HCPCS 80307

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

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

4,686
94th percentile among 6,253 codes billed · 2021
$146M
98th percentile among 6,253 codes billed · 2021
2.4M
97th percentile among 6,253 codes billed · 2021
166
91st percentile among 6,253 codes billed · 2021
1,497
91st percentile among 6,253 codes billed · 2021
-3.1%
Medicare payment on the code vs 2020; billers -0.3% · 2021

Trend

Medicare payment on the code

$0$100M2020: $150M paid20202021: $146M paid20212022: $133M paid20222023: $121M paid20232024: $114M paid2024$114M$0$100M2020: $150M paid20202021: $146M paid20212022: $133M paid20222023: $121M paid20232024: $114M paid2024$114M$0$100M2020: $150M paid20202021: $146M paid20212022: $133M paid20222023: $121M paid20232024: $114M paid2024$114M$0$100M2020: $150M paid20202021: $146M paid20212022: $133M paid20222023: $121M paid20232024: $114M paid2024$114M

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

Billers

02,0004,0002020: 4,698 providers20202021: 4,686 providers20212022: 4,823 providers20222023: 4,760 providers20232024: 4,731 providers20244,73102,0004,0002020: 4,698 providers20202021: 4,686 providers20212022: 4,823 providers20222023: 4,760 providers20232024: 4,731 providers20244,73102,0004,0002020: 4,698 providers20202021: 4,686 providers20212022: 4,823 providers20222023: 4,760 providers20232024: 4,731 providers20244,73102,0004,0002020: 4,698 providers20202021: 4,686 providers20212022: 4,823 providers20222023: 4,760 providers20232024: 4,731 providers20244,731

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
20244,731$113,859,278-6%1,887,9561271,1050.00
20234,760$120,855,747-9%2,003,5701361,1620.00
20224,823$132,723,340-9%2,181,8351461,2490.00
20214,686$145,771,476-3%2,366,0491661,4970.00
20204,698$150,417,642first year in data2,458,3171681,5730.00

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
North Carolina406$16,150,175262,708143709
Texas474$12,613,542204,9991791,454
California142$11,565,490186,7492824,829
Tennessee268$8,946,590145,9021391,116
Georgia231$8,922,864144,6602931,439
Florida445$8,217,943132,988136981
Massachusetts149$6,387,091102,9201561,465
Pennsylvania97$5,743,93292,7582943,802
New Jersey90$5,701,00492,0174032,959
Kentucky195$5,424,20887,9181971,439
Maryland188$4,937,08980,0912481,448
Oklahoma141$4,934,96380,2232572,008
Michigan114$3,652,87159,0941062,169
Alabama105$3,235,75253,1332141,673
Washington117$3,231,30352,8551641,021

Not listed: 10 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-NJ96$6,517,757105,162298
Nashville-Davidson--Murfreesboro--Franklin, TN75$5,522,27789,627143
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD97$5,107,94482,527380
Atlanta-Sandy Springs-Roswell, GA120$4,593,09574,288288
Dallas-Fort Worth-Arlington, TX147$4,568,88374,379180
San Diego-Chula Vista-Carlsbad, CA19$3,804,51761,477425
Boston-Cambridge-Newton, MA-NH78$3,707,08059,924215
Los Angeles-Long Beach-Anaheim, CA60$3,416,75955,172162
Durham-Chapel Hill, NC22$3,147,31151,67392
Detroit-Warren-Dearborn, MI68$2,738,36544,293174
Chicago-Naperville-Elgin, IL-IN68$2,711,14143,874166
Baltimore-Columbia-Towson, MD93$2,416,90739,243244
Providence-Warwick, RI-MA24$2,384,89738,531251
Houston-Pasadena-The Woodlands, TX65$2,311,69537,533190
Springfield, MA28$2,237,78536,040121

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 80 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 80307 nationally

Clinical Laboratory accounts for 47% of payment for 80307 nationally in 2021, across 18 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory53912%$68,975,11847%1,116,0772,071
Nurse Practitioner1,21326%$14,931,45310%243,203200
Pain Management47510%$12,037,4548.3%195,969413
Interventional Pain Management3898.3%$11,315,5257.8%184,432474
Anesthesiology4108.7%$11,167,9447.7%181,802443
Physical Medicine and Rehabilitation3256.9%$7,455,4925.1%121,713375
Physician Assistant54612%$5,891,7794.0%95,898176
Family Practice2515.4%$3,819,8122.6%61,873247
Internal Medicine1964.2%$2,620,5291.8%42,465217
Neurology380.81%$1,299,6470.89%21,195558
Psychiatry601.3%$1,026,5390.70%16,571276
Orthopedic Surgery340.73%$743,4630.51%12,058355
General Practice290.62%$652,6280.45%10,582365
Emergency Medicine320.68%$601,8250.41%9,785306
Addiction Medicine190.41%$389,0260.27%6,288331

Not listed: 22 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 80307 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