U0003
Infectious disease detection (COVID-19)
Infectious disease detection (COVID-19) is the #48 most-billed Medicaid procedure code, with $4.13B in payments across 68.7M claims from 2018–2024. The national median cost per claim is $63.08.
Total Paid
$4.13B
0.38% of all spending
Total Claims
68.7M
Providers
6K
Avg Cost/Claim
$60
National Cost Distribution
How much do providers bill per claim for U0003? Based on 5K providers billing this code nationally.
Median
$63.08
Average
$61.79
Std Dev
$36.18
Max
$631.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $42.45 and $76.48 per claim for this code.
90% bill between $17.70 and $92.45.
Top 1% bill above $178.70.
About This Procedure
HCPCS code U0003 (Infectious disease detection (COVID-19)) was billed by 6K providers across 68.7M claims, totaling $4.13B in Medicaid payments from 2018–2024. This code was used for 49.3M unique beneficiaries.
Fraud Risk Context
COVID-19 testing codes saw massive billing increases during 2020–2022, with the OIG documenting widespread testing fraud.
Source: HHS OIG COVID-19 Reports
Risk Assessment
This procedure is featured in our investigation: COVID Testing Boom
Read the full analysis for context on billing patterns associated with this code.
Billing Statistics
Median Cost/Claim
$63.08
Providers Billing
5K
National Spending
$4.13B
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for U0003
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $155.6M |
| 2 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $99.3M |
| 3 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $99.1M |
| 4 | Infinity Diagnostics Laboratory Inc Teterboro, NJ · Clinical Medical Laboratory | $97.3M |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $95.0M |
| 6 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $80.1M |
| 7 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $79.9M |
| 8 | Curative Labs Inc. San Dimas, CA · Clinical Medical Laboratory | $79.5M |
| 9 | 1124417357 | $67.8M |
| 10 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $67.4M |
| 11 | Fulgent Therapeutics Llc. El Monte, CA · Clinical Medical Laboratory | $66.1M |
| 12 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $62.8M |
| 13 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $58.8M |
| 14 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $57.2M |
| 15 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $48.6M |
| 16 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $48.0M |
| 17 | Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory | $40.6M |
| 18 | Eurofins Diatherix Laboratories Llc Huntsville, AL · Clinical Medical Laboratory | $33.4M |
| 19 | Crown Heights Medical P.c. Monsey, NY · Clinic/Center Multi-Specialty | $32.9M |
| 20 | Signal Diagnostics Llc Los Angeles, CA · Clinical Medical Laboratory | $30.7M |
Showing top 20 of 6K providers billing this code