HCPCS 83540

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

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

8,692
97th percentile among 6,471 codes billed · 2024
$22M
92nd percentile among 6,471 codes billed · 2024
3.5M
98th percentile among 6,471 codes billed · 2024
38
65th percentile among 6,471 codes billed · 2024
683
82nd percentile among 6,471 codes billed · 2024
+6.1%
Medicare payment on the code vs 2023; billers +2.1% · 2024

Trend

Medicare payment on the code

$0$10M$20M2020: $18M paid20202021: $20M paid20212022: $20M paid20222023: $21M paid20232024: $22M paid2024$22M$0$10M$20M2020: $18M paid20202021: $20M paid20212022: $20M paid20222023: $21M paid20232024: $22M paid2024$22M$0$10M$20M2020: $18M paid20202021: $20M paid20212022: $20M paid20222023: $21M paid20232024: $22M paid2024$22M$0$10M$20M2020: $18M paid20202021: $20M paid20212022: $20M paid20222023: $21M paid20232024: $22M paid2024$22M

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

Billers

05,0002020: 7,771 providers20202021: 8,283 providers20212022: 8,287 providers20222023: 8,510 providers20232024: 8,692 providers20248,69205,0002020: 7,771 providers20202021: 8,283 providers20212022: 8,287 providers20222023: 8,510 providers20232024: 8,692 providers20248,69205,0002020: 7,771 providers20202021: 8,283 providers20212022: 8,287 providers20222023: 8,510 providers20232024: 8,692 providers20248,69205,0002020: 7,771 providers20202021: 8,283 providers20212022: 8,287 providers20222023: 8,510 providers20232024: 8,692 providers20248,692

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
20248,692$22,309,606+6%3,526,157386830.00
20238,510$21,021,217+5%3,323,950386660.00
20228,287$19,938,459+1%3,128,010406470.00
20218,283$19,833,845+12%3,072,941407420.00
20207,771$17,781,435first year in data2,772,709397590.00

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
New Jersey153$2,952,591466,581453,838
Florida637$2,929,693462,616421,062
California345$2,731,980431,5231163,809
Texas914$1,803,713285,16259421
New York730$1,668,067263,494471,041
North Carolina563$1,479,962233,67332181
Arizona159$730,162115,41034333
Tennessee782$682,188108,17232324
Ohio237$678,114107,19630676
Illinois306$636,367100,55349745
Alabama258$626,90999,26340634
Massachusetts309$508,47280,24924191
Georgia299$493,57877,97537421
Kansas85$479,06575,598271,233
Virginia325$434,00368,68944596

Not listed: 7 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-NJ563$4,419,920698,29060
Los Angeles-Long Beach-Anaheim, CA230$1,562,210246,563106
Tampa-St. Petersburg-Clearwater, FL34$1,030,981162,66046
Cape Coral-Fort Myers, FL68$809,573127,87629
Dallas-Fort Worth-Arlington, TX300$735,845116,30178
Phoenix-Mesa-Chandler, AZ67$700,669110,74730
Chicago-Naperville-Elgin, IL-IN211$559,68588,42336
Miami-Fort Lauderdale-West Palm Beach, FL93$526,89083,06376
San Diego-Chula Vista-Carlsbad, CA16$510,17980,672102
Boston-Cambridge-Newton, MA-NH244$471,25074,36424
Birmingham, AL58$452,03971,43142
Kansas City, MO-KS56$420,08666,27934
Houston-Pasadena-The Woodlands, TX97$417,23565,87032
Columbus, OH148$364,71057,62526
Austin-Round Rock-San Marcos, TX125$346,67254,75652

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 76 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 83540 nationally

Clinical Laboratory accounts for 73% of payment for 83540 nationally in 2024, across 20 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory6517.5%$16,260,67173%2,568,2053,945
Hematology-Oncology1,03012%$1,867,4408.4%295,910287
Internal Medicine2,23826%$1,078,7174.8%170,70976
Pathology540.62%$1,065,5434.8%168,4423,119
Family Practice1,84521%$592,6942.7%93,96651
Medical Oncology3323.8%$428,7141.9%67,928205
Nurse Practitioner1,19414%$336,7781.5%53,39245
Nephrology3023.5%$164,4200.74%26,03086
Physician Assistant5015.8%$125,6380.56%19,91540
Endocrinology921.1%$96,8870.43%15,319167
Cardiology390.45%$63,1470.28%9,976256
Rheumatology1061.2%$63,0490.28%9,99294
Gastroenterology1201.4%$41,9790.19%6,69656
Hematology200.23%$41,1920.18%6,536327
General Practice290.33%$15,8720.07%2,51687

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 2024.

Top billers of 83540 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