HCPCS 80061

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

Laboratory Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

23,006
99th percentile among 6,253 codes billed · 2021
$238M
99th percentile among 6,253 codes billed · 2021
17.8M
100th percentile among 6,253 codes billed · 2021
95
86th percentile among 6,253 codes billed · 2021
760
85th percentile among 6,253 codes billed · 2021
+5.3%
Medicare payment on the code vs 2020; billers -1.5% · 2021

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
Florida1,364$25,498,1811,906,9451691,379
California682$24,930,2721,863,1971444,914
New Jersey334$22,115,3761,652,6501251,751
Texas1,829$22,010,0661,647,170104792
North Carolina1,202$19,179,7531,435,377120714
New York1,490$11,438,465855,683135795
Ohio520$9,401,518702,924101473
Tennessee1,242$8,483,706636,891153697
Arizona438$7,665,273573,48070870
Alabama678$7,460,806559,307124744
Georgia695$6,738,013504,491154817
Massachusetts747$6,303,688471,17095581
Illinois559$6,276,017469,861108889
Kansas276$5,540,615414,253119448
Pennsylvania212$5,390,518403,008943,359

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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,014$31,342,2872,342,168161
Burlington, NC31$14,120,1781,055,306112
Tampa-St. Petersburg-Clearwater, FL94$12,980,489970,568114
Los Angeles-Long Beach-Anaheim, CA397$12,380,909925,432160
Dallas-Fort Worth-Arlington, TX342$8,472,711634,077117
Phoenix-Mesa-Chandler, AZ206$7,142,417534,29476
Chicago-Naperville-Elgin, IL-IN434$6,337,695474,446112
Columbus, OH295$6,027,488450,536105
Birmingham, AL156$5,797,408433,808146
Miami-Fort Lauderdale-West Palm Beach, FL175$5,769,719431,260331
Boston-Cambridge-Newton, MA-NH584$5,569,764416,12080
Houston-Pasadena-The Woodlands, TX316$5,473,988409,37571
San Diego-Chula Vista-Carlsbad, CA30$4,852,724362,594110
Kansas City, MO-KS158$4,752,921355,291121
Atlanta-Sandy Springs-Roswell, GA242$4,744,085354,497111

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 89 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 80061 nationally

Clinical Laboratory accounts for 76% of payment for 80061 nationally in 2021, across 29 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory1,1364.9%$179,387,48376%13,412,22211,807
Internal Medicine5,60424%$21,609,8479.1%1,621,023289
Family Practice7,87234%$20,723,3308.7%1,556,568198
Nurse Practitioner3,82517%$3,818,1171.6%286,74375
Pathology560.24%$3,251,3431.4%243,7134,352
Endocrinology6803.0%$2,489,1091.0%187,077275
Cardiology7833.4%$1,890,4610.80%141,746181
Physician Assistant1,6527.2%$1,550,4260.65%116,33770
General Practice1440.63%$469,6420.20%35,250245
Hematology-Oncology1670.73%$403,9290.17%30,204181
Interventional Cardiology2190.95%$386,4830.16%28,977132
Gastroenterology220.10%$344,3260.14%26,1121,187
Nephrology1770.77%$224,6140.09%16,87095
Pediatric Medicine540.23%$180,4670.08%13,562251
Rheumatology1310.57%$144,1640.06%10,85383

Not listed: 26 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 2021.

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