HCPCS 80061

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

Laboratory Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

23,353
99th percentile among 6,116 codes billed · 2020
$226M
99th percentile among 6,116 codes billed · 2020
17.0M
100th percentile among 6,116 codes billed · 2020
94
87th percentile among 6,116 codes billed · 2020
750
86th percentile among 6,116 codes billed · 2020

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
Florida1,371$24,705,6911,859,5781591,312
California701$22,923,7821,724,0761374,600
Texas1,789$21,324,2921,605,813109755
New Jersey319$18,994,4141,427,6451152,378
North Carolina1,254$18,378,4281,385,107123754
New York1,531$10,612,856798,493123737
Ohio532$8,815,143663,20495451
Tennessee1,222$7,945,403599,817153678
Alabama662$7,318,495552,487139708
Arizona382$7,255,553546,54590882
Georgia724$6,676,257503,015154812
Pennsylvania212$6,166,926463,725913,410
Illinois612$5,985,944450,653104849
Massachusetts787$5,794,949435,62175520
Kansas281$4,625,304347,831114449

Not listed: 2 billers with an armed-forces or unknown state code (XX, ZZ); 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,027$27,298,7302,051,830138
Burlington, NC29$13,166,625990,510122
Tampa-St. Petersburg-Clearwater, FL117$12,356,942929,65062
Los Angeles-Long Beach-Anaheim, CA404$11,189,920841,507161
Dallas-Fort Worth-Arlington, TX339$7,976,647600,350118
Phoenix-Mesa-Chandler, AZ159$6,711,051505,506103
Chicago-Naperville-Elgin, IL-IN486$5,941,946447,255106
Columbus, OH278$5,615,951422,417102
Birmingham, AL148$5,613,767422,988155
Miami-Fort Lauderdale-West Palm Beach, FL183$5,445,040409,617291
Houston-Pasadena-The Woodlands, TX274$5,252,390395,09578
Boston-Cambridge-Newton, MA-NH615$5,091,044382,48766
Atlanta-Sandy Springs-Roswell, GA247$4,599,075345,764100
Austin-Round Rock-San Marcos, TX214$4,475,448336,97894
San Diego-Chula Vista-Carlsbad, CA33$4,443,444334,16397

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 92 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 80061 nationally

Clinical Laboratory accounts for 74% of payment for 80061 nationally in 2020, across 29 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory1,1705.0%$168,009,06174%12,639,47510,803
Internal Medicine5,87525%$21,794,9029.7%1,645,072280
Family Practice8,03534%$20,439,9969.1%1,545,048192
Nurse Practitioner3,57515%$3,395,7471.5%256,54972
Pathology640.27%$3,341,0901.5%251,9813,937
Endocrinology6983.0%$2,329,2041.0%176,322253
Cardiology8563.7%$1,940,8700.86%146,598171
Physician Assistant1,5576.7%$1,398,3450.62%105,51568
General Practice1560.67%$501,3300.22%37,872243
Interventional Cardiology2341.0%$400,1680.18%30,188129
Hematology-Oncology1990.85%$379,1410.17%28,521143
Gastroenterology250.11%$332,8920.15%25,0181,001
Nephrology1890.81%$222,6470.10%16,82789
Rheumatology1430.61%$146,6130.07%11,09978
Emergency Medicine670.29%$142,9650.06%10,822162

Not listed: 30 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 2020.

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