HCPCS 80061

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

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

21,197
99th percentile among 6,471 codes billed · 2024
$226M
99th percentile among 6,471 codes billed · 2024
17.3M
99th percentile among 6,471 codes billed · 2024
86
82nd percentile among 6,471 codes billed · 2024
697
82nd percentile among 6,471 codes billed · 2024
-0.1%
Medicare payment on the code vs 2023; billers -2.2% · 2024

Trend

Medicare payment on the code

$0$100M$200M2020: $226M paid20202021: $238M paid20212022: $229M paid20222023: $227M paid20232024: $226M paid2024$226M$0$100M$200M2020: $226M paid20202021: $238M paid20212022: $229M paid20222023: $227M paid20232024: $226M paid2024$226M$0$100M$200M2020: $226M paid20202021: $238M paid20212022: $229M paid20222023: $227M paid20232024: $226M paid2024$226M$0$100M$200M2020: $226M paid20202021: $238M paid20212022: $229M paid20222023: $227M paid20232024: $226M paid2024$226M

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

Billers

010K20K2020: 23K providers20202021: 23K providers20212022: 22K providers20222023: 22K providers20232024: 21K providers202421K010K20K2020: 23K providers20202021: 23K providers20212022: 22K providers20222023: 22K providers20232024: 21K providers202421K010K20K2020: 23K providers20202021: 23K providers20212022: 22K providers20222023: 22K providers20232024: 21K providers202421K010K20K2020: 23K providers20202021: 23K providers20212022: 22K providers20222023: 22K providers20232024: 21K providers202421K

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
202421,197$226,371,607-0%17,285,913866970.00
202321,671$226,533,213-1%17,301,079897180.00
202222,372$229,031,477-4%17,353,580907290.00
202123,006$237,577,164+5%17,780,008957600.00
202023,353$225,518,828first year in data16,983,052947500.00

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 Jersey366$26,097,5631,990,565901,446
California664$24,446,5751,864,5541005,374
Florida1,210$23,966,1421,828,1491541,217
Texas1,879$20,855,7981,592,57689705
North Carolina1,210$18,655,3491,423,501106565
New York1,384$9,727,985742,891101656
Ohio436$8,348,258637,725111593
Arizona531$8,173,376624,00353579
Tennessee1,381$7,502,342574,603125547
Alabama587$7,007,016535,931114641
Georgia632$6,355,315485,645156776
Illinois558$5,821,538444,2231041,039
Massachusetts711$5,707,609435,29375453
Virginia582$5,055,923386,361174830
Kansas277$5,016,490382,59998426

Not listed: 4 billers with an armed-forces or unknown state code (AE, AP, XX); they are in the national totals.

Not listed: 3 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-NJ961$33,941,9942,588,900100
Burlington, NC30$14,103,1821,075,635152
Tampa-St. Petersburg-Clearwater, FL67$13,343,3431,017,390124
Los Angeles-Long Beach-Anaheim, CA399$11,668,884890,092104
Dallas-Fort Worth-Arlington, TX376$8,252,504630,14979
Phoenix-Mesa-Chandler, AZ275$7,660,194584,79053
San Diego-Chula Vista-Carlsbad, CA26$5,894,409449,565106
Chicago-Naperville-Elgin, IL-IN461$5,807,910443,182100
Birmingham, AL173$5,625,271429,58499
Houston-Pasadena-The Woodlands, TX367$5,449,455415,78270
Miami-Fort Lauderdale-West Palm Beach, FL161$5,424,981413,682187
Boston-Cambridge-Newton, MA-NH582$5,251,523400,41372
Columbus, OH302$5,174,054394,991111
Atlanta-Sandy Springs-Roswell, GA207$4,699,644358,449120
Austin-Round Rock-San Marcos, TX246$4,396,218335,41199

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 83 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 80061 nationally

Clinical Laboratory accounts for 79% of payment for 80061 nationally in 2024, across 28 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory1,0565.0%$178,255,39879%13,600,48112,879
Family Practice6,96633%$17,556,1567.8%1,345,597193
Internal Medicine4,73122%$16,294,4077.2%1,246,913264
Nurse Practitioner4,28920%$4,059,5031.8%311,26173
Pathology820.39%$3,324,5371.5%254,4303,103
Endocrinology5712.7%$1,926,1870.85%147,673259
Physician Assistant1,7938.5%$1,607,0200.71%123,15269
Cardiology6473.1%$1,245,4920.55%95,261147
Interventional Cardiology1940.92%$359,9960.16%27,541142
General Practice1140.54%$324,8910.14%24,926219
Gastroenterology140.07%$306,5050.14%23,5371,681
Nephrology1380.65%$176,5720.08%13,51998
Hematology-Oncology780.37%$174,7210.08%13,342171
Pediatric Medicine470.22%$121,7490.05%9,339199
Geriatric Medicine380.18%$115,9330.05%8,861233

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 2024.

Top billers of 80061 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