HCPCS 82570

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

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

11,930
98th percentile among 6,253 codes billed · 2021
$23M
93rd percentile among 6,253 codes billed · 2021
4.5M
98th percentile among 6,253 codes billed · 2021
42
70th percentile among 6,253 codes billed · 2021
503
81st percentile among 6,253 codes billed · 2021
+7.4%
Medicare payment on the code vs 2020; billers -0.5% · 2021

Trend

Medicare payment on the code

$0$20M2020: $22M paid20202021: $23M paid20212022: $24M paid20222023: $26M paid20232024: $28M paid2024$28M$0$20M2020: $22M paid20202021: $23M paid20212022: $24M paid20222023: $26M paid20232024: $28M paid2024$28M$0$20M2020: $22M paid20202021: $23M paid20212022: $24M paid20222023: $26M paid20232024: $28M paid2024$28M$0$20M2020: $22M paid20202021: $23M paid20212022: $24M paid20222023: $26M paid20232024: $28M paid2024$28M

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

Billers

05,00010K2020: 12K providers20202021: 12K providers20212022: 12K providers20222023: 13K providers20232024: 13K providers202413K05,00010K2020: 12K providers20202021: 12K providers20212022: 12K providers20222023: 13K providers20232024: 13K providers202413K05,00010K2020: 12K providers20202021: 12K providers20212022: 12K providers20222023: 13K providers20232024: 13K providers202413K05,00010K2020: 12K providers20202021: 12K providers20212022: 12K providers20222023: 13K providers20232024: 13K providers202413K

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
202413,102$27,777,862+9%5,488,379404410.00
202312,586$25,535,492+8%5,046,792394520.00
202211,945$23,611,638+1%4,624,265404710.00
202111,930$23,429,438+7%4,535,009425030.00
202011,995$21,808,872first year in data4,248,743414970.00

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
California326$2,892,196558,7201174,922
Florida758$2,497,202482,96183847
Texas962$2,255,536436,36843326
North Carolina918$2,020,665390,67443361
New Jersey196$1,950,617376,845541,026
Arizona220$960,838185,87656440
Illinois341$900,459174,29641804
Tennessee620$808,952157,42647692
Ohio503$797,032154,07332168
Georgia492$730,207141,97054711
New York538$635,915123,02342725
Massachusetts464$632,851122,32951313
Alabama345$629,920122,17247418
Kansas151$585,464113,18844277
Pennsylvania141$539,998104,367414,038

Not listed: 2 billers with an armed-forces or unknown state code (XX, ZZ); they are in the national totals.

Not listed: 4 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
New York-Newark-Jersey City, NY-NJ415$2,425,207468,51456
Los Angeles-Long Beach-Anaheim, CA170$1,433,505276,98095
Burlington, NC12$1,405,123271,39258
Tampa-St. Petersburg-Clearwater, FL50$1,348,304260,61469
Dallas-Fort Worth-Arlington, TX284$1,009,553195,26840
Phoenix-Mesa-Chandler, AZ84$907,660175,57972
Chicago-Naperville-Elgin, IL-IN268$886,471171,61241
Houston-Pasadena-The Woodlands, TX122$599,526115,86731
San Diego-Chula Vista-Carlsbad, CA20$544,143105,056342
Boston-Cambridge-Newton, MA-NH322$528,479102,07245
Kansas City, MO-KS75$522,962101,08242
Birmingham, AL92$499,33196,57451
Columbus, OH254$498,82496,40636
Miami-Fort Lauderdale-West Palm Beach, FL80$434,58083,996171
Atlanta-Sandy Springs-Roswell, GA167$407,06878,72432

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 83 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 82570 nationally

Clinical Laboratory accounts for 75% of payment for 82570 nationally in 2021, across 17 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory5955.0%$17,554,03675%3,393,2495,703
Internal Medicine3,26027%$1,455,2926.2%282,74187
Family Practice4,31536%$1,427,3486.1%277,51664
Urology2271.9%$972,1024.1%188,963832
Nephrology6525.5%$614,3782.6%119,335183
Endocrinology4834.0%$368,6951.6%71,579148
Nurse Practitioner1,34811%$344,7281.5%66,95950
Pathology360.30%$294,1981.3%57,0751,585
Physician Assistant6665.6%$174,4950.74%33,85851
Hematology-Oncology260.22%$52,0960.22%10,071387
General Practice650.54%$42,0400.18%8,166126
Cardiology230.19%$30,6220.13%5,950259
Rheumatology930.78%$24,2240.10%4,74051
Pediatric Medicine240.20%$14,0940.06%2,737114
Emergency Medicine220.18%$9,0200.04%1,76780

Not listed: 21 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 82570 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