HCPCS 80048

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

Laboratory Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

14,725
98th percentile among 6,405 codes billed · 2023
$43M
95th percentile among 6,405 codes billed · 2023
5.2M
99th percentile among 6,405 codes billed · 2023
41
69th percentile among 6,405 codes billed · 2023
541
80th percentile among 6,405 codes billed · 2023
-4.8%
Medicare payment on the code vs 2022; billers -4.7% · 2023

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
California445$4,118,858497,367643,159
New Jersey249$3,357,637405,30931880
Florida607$3,271,333395,046381,043
North Carolina911$3,217,696388,84041293
Texas872$2,542,235307,34837581
Ohio352$2,169,595262,10962651
Massachusetts683$2,032,101245,25138379
New York876$1,569,216189,58635445
Illinois447$1,431,230172,92546523
Virginia455$1,427,567172,67651801
Minnesota1,435$1,261,482152,93541209
Tennessee899$1,140,986138,34636481
Wisconsin533$1,099,847133,59840316
Arizona168$1,087,170131,311273,045
South Carolina396$1,040,662126,098691,322

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ633$4,596,353554,85036
Burlington, NC24$2,020,035243,98838
Los Angeles-Long Beach-Anaheim, CA257$1,956,061236,29757
Boston-Cambridge-Newton, MA-NH542$1,712,378206,63238
Chicago-Naperville-Elgin, IL-IN351$1,330,684160,79845
Tampa-St. Petersburg-Clearwater, FL39$1,205,213145,44736
Miami-Fort Lauderdale-West Palm Beach, FL70$1,073,630129,537102
Dallas-Fort Worth-Arlington, TX189$1,003,923121,37542
Phoenix-Mesa-Chandler, AZ65$894,252108,02831
Columbus, OH251$812,33298,18462
San Diego-Chula Vista-Carlsbad, CA23$804,33197,086446
Birmingham, AL138$764,40992,76283
Minneapolis-St. Paul-Bloomington, MN-WI1,194$743,27690,33139
Kansas City, MO-KS74$732,18188,34733
Milwaukee-Waukesha, WI31$719,57087,63839

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 78 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing 80048 nationally

Clinical Laboratory accounts for 72% of payment for 80048 nationally in 2023, across 30 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory9056.1%$31,207,27772%3,769,2964,165
Internal Medicine3,27722%$3,301,4907.7%400,236122
Family Practice4,21429%$3,242,5907.5%393,16793
Nurse Practitioner2,08614%$994,5882.3%120,52258
Pathology930.63%$966,6532.2%116,9951,258
Hematology-Oncology3452.3%$757,4281.8%91,739266
Physician Assistant1,1697.9%$504,6641.2%61,13852
Endocrinology3372.3%$366,5850.85%44,489132
Cardiology5123.5%$353,7340.82%42,84984
Urology4703.2%$264,4280.61%32,04668
Nephrology2241.5%$194,5690.45%23,596105
Medical Oncology1120.76%$178,8690.41%21,683194
Rheumatology1290.88%$147,6920.34%17,900139
Interventional Cardiology1591.1%$106,2870.25%12,87181
Gastroenterology430.29%$69,4870.16%8,556199

Not listed: 28 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 2023.

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