HCPCS 81403

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

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

24
49th percentile among 6,326 codes billed · 2022
$677K
66th percentile among 6,326 codes billed · 2022
3,658
58th percentile among 6,326 codes billed · 2022
43
70th percentile among 6,326 codes billed · 2022
354
77th percentile among 6,326 codes billed · 2022
-97.0%
Medicare payment on the code vs 2021; billers -72.4% · 2022

Trend

Medicare payment on the code

$0$10M$20M2020: $8.7M paid20202021: $23M paid20212022: $677K paid2022$677K$0$10M$20M2020: $8.7M paid20202021: $23M paid20212022: $677K paid2022$677K$0$10M$20M2020: $8.7M paid20202021: $23M paid20212022: $677K paid2022$677K$0$10M$20M2020: $8.7M paid20202021: $23M paid20212022: $677K paid2022$677K

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

Billers

0501002020: 129 providers20202021: 87 providers20212022: 24 providers20222023: 1 providers20232024: 1 providers202410501002020: 129 providers20202021: 87 providers20212022: 24 providers20222023: 1 providers20232024: 1 providers202410501002020: 129 providers20202021: 87 providers20212022: 24 providers20222023: 1 providers20232024: 1 providers202410501002020: 129 providers20202021: 87 providers20212022: 24 providers20222023: 1 providers20232024: 1 providers20241

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
20241fewer than 11 billers: figures not shown0.00
20231fewer than 11 billers: figures not shown0.00
202224$677,351-97%3,658433540.00
202187$22,573,763+160%121,8921604,8710.00
2020129$8,673,073first year in data47,698891,0130.00

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 81403 in 2022.

Top metro areas

No metro area has a reportable line for 81403 in 2022.

Specialties billing 81403 nationally

Clinical Laboratory accounts for 100% of payment for 81403 nationally in 2022, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory24100%$677,351100%3,658152

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 81403 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