HCPCS 81406

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

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

95
65th percentile among 6,253 codes billed · 2021
$57M
96th percentile among 6,253 codes billed · 2021
202K
89th percentile among 6,253 codes billed · 2021
390
94th percentile among 6,253 codes billed · 2021
7,495
97th percentile among 6,253 codes billed · 2021
+97.6%
Medicare payment on the code vs 2020; billers +1.1% · 2021

Trend

Medicare payment on the code

$0$25M$50M2020: $29M paid20202021: $57M paid2021$57M$0$25M$50M2020: $29M paid20202021: $57M paid2021$57M$0$25M$50M2020: $29M paid20202021: $57M paid2021$57M$0$25M$50M2020: $29M paid20202021: $57M paid2021$57M

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

Billers

0501002020: 94 providers20202021: 95 providers20212022: 4 providers20222023: 3 providers20232024: 3 providers202430501002020: 94 providers20202021: 95 providers20212022: 4 providers20222023: 3 providers20232024: 3 providers202430501002020: 94 providers20202021: 95 providers20212022: 4 providers20222023: 3 providers20232024: 3 providers202430501002020: 94 providers20202021: 95 providers20212022: 4 providers20222023: 3 providers20232024: 3 providers20243

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
20243fewer than 11 billers: figures not shown0.00
20233fewer than 11 billers: figures not shown0.00
20224fewer than 11 billers: figures not shown0.00
202195$57,168,005+98%202,0993907,4950.00
202094$28,931,197first year in data102,5902646,8220.00

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
Texas43$43,351,956153,2545487,841
Florida15$5,536,38619,5712485,320

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 2021.

Top metro areas

observed calculated calculated calculated calculated
Houston-Pasadena-The Woodlands, TX19$35,580,780125,7811,951
Dallas-Fort Worth-Arlington, TX19$7,152,14025,283548
Miami-Fort Lauderdale-West Palm Beach, FL11$4,676,71416,532248

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 3 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 81406 nationally

observed calculated calculated calculated calculated calculated

Not listed: 2 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 2021.

Top billers of 81406 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