HCPCS 83540

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

Laboratory Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

8,287
96th percentile among 6,326 codes billed · 2022
$20M
92nd percentile among 6,326 codes billed · 2022
3.1M
98th percentile among 6,326 codes billed · 2022
40
69th percentile among 6,326 codes billed · 2022
647
83rd percentile among 6,326 codes billed · 2022
+0.5%
Medicare payment on the code vs 2021; billers +0.0% · 2022

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
Florida816$2,588,281405,70577792
New Jersey165$2,560,930401,234423,971
California366$2,398,366375,7861002,852
Texas797$1,649,822258,72543401
New York680$1,586,171249,153451,118
North Carolina536$1,310,740205,40334225
Arizona143$641,166100,47935747
Ohio221$640,006100,37530764
Tennessee629$621,27197,75334372
Illinois263$561,46688,10456791
Alabama216$547,01685,94542583
Georgia260$476,66974,73943483
Massachusetts314$468,33473,33628196
Kansas73$465,20472,894401,477
Maryland170$382,72659,99449873

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

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ553$3,923,028615,19561
Los Angeles-Long Beach-Anaheim, CA230$1,392,712218,09791
Tampa-St. Petersburg-Clearwater, FL84$962,656150,679145
Dallas-Fort Worth-Arlington, TX248$715,821112,28154
Phoenix-Mesa-Chandler, AZ52$611,95995,89928
Chicago-Naperville-Elgin, IL-IN184$504,22379,14743
Miami-Fort Lauderdale-West Palm Beach, FL101$499,41478,116103
Boston-Cambridge-Newton, MA-NH215$422,66266,15725
Kansas City, MO-KS58$413,58464,80243
Birmingham, AL50$407,28063,87539
San Diego-Chula Vista-Carlsbad, CA31$401,06762,865164
Houston-Pasadena-The Woodlands, TX87$384,47360,21226
Cape Coral-Fort Myers, FL76$382,45860,23346
Columbus, OH126$368,80157,78926
Atlanta-Sandy Springs-Roswell, GA54$325,23850,92539

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 82 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 83540 nationally

Clinical Laboratory accounts for 73% of payment for 83540 nationally in 2022, across 17 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory6377.7%$14,556,50173%2,282,3333,583
Hematology-Oncology1,13914%$1,844,3689.3%289,747254
Internal Medicine2,27227%$1,096,9345.5%172,20676
Pathology370.45%$577,1552.9%90,8452,455
Family Practice1,61419%$520,5652.6%81,88251
Medical Oncology3814.6%$431,2212.2%67,695178
Nurse Practitioner91811%$274,7131.4%43,12247
Nephrology3263.9%$180,8070.91%28,41987
Endocrinology1001.2%$114,8960.58%18,060181
Physician Assistant3814.6%$87,5810.44%13,76636
Cardiology470.57%$59,1540.30%9,275197
Rheumatology1081.3%$51,8090.26%8,16576
Gastroenterology1551.9%$41,9450.21%6,64943
Hematology180.22%$32,8050.16%5,154286
General Practice280.34%$17,7700.09%2,795100

Not listed: 25 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 2022.

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