HCPCS 80048

Laboratory test (ClaimLight category; the code descriptor is not shown)

Laboratory Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

13,827
98th percentile among 6,471 codes billed · 2024
$42M
95th percentile among 6,471 codes billed · 2024
5.1M
99th percentile among 6,471 codes billed · 2024
39
66th percentile among 6,471 codes billed · 2024
534
79th percentile among 6,471 codes billed · 2024
-2.9%
Medicare payment on the code vs 2023; billers -6.1% · 2024

Trend

Medicare payment on the code

$0$20M$40M2020: $48M paid20202021: $48M paid20212022: $45M paid20222023: $43M paid20232024: $42M paid2024$42M$0$20M$40M2020: $48M paid20202021: $48M paid20212022: $45M paid20222023: $43M paid20232024: $42M paid2024$42M$0$20M$40M2020: $48M paid20202021: $48M paid20212022: $45M paid20222023: $43M paid20232024: $42M paid2024$42M$0$20M$40M2020: $48M paid20202021: $48M paid20212022: $45M paid20222023: $43M paid20232024: $42M paid2024$42M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

010K2020: 16K providers20202021: 16K providers20212022: 15K providers20222023: 15K providers20232024: 14K providers202414K010K2020: 16K providers20202021: 16K providers20212022: 15K providers20222023: 15K providers20232024: 14K providers202414K010K2020: 16K providers20202021: 16K providers20212022: 15K providers20222023: 15K providers20232024: 14K providers202414K010K2020: 16K providers20202021: 16K providers20212022: 15K providers20222023: 15K providers20232024: 14K providers202414K

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
202413,827$41,864,079-3%5,063,616395340.00
202314,725$43,135,650-5%5,215,111415410.00
202215,459$45,298,350-6%5,435,219415520.00
202116,118$48,084,894-0%5,696,991445760.00
202016,132$48,160,986first year in data5,744,342455840.00

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
New Jersey167$4,122,720500,410374,356
California399$3,965,557478,687553,126
Florida582$3,165,265382,257371,022
North Carolina911$2,839,541342,95137287
Texas811$2,447,416295,99436618
Ohio318$1,993,104240,88157868
Massachusetts637$1,944,780234,74838376
Illinois444$1,459,943176,35039781
New York786$1,450,117175,12133431
Virginia437$1,382,379167,20343825
Tennessee903$1,327,671160,95238470
Minnesota1,381$1,144,778138,73137177
South Carolina413$1,015,029123,009601,182
Wisconsin447$1,008,858122,76645336
Pennsylvania135$969,905117,139614,767

Not listed: 3 billers with an armed-forces or unknown state code (AE, AP); they are in the national totals.

Not listed: 6 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ515$5,273,018639,23135
Burlington, NC22$1,951,887235,58727
Los Angeles-Long Beach-Anaheim, CA227$1,894,437228,67454
Boston-Cambridge-Newton, MA-NH551$1,677,100202,39737
Chicago-Naperville-Elgin, IL-IN354$1,360,962164,32639
Tampa-St. Petersburg-Clearwater, FL39$1,195,579144,28255
Miami-Fort Lauderdale-West Palm Beach, FL82$965,833116,58167
Dallas-Fort Worth-Arlington, TX177$933,723112,78240
Phoenix-Mesa-Chandler, AZ56$912,876110,27632
San Diego-Chula Vista-Carlsbad, CA20$877,131105,862648
Columbus, OH228$763,28392,28856
Birmingham, AL135$720,95987,25167
Houston-Pasadena-The Woodlands, TX89$699,05984,54029
Kansas City, MO-KS60$687,57382,94730
Milwaukee-Waukesha, WI17$681,40283,14390

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 80 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 80048 nationally

Clinical Laboratory accounts for 74% of payment for 80048 nationally in 2024, across 30 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory8586.2%$31,087,02874%3,757,3394,379
Internal Medicine3,04322%$2,989,2877.1%362,300119
Family Practice3,91328%$2,952,3937.1%357,98191
Pathology980.71%$978,4842.3%118,4151,208
Nurse Practitioner2,06815%$895,9502.1%108,72153
Hematology-Oncology3272.4%$708,6641.7%85,871263
Physician Assistant1,1088.0%$425,7091.0%51,58747
Endocrinology3022.2%$331,5110.79%40,197133
Cardiology4613.3%$292,1190.70%35,36077
Urology4343.1%$226,4540.54%27,42263
Nephrology2151.6%$167,3030.40%20,26894
Rheumatology1300.94%$148,6220.36%18,022139
Medical Oncology950.69%$132,2390.32%16,030169
Interventional Cardiology1431.0%$105,0110.25%12,71889
Emergency Medicine1571.1%$60,1900.14%7,29446

Not listed: 22 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 2024.

Top billers of 80048 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