HCPCS 80048

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

Laboratory Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

15,459
98th percentile among 6,326 codes billed · 2022
$45M
96th percentile among 6,326 codes billed · 2022
5.4M
99th percentile among 6,326 codes billed · 2022
41
70th percentile among 6,326 codes billed · 2022
552
82nd percentile among 6,326 codes billed · 2022
-5.8%
Medicare payment on the code vs 2021; billers -4.1% · 2022

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
California437$4,092,288490,078702,568
Florida743$3,380,661404,82038828
New Jersey228$3,188,638381,88233938
North Carolina905$3,058,105366,46441326
Texas997$2,801,817338,07638542
Ohio360$2,286,319273,99666614
Massachusetts689$2,088,879250,18740397
Arizona188$1,700,980203,997256,549
New York893$1,602,531192,10636461
Illinois468$1,523,180182,68243557
Tennessee870$1,468,722176,69739534
Virginia465$1,425,795171,03856833
Wisconsin802$1,249,297150,50036243
Minnesota1,414$1,213,178145,87240187
Kansas203$1,175,427140,76744437

Not listed: 1 billers with an armed-forces or unknown state code (AE); they are in the national totals.

Not listed: 5 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
New York-Newark-Jersey City, NY-NJ637$4,417,901529,12738
Burlington, NC24$2,046,647245,11040
Los Angeles-Long Beach-Anaheim, CA233$1,983,020237,47058
Boston-Cambridge-Newton, MA-NH540$1,797,323215,19840
Chicago-Naperville-Elgin, IL-IN355$1,372,789164,69343
Tampa-St. Petersburg-Clearwater, FL43$1,249,974149,57736
Dallas-Fort Worth-Arlington, TX228$1,149,573139,85433
Miami-Fort Lauderdale-West Palm Beach, FL94$1,133,724135,72961
Phoenix-Mesa-Chandler, AZ78$931,212111,52924
Columbus, OH236$874,719104,85375
Kansas City, MO-KS72$872,094104,38933
San Diego-Chula Vista-Carlsbad, CA24$774,91092,806613
Birmingham, AL125$771,85392,64983
Cincinnati, OH-KY-IN38$763,36091,33627
Milwaukee-Waukesha, WI40$761,14591,99449

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 82 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 80048 nationally

Clinical Laboratory accounts for 71% of payment for 80048 nationally in 2022, across 30 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory9145.9%$31,940,34871%3,828,7144,189
Internal Medicine3,57123%$3,670,7608.1%441,564124
Family Practice4,46829%$3,499,2017.7%420,96094
Nurse Practitioner2,05913%$1,290,0532.8%154,99575
Pathology780.50%$923,8512.0%110,9721,423
Hematology-Oncology4583.0%$848,4541.9%102,002223
Physician Assistant1,0967.1%$687,9881.5%82,69975
Cardiology5473.5%$424,0790.94%50,98193
Endocrinology3552.3%$394,5370.87%47,525134
Urology4653.0%$274,2830.61%32,99171
Medical Oncology1470.95%$219,0640.48%26,325179
Nephrology2601.7%$190,5420.42%22,92788
General Practice470.30%$164,7900.36%19,793421
Rheumatology1330.86%$140,0920.31%16,862127
Interventional Cardiology1601.0%$118,5430.26%14,23989

Not listed: 33 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 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