HCPCS 81249

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

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

13
41st percentile among 6,253 codes billed · 2021
$1.5M
73rd percentile among 6,253 codes billed · 2021
2,563
54th percentile among 6,253 codes billed · 2021
78
83rd percentile among 6,253 codes billed · 2021
685
84th percentile among 6,253 codes billed · 2021

Trend

Medicare payment on the code

$0$10M$20M2021: $1.5M paid20212022: $11M paid20222023: $21M paid20232024: $27M paid2024$27M$0$10M$20M2021: $1.5M paid20212022: $11M paid20222023: $21M paid20232024: $27M paid2024$27M$0$10M$20M2021: $1.5M paid20212022: $11M paid20222023: $21M paid20232024: $27M paid2024$27M$0$10M$20M2021: $1.5M paid20212022: $11M paid20222023: $21M paid20232024: $27M paid2024$27M

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

Billers

0502020: 5 providers20202021: 13 providers20212022: 41 providers20222023: 62 providers20232024: 71 providers2024710502020: 5 providers20202021: 13 providers20212022: 41 providers20222023: 62 providers20232024: 71 providers2024710502020: 5 providers20202021: 13 providers20212022: 41 providers20222023: 62 providers20232024: 71 providers2024710502020: 5 providers20202021: 13 providers20212022: 41 providers20222023: 62 providers20232024: 71 providers202471

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
202471$26,880,999+26%45,7192142,7290.00
202362$21,250,998+91%36,162922,7510.00
202241$11,140,564+637%18,833972,3000.00
202113$1,511,233no comparison: 2020 has fewer than 11 billers2,563786850.00
20205fewer than 11 billers: figures not shown0.00

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 81249 in 2021.

Top metro areas

No metro area has a reportable line for 81249 in 2021.

Specialties billing 81249 nationally

Clinical Laboratory accounts for 100% of payment for 81249 nationally in 2021, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory13100%$1,511,233100%2,563197

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 81249 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