFS services by state · CY2024
MEVTNHWA: 26WAIDMTND: 97NDMN: 110MNWI: 683WIIL: 480ILMINYMARIORNVWY: 32WYSD: 294SDIA: 240IAINOH: 50OHPA: 140PANJ: 28NJCTCA: 201CAUTCONE: 25NEMOKYWVVA: 83VAMD: 45MDDEAZ: 73AZNM: 101NMKS: 578KSAR: 400ARTNNC: 109NCSCDCOK: 29OKLAMSAL: 16ALGAHIAKTX: 46TXFL: 50922FL
Shaded low→high on observed fee-for-service services billed from each state · the /stats tile grid, at national scope. Shading ranks the states rather than spacing them along the range, so neighboring shades mean adjacent RANKS, not equal gaps — the key names the lowest and highest; each tile carries its own figure.
Which states movedservices per 1,000 FFS beneficiaries · CY2021 → CY2024
CY2021CY2024AL: 0 → 0AZ: 1 → 0IA: 0 → 1MD: 0 → 0NC: 0 → 0ND: 0 → 1OH: 0 → 0OK: 2 → 0PA: 0 → 0SD: 3 → 3VA: 1 → 0WA: 0 → 0WY: 0 → 0FL: 0 → 27IL: 0 → 0KS: 0 → 2WI: 0 → 1WI 0KS 0IL 0FL 027 FL2 KS1 WI0 IL
One line per state market, 17 drawn; the 4 leading states by volume are in accent, the rest are context lines. Both columns share one scale, so a slope is real change. A RATE against each state’s own fee-for-service population — assumption-free, and no all-Medicare estimate is used or implied. CY2021 is the left period because CY2020 is the pandemic year and a slope off it would read as growth almost everywhere. 18 states with a rate in only one of the two years are not drawn.

Open a state market: FL · WI · KS · IL · AR · SD · IA · CA · PA · MN · NC · NM — the group ranking lives in the Provider groups tab. Territories bill too; the tile grid draws the 50 states and DC.

Every group in this market, placed by list charge against volume

This market’s groups, on one chart25 groups · bubble = services
100One billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing group$50$125$250$375$500+Average submitted charge per service — list amounts, not paymentsServices per group — 0240U, CY2024
One mark per physician group, 0240U nationwide CY2024 — marks are unnamed here: a mark’s position is its average list charge, and that figure is part of the platform. Submitted charges are provider-set list amounts, not payments.

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