HCPCS 83970

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

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

3,455
94th percentile among 6,471 codes billed · 2024
$71M
97th percentile among 6,471 codes billed · 2024
1.8M
97th percentile among 6,471 codes billed · 2024
42
68th percentile among 6,471 codes billed · 2024
941
85th percentile among 6,471 codes billed · 2024
+3.3%
Medicare payment on the code vs 2023; billers +0.6% · 2024

Trend

Medicare payment on the code

$0$50M2020: $61M paid20202021: $67M paid20212022: $70M paid20222023: $69M paid20232024: $71M paid2024$71M$0$50M2020: $61M paid20202021: $67M paid20212022: $70M paid20222023: $69M paid20232024: $71M paid2024$71M$0$50M2020: $61M paid20202021: $67M paid20212022: $70M paid20222023: $69M paid20232024: $71M paid2024$71M$0$50M2020: $61M paid20202021: $67M paid20212022: $70M paid20222023: $69M paid20232024: $71M paid2024$71M

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

Billers

02,0002020: 3,133 providers20202021: 3,290 providers20212022: 3,367 providers20222023: 3,436 providers20232024: 3,455 providers20243,45502,0002020: 3,133 providers20202021: 3,290 providers20212022: 3,367 providers20222023: 3,436 providers20232024: 3,455 providers20243,45502,0002020: 3,133 providers20202021: 3,290 providers20212022: 3,367 providers20222023: 3,436 providers20232024: 3,455 providers20243,45502,0002020: 3,133 providers20202021: 3,290 providers20212022: 3,367 providers20222023: 3,436 providers20232024: 3,455 providers20243,455

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
20243,455$70,860,936+3%1,755,467429410.00
20233,436$68,568,520-1%1,699,379419680.00
20223,367$69,553,527+4%1,710,816441,0290.00
20213,290$66,817,256+10%1,622,957451,1440.00
20203,133$60,521,454first year in data1,479,976451,0230.00

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
California197$8,917,309220,8021453,264
Texas245$7,660,081189,680411,152
New Jersey102$7,030,807173,934461,489
Florida299$6,491,039160,833531,018
North Carolina284$5,984,049148,09852366
Arizona150$3,736,28092,53757388
New York317$3,037,62675,21844647
Tennessee237$2,717,03867,46540493
Ohio139$2,315,02357,37228857
Georgia136$2,130,50952,75245652
Alabama36$1,932,49447,86553621
Illinois90$1,909,39747,42949961
Kansas40$1,840,79345,520341,719
Massachusetts193$1,737,44142,98623396
Washington65$1,320,18932,707321,245

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

Not listed: 15 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-NJ309$9,607,896237,71749
Los Angeles-Long Beach-Anaheim, CA118$4,694,452116,145113
Tampa-St. Petersburg-Clearwater, FL12$3,681,41591,034387
Phoenix-Mesa-Chandler, AZ88$3,522,84987,23963
Dallas-Fort Worth-Arlington, TX90$3,230,03179,95239
Houston-Pasadena-The Woodlands, TX34$2,200,49354,43626
San Diego-Chula Vista-Carlsbad, CA11$1,877,27146,449195
Chicago-Naperville-Elgin, IL-IN73$1,827,30745,39053
Birmingham, AL19$1,812,85644,89039
Boston-Cambridge-Newton, MA-NH146$1,642,10240,62224
Atlanta-Sandy Springs-Roswell, GA26$1,622,09740,13045
Austin-Round Rock-San Marcos, TX22$1,451,92835,92246
Columbus, OH107$1,350,21233,43523
Miami-Fort Lauderdale-West Palm Beach, FL65$1,259,76431,17480
Nashville-Davidson--Murfreesboro--Franklin, TN26$1,248,05930,95028

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 54 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 83970 nationally

Clinical Laboratory accounts for 83% of payment for 83970 nationally in 2024, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory49914%$58,735,10383%1,454,4882,915
Nephrology42712%$3,468,1404.9%86,099202
Internal Medicine77923%$2,066,3972.9%51,25466
Endocrinology39711%$1,990,3802.8%49,438125
Family Practice58317%$1,366,2911.9%33,89758
Pathology411.2%$1,065,5021.5%26,431645
Nurse Practitioner3239.3%$763,4151.1%18,95759
Rheumatology1514.4%$590,2690.83%14,65497
Physician Assistant1213.5%$290,9210.41%7,22160
Hematology-Oncology320.93%$108,0250.15%2,67584
Urology260.75%$40,5750.06%1,00739

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 83970 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