HCPCS 81407

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

Laboratory Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

72
61st percentile among 6,116 codes billed · 2020
$35M
95th percentile among 6,116 codes billed · 2020
41K
79th percentile among 6,116 codes billed · 2020
185
92nd percentile among 6,116 codes billed · 2020
2,935
95th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$50M2020: $35M paid20202021: $82M paid2021$82M$0$50M2020: $35M paid20202021: $82M paid2021$82M$0$50M2020: $35M paid20202021: $82M paid2021$82M$0$50M2020: $35M paid20202021: $82M paid2021$82M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.

Billers

0502020: 72 providers20202021: 83 providers20212022: 2 providers202220502020: 72 providers20202021: 83 providers20212022: 2 providers202220502020: 72 providers20202021: 83 providers20212022: 2 providers202220502020: 72 providers20202021: 83 providers20212022: 2 providers20222

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.

observed calculated calculated calculated calculated calculated reported
20222fewer than 11 billers: figures not shown0.00
202183$81,760,424+136%96,6192093,7160.00
202072$34,642,395first year in data41,2371852,9350.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.

By state

observed calculated calculated calculated calculated calculated
Texas29$18,556,52021,9912703,390

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 2020.

Top metro areas

observed calculated calculated calculated calculated
Dallas-Fort Worth-Arlington, TX15$3,900,5074,620270

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 1 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 81407 nationally

Clinical Laboratory accounts for 100% of payment for 81407 nationally in 2020, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory72100%$34,642,395100%41,237573

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 81407 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