HCPCS 82043

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

Laboratory Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

11,597
98th percentile among 6,471 codes billed · 2024
$25M
93rd percentile among 6,471 codes billed · 2024
4.4M
98th percentile among 6,471 codes billed · 2024
37
64th percentile among 6,471 codes billed · 2024
345
75th percentile among 6,471 codes billed · 2024
+10.2%
Medicare payment on the code vs 2023; billers +7.4% · 2024

Trend

Medicare payment on the code

$0$10M$20M2020: $19M paid20202021: $21M paid20212022: $21M paid20222023: $23M paid20232024: $25M paid2024$25M$0$10M$20M2020: $19M paid20202021: $21M paid20212022: $21M paid20222023: $23M paid20232024: $25M paid2024$25M$0$10M$20M2020: $19M paid20202021: $21M paid20212022: $21M paid20222023: $23M paid20232024: $25M paid2024$25M$0$10M$20M2020: $19M paid20202021: $21M paid20212022: $21M paid20222023: $23M paid20232024: $25M paid2024$25M

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

Billers

05,00010K2020: 10K providers20202021: 10K providers20212022: 10K providers20222023: 11K providers20232024: 12K providers202412K05,00010K2020: 10K providers20202021: 10K providers20212022: 10K providers20222023: 11K providers20232024: 12K providers202412K05,00010K2020: 10K providers20202021: 10K providers20212022: 10K providers20222023: 11K providers20232024: 12K providers202412K05,00010K2020: 10K providers20202021: 10K providers20212022: 10K providers20222023: 11K providers20232024: 12K providers202412K

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
202411,597$24,993,863+10%4,427,155373450.00
202310,795$22,682,640+8%4,019,184373500.00
202210,434$20,996,642+2%3,690,385363410.00
202110,266$20,601,716+7%3,575,288373640.00
202010,125$19,321,426first year in data3,377,286383690.00

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
California332$3,118,309551,290523,483
New Jersey222$2,818,231498,46141950
Florida738$2,634,345468,07059527
Texas814$2,527,452447,41037359
North Carolina766$2,091,651369,99236227
Arizona236$1,092,556193,33630274
Ohio302$816,176144,49136505
New York689$746,269132,12934288
Alabama353$735,309130,28040373
Kansas282$727,346128,56135163
Tennessee861$699,887124,44642205
Georgia442$670,234118,81351495
Illinois388$606,421107,32442328
Massachusetts449$585,854103,58035215
Virginia341$470,96883,49649242

Not listed: 1 billers with an armed-forces or unknown state code (AE); they are in the national totals.

Not listed: 6 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ472$3,391,981599,92340
Burlington, NC21$1,666,695294,63750
Tampa-St. Petersburg-Clearwater, FL52$1,608,726284,87171
Los Angeles-Long Beach-Anaheim, CA173$1,463,139258,70145
Dallas-Fort Worth-Arlington, TX102$1,127,082199,49037
Phoenix-Mesa-Chandler, AZ104$1,048,083185,46026
San Diego-Chula Vista-Carlsbad, CA13$759,766134,307543
Houston-Pasadena-The Woodlands, TX139$656,401116,09734
Kansas City, MO-KS88$653,277115,43440
Birmingham, AL124$598,302105,87738
Chicago-Naperville-Elgin, IL-IN313$596,642105,57544
Boston-Cambridge-Newton, MA-NH354$525,91192,94933
Columbus, OH206$517,33791,55736
Austin-Round Rock-San Marcos, TX165$495,76787,71829
Miami-Fort Lauderdale-West Palm Beach, FL37$439,32378,928240

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 80 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 82043 nationally

Clinical Laboratory accounts for 81% of payment for 82043 nationally in 2024, across 15 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory7146.2%$20,236,89281%3,581,9845,017
Family Practice4,24337%$1,470,9905.9%261,52862
Internal Medicine3,14327%$1,377,9625.5%244,54378
Pathology490.42%$496,0752.0%88,0991,798
Nurse Practitioner1,79415%$408,6851.6%72,64040
Endocrinology4543.9%$347,4421.4%61,809136
Nephrology2312.0%$251,6211.0%44,702194
Physician Assistant6946.0%$163,2320.65%29,01542
Urology610.53%$90,0920.36%16,007262
General Practice500.43%$24,9980.10%4,44289
Cardiology190.16%$21,5750.09%3,825201
Pediatric Medicine220.19%$13,7780.06%2,447111
Geriatric Medicine240.21%$8,4660.03%1,50763
Emergency Medicine220.19%$7,7560.03%1,37362
Hospitalist140.12%$4,8320.02%87663

Not listed: 17 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 2024.

Top billers of 82043 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