HCPCS 0240U
Laboratory test (ClaimLight category; the code descriptor is not shown)
Laboratory
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
| observed | calculated | calculated | calculated | calculated | calculated | reported | |
|---|---|---|---|---|---|---|---|
| 2024 | 105 | $7,655,864 | -72% | 54,808 | 21 | 104 | |
| 2023 | 184 | $27,664,168 | +1350% (2023 changed hospital and observation visit codes) | 197,985 | 24 | 251 | |
| 2022 | 250 | $1,907,333 | +196% | 13,723 | 22 | 141 | |
| 2021 | 96 | $644,118 | – (Not compared: 2021 changed office visit values) | 4,503 | 29 | 144 | |
| 2020 | 4 | fewer than 11 billers: figures not shown |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
By state
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Oklahoma | 22 | $190,236 | 1,354 | 61 | 120 | |
| Tennessee | 11 | $173,069 | 1,235 | 60 | 335 | |
| Michigan | 26 | $125,223 | 901 | 26 | 76 | |
| South Dakota | 18 | $122,009 | 866 | 28 | 118 | |
| North Carolina | 19 | $99,320 | 714 | 23 | 96 | |
| Ohio | 26 | $86,272 | 636 | 18 | 51 | |
| Minnesota | 22 | $79,999 | 570 | 21 | 49 | |
| Florida | 15 | $45,562 | 326 | 18 | 41 | |
| Oregon | 12 | $30,493 | 219 | 18 | 25 |
Not listed: 22 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 2022.
Top metro areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| Oklahoma City, OK | 18 | $165,572 | 1,178 | 66 | |
| Ann Arbor, MI | 15 | $84,018 | 602 | 26 | |
| Rapid City, SD | 14 | $80,648 | 573 | 25 | |
| Minneapolis-St. Paul-Bloomington, MN-WI | 15 | $47,159 | 336 | 16 | |
| Orlando-Kissimmee-Sanford, FL | 14 | $43,875 | 314 | 19 | |
| Dayton-Kettering-Beavercreek, OH | 13 | $40,200 | 286 | 19 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 6 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.
Specialties billing 0240U nationally
Nurse Practitioner accounts for 23% of payment for 0240U nationally in 2022, across 5 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Nurse Practitioner | 71 | 28% | $439,331 | 23% | 3,136 | 44 |
| Internal Medicine | 24 | 9.6% | $411,632 | 22% | 3,020 | 126 |
| Family Practice | 64 | 26% | $354,564 | 19% | 2,533 | 40 |
| Clinical Laboratory | 13 | 5.2% | $320,834 | 17% | 2,285 | 176 |
| Physician Assistant | 65 | 26% | $281,909 | 15% | 2,033 | 31 |
Not listed: 6 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 2022.
Top billers of 0240U 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