HCPCS 80307

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

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

4,760
95th percentile among 6,405 codes billed · 2023
$121M
98th percentile among 6,405 codes billed · 2023
2.0M
97th percentile among 6,405 codes billed · 2023
136
89th percentile among 6,405 codes billed · 2023
1,162
88th percentile among 6,405 codes billed · 2023
-8.9%
Medicare payment on the code vs 2022; billers -1.3% · 2023

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 Carolina379$13,404,909221,727102499
Texas459$10,883,153181,2341741,202
California154$10,658,998175,5762203,943
Tennessee246$7,398,256122,982137811
Florida449$6,897,042113,749121756
Georgia213$6,078,148100,684205878
New Jersey96$5,716,71194,3503063,947
Massachusetts134$4,823,61879,4561151,064
Kentucky234$4,763,54479,409152890
Pennsylvania100$4,255,17070,2662992,041
Maryland170$4,013,99866,4641891,208
Oklahoma144$3,787,40062,9782271,579
New York117$2,703,20944,570721,396
Michigan117$2,492,67741,2921341,816
Indiana116$2,461,34341,1821751,065

Not listed: 11 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-NJ117$6,433,341105,949153
Nashville-Davidson--Murfreesboro--Franklin, TN71$4,753,52978,596143
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD105$4,097,88467,817311
San Diego-Chula Vista-Carlsbad, CA16$3,588,50659,127471
Los Angeles-Long Beach-Anaheim, CA54$3,527,74758,006167
Dallas-Fort Worth-Arlington, TX139$3,489,73958,588158
Atlanta-Sandy Springs-Roswell, GA109$3,086,54450,992226
Boston-Cambridge-Newton, MA-NH72$2,836,30246,842138
Durham-Chapel Hill, NC25$2,712,98945,09979
Houston-Pasadena-The Woodlands, TX80$2,205,66136,526191
Cincinnati, OH-KY-IN29$2,056,77733,975248
Baltimore-Columbia-Towson, MD94$2,015,68333,395160
Chicago-Naperville-Elgin, IL-IN74$1,987,67332,836129
Providence-Warwick, RI-MA22$1,922,08831,72397
Las Vegas-Henderson-North Las Vegas, NV65$1,892,42631,350135

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 2023.

Specialties billing 80307 nationally

Clinical Laboratory accounts for 49% of payment for 80307 nationally in 2023, across 18 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory54211%$58,657,92049%967,6771,785
Nurse Practitioner1,31428%$14,200,28212%236,975180
Pain Management47810%$9,525,3707.9%158,650332
Interventional Pain Management3787.9%$9,436,9327.8%157,070416
Anesthesiology4148.7%$9,035,9217.5%150,575364
Physician Assistant62413%$5,869,1694.9%97,735157
Physical Medicine and Rehabilitation3146.6%$5,272,6004.4%87,825280
Family Practice2284.8%$2,163,2771.8%35,958158
Internal Medicine1964.1%$1,732,7651.4%28,699146
Neurology290.61%$923,3310.76%15,348529
Psychiatry470.99%$688,7500.57%11,380242
General Practice220.46%$536,2460.44%8,851402
Emergency Medicine240.50%$391,7420.32%6,512271
Pathology110.23%$386,6980.32%6,604600
Addiction Medicine110.23%$241,9580.20%4,014365

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 2023.

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