HCPCS 80307

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

Laboratory Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

4,823
95th percentile among 6,326 codes billed · 2022
$133M
98th percentile among 6,326 codes billed · 2022
2.2M
97th percentile among 6,326 codes billed · 2022
146
90th percentile among 6,326 codes billed · 2022
1,249
90th percentile among 6,326 codes billed · 2022
-9.0%
Medicare payment on the code vs 2021; billers +2.9% · 2022

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 Carolina395$14,351,740236,299118551
California151$11,800,785192,9832145,302
Texas515$11,081,618182,7521271,193
Tennessee269$8,068,482133,292144935
Georgia230$7,414,366121,6922491,219
Florida438$7,322,047119,875141834
New Jersey95$6,202,899101,3323524,443
Massachusetts143$6,045,84598,6221511,298
Pennsylvania101$5,215,61185,3573292,962
Kentucky206$4,715,79677,6541221,171
Oklahoma144$4,593,34675,6742571,655
Maryland183$4,422,39172,4612201,224
Michigan124$3,199,92452,5181201,982
Alabama106$2,812,39446,8451951,235
New York77$2,736,76344,8142002,109

Not listed: 8 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ87$6,611,290108,021251
Nashville-Davidson--Murfreesboro--Franklin, TN70$5,008,83882,274185
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD103$4,521,00873,958357
Los Angeles-Long Beach-Anaheim, CA57$4,114,21267,207173
Dallas-Fort Worth-Arlington, TX156$3,973,52565,894134
Atlanta-Sandy Springs-Roswell, GA117$3,936,84064,475273
San Diego-Chula Vista-Carlsbad, CA16$3,770,48061,750489
Boston-Cambridge-Newton, MA-NH78$3,496,75657,221191
Durham-Chapel Hill, NC25$2,911,35948,342100
Detroit-Warren-Dearborn, MI78$2,413,50739,553162
Chicago-Naperville-Elgin, IL-IN71$2,405,21039,486155
Providence-Warwick, RI-MA22$2,276,71637,240199
Baltimore-Columbia-Towson, MD95$2,191,76235,883220
Houston-Pasadena-The Woodlands, TX71$2,169,54035,663172
Springfield, MA20$2,033,36633,165122

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 81 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 80307 nationally

Clinical Laboratory accounts for 49% of payment for 80307 nationally in 2022, across 17 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory53211%$64,373,49149%1,054,5591,982
Nurse Practitioner1,31127%$14,818,87411%244,605187
Pain Management4779.9%$10,310,9867.8%170,081357
Anesthesiology4268.8%$9,905,8157.5%163,478384
Interventional Pain Management3908.1%$9,667,9447.3%159,528409
Physician Assistant63213%$6,396,6874.8%105,505167
Physical Medicine and Rehabilitation3146.5%$6,330,2474.8%104,547333
Family Practice2515.2%$3,046,3472.3%50,020199
Internal Medicine1924.0%$2,103,2641.6%34,522180
Neurology330.68%$1,124,1400.85%18,555562
Psychiatry531.1%$794,5890.60%13,040246
General Practice240.50%$661,1920.50%10,825451
Emergency Medicine300.62%$512,4450.39%8,402280
Rheumatology420.87%$279,9380.21%4,622110
Addiction Medicine160.33%$273,2510.21%4,474280

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 2022.

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