HCPCS 81238
Laboratory test (ClaimLight category; the code descriptor is not shown)
Laboratory Work RVU per service none (2020 fee schedule; adds 0 work RVUs)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 72 | $26,487,120 | +32% | 45,130 | 208 | 2,422 | 0.00 |
| 2023 | 54 | $19,993,919 | +51% | 34,059 | 207 | 2,419 | 0.00 |
| 2022 | 47 | $13,261,093 | -29% | 22,416 | 105 | 2,099 | 0.00 |
| 2021 | 47 | $18,562,624 | +415% | 30,993 | 226 | 2,512 | 0.00 |
| 2020 | 24 | $3,602,976 | first year in data | 6,080 | 89 | 918 | 0.00 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
By state
No state has a reportable line for 81238 in 2020.
Top metro areas
No metro area has a reportable line for 81238 in 2020.
Specialties billing 81238 nationally
Clinical Laboratory accounts for 100% of payment for 81238 nationally in 2020, across 1 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Clinical Laboratory | 24 | 100% | $3,602,976 | 100% | 6,080 | 253 |
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 2020.
Top billers of 81238 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