HCPCS 80061

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

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

21,671
99th percentile among 6,405 codes billed · 2023
$227M
99th percentile among 6,405 codes billed · 2023
17.3M
100th percentile among 6,405 codes billed · 2023
89
84th percentile among 6,405 codes billed · 2023
718
83rd percentile among 6,405 codes billed · 2023
-1.1%
Medicare payment on the code vs 2022; billers -3.1% · 2023

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
California699$24,660,1591,880,7731094,537
Florida1,246$24,141,0141,841,5341591,201
New Jersey366$23,945,0621,826,5701291,405
Texas1,791$20,822,1541,590,07192755
North Carolina1,184$20,653,4811,577,011106608
New York1,456$10,687,028815,941115703
Ohio476$8,577,123655,076105503
Arizona529$7,653,634584,51360542
Alabama592$7,136,205546,491118706
Georgia642$6,324,392483,226155809
Massachusetts718$5,805,868442,83483504
Illinois567$5,710,217436,067101803
Tennessee1,312$5,386,844412,952136575
Virginia632$5,105,418390,213182835
Kansas289$5,067,816386,556104398

Not listed: 2 billers with an armed-forces or unknown state code (AE, 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,000$32,631,3402,489,174139
Burlington, NC29$13,855,9211,057,582143
Tampa-St. Petersburg-Clearwater, FL67$13,159,4221,003,417127
Los Angeles-Long Beach-Anaheim, CA425$11,804,020900,211122
Dallas-Fort Worth-Arlington, TX346$8,209,883627,05287
Phoenix-Mesa-Chandler, AZ278$7,154,689546,33661
Chicago-Naperville-Elgin, IL-IN459$5,796,284442,64698
Birmingham, AL175$5,748,531439,673112
Houston-Pasadena-The Woodlands, TX342$5,415,182413,19771
Miami-Fort Lauderdale-West Palm Beach, FL156$5,414,142412,773205
San Diego-Chula Vista-Carlsbad, CA28$5,289,723403,48488
Columbus, OH311$5,265,180401,989106
Boston-Cambridge-Newton, MA-NH564$5,172,939394,40668
Atlanta-Sandy Springs-Roswell, GA221$4,639,318353,786124
Austin-Round Rock-San Marcos, TX241$4,487,069342,18197

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 85 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 80061 nationally

Clinical Laboratory accounts for 78% of payment for 80061 nationally in 2023, across 28 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory1,1155.1%$176,043,89078%13,433,09812,048
Family Practice7,23433%$18,075,2858.0%1,385,712192
Internal Medicine4,93023%$17,931,9567.9%1,372,676278
Nurse Practitioner4,13319%$3,850,5411.7%295,25371
Pathology750.35%$3,066,6291.4%234,5363,127
Endocrinology6002.8%$2,190,3300.97%167,956280
Physician Assistant1,7328.0%$1,553,9500.69%119,09769
Cardiology6973.2%$1,417,3880.63%108,416156
Gastroenterology150.07%$417,6780.18%32,3032,154
Interventional Cardiology2100.97%$368,9950.16%28,240134
General Practice1200.55%$328,4360.14%25,193210
Hematology-Oncology950.44%$273,5430.12%20,879220
Nephrology1480.68%$186,9610.08%14,33097
Geriatric Medicine390.18%$137,8050.06%10,535270
Pediatric Medicine540.25%$121,8710.05%9,346173

Not listed: 23 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 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