HCPCS 83970

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

Laboratory Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

3,133
93rd percentile among 6,116 codes billed · 2020
$61M
97th percentile among 6,116 codes billed · 2020
1.5M
96th percentile among 6,116 codes billed · 2020
45
74th percentile among 6,116 codes billed · 2020
1,023
89th percentile among 6,116 codes billed · 2020

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$8,429,817205,9171322,815
Florida370$6,327,929155,05150783
Texas219$6,070,119148,41444969
North Carolina217$4,656,350113,76643358
New Jersey81$4,199,659102,444711,356
Arizona149$3,632,51488,865521,763
New York248$2,585,24463,14650907
Tennessee123$2,192,70353,74948730
Ohio89$1,812,75144,267321,738
Alabama46$1,780,97643,57145431
Georgia106$1,653,59840,41248647
Massachusetts193$1,516,61136,98023410
Illinois74$1,488,68336,491381,277
Kansas35$1,458,48535,608372,363
Pennsylvania39$1,411,12334,428704,305

Not listed: 16 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ260$6,308,487153,89257
Los Angeles-Long Beach-Anaheim, CA121$4,718,432115,129110
Tampa-St. Petersburg-Clearwater, FL12$3,234,28778,98647
Phoenix-Mesa-Chandler, AZ76$2,903,54671,09562
Dallas-Fort Worth-Arlington, TX58$2,810,79068,61741
Birmingham, AL19$1,659,05840,56944
Boston-Cambridge-Newton, MA-NH156$1,426,49334,77322
Chicago-Naperville-Elgin, IL-IN68$1,425,40034,94440
Kansas City, MO-KS17$1,397,68434,147142
Houston-Pasadena-The Woodlands, TX22$1,376,57233,64732
San Diego-Chula Vista-Carlsbad, CA16$1,258,85330,71499
Atlanta-Sandy Springs-Roswell, GA21$1,221,25729,80488
Miami-Fort Lauderdale-West Palm Beach, FL66$1,198,39229,26785
Austin-Round Rock-San Marcos, TX21$1,106,03127,04138
Columbus, OH55$1,092,96126,68728

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 57 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 83970 nationally

Clinical Laboratory accounts for 80% of payment for 83970 nationally in 2020, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory50016%$48,335,70780%1,181,1752,362
Nephrology49716%$3,594,1475.9%88,127177
Endocrinology41013%$2,205,1543.6%54,133132
Internal Medicine76624%$2,188,5313.6%53,60770
Family Practice40313%$1,132,3271.9%27,67669
Pathology270.86%$838,3331.4%20,729768
Nurse Practitioner1565.0%$658,3911.1%16,090103
Rheumatology1454.6%$575,1020.95%14,11897
Physician Assistant712.3%$196,1950.32%4,80568
Hematology-Oncology471.5%$135,6850.22%3,31370
Urology381.2%$82,8160.14%2,02353

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 2020.

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