HCPCS 82570

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

Laboratory Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

12,586
98th percentile among 6,405 codes billed · 2023
$26M
93rd percentile among 6,405 codes billed · 2023
5.0M
99th percentile among 6,405 codes billed · 2023
39
68th percentile among 6,405 codes billed · 2023
452
79th percentile among 6,405 codes billed · 2023
+8.1%
Medicare payment on the code vs 2022; billers +5.4% · 2023

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
California351$3,149,223620,341744,894
Florida829$2,765,251544,86868729
Texas990$2,584,767509,69037280
North Carolina987$2,405,825474,66240356
New Jersey235$2,394,174471,80954761
Arizona327$1,400,629276,10941532
Illinois458$892,592176,09242420
Ohio398$826,870163,18935254
New York709$716,400141,33539459
Georgia494$715,800141,68853550
Alabama362$693,838137,35242350
Kansas150$692,362136,37440292
Tennessee849$680,046135,03844431
Massachusetts454$603,177118,76740290
Washington276$459,09190,85628233

Not listed: 1 billers with an armed-forces or unknown state code (XX); 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ513$2,943,990580,13649
Burlington, NC19$1,587,352312,97149
Tampa-St. Petersburg-Clearwater, FL54$1,581,209311,37680
Los Angeles-Long Beach-Anaheim, CA184$1,499,197295,27675
Dallas-Fort Worth-Arlington, TX322$1,240,654244,63033
Phoenix-Mesa-Chandler, AZ176$1,032,999203,73439
Chicago-Naperville-Elgin, IL-IN332$903,194178,19643
San Diego-Chula Vista-Carlsbad, CA18$672,523132,482465
Houston-Pasadena-The Woodlands, TX128$670,723132,16732
Kansas City, MO-KS74$624,968123,04442
Birmingham, AL121$574,107113,39139
Boston-Cambridge-Newton, MA-NH340$512,699100,89635
Columbus, OH260$505,06099,61235
Austin-Round Rock-San Marcos, TX163$476,12693,80531
Miami-Fort Lauderdale-West Palm Beach, FL79$466,40491,841116

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 79 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing 82570 nationally

Clinical Laboratory accounts for 77% of payment for 82570 nationally in 2023, across 17 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory6515.2%$19,543,94377%3,852,3425,918
Family Practice4,52136%$1,415,9005.5%284,46163
Internal Medicine3,29826%$1,352,4965.3%270,47882
Urology1921.5%$750,2652.9%148,602774
Nephrology5644.5%$570,3452.2%112,923200
Nurse Practitioner1,75014%$564,8332.2%112,37464
Pathology410.33%$397,6661.6%78,6511,918
Endocrinology4663.7%$358,6161.4%71,064152
Physician Assistant7475.9%$276,6281.1%55,20774
General Practice580.46%$89,6120.35%17,681305
Hematology-Oncology210.17%$42,1830.17%8,319396
Rheumatology1110.88%$31,1240.12%6,21956
Cardiology190.15%$17,0580.07%3,364177
Pediatric Medicine270.21%$10,7630.04%2,30685
Geriatric Medicine200.16%$9,7080.04%1,92396

Not listed: 22 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 2023.

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