HCPCS 83970

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

Laboratory Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

3,290
93rd percentile among 6,253 codes billed · 2021
$67M
97th percentile among 6,253 codes billed · 2021
1.6M
97th percentile among 6,253 codes billed · 2021
45
72nd percentile among 6,253 codes billed · 2021
1,144
89th percentile among 6,253 codes billed · 2021
+10.4%
Medicare payment on the code vs 2020; billers +5.0% · 2021

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
California192$8,228,830199,7201413,547
Texas228$6,766,212164,256431,122
Florida369$6,487,794157,78448729
North Carolina250$5,254,634127,58348355
New Jersey94$5,246,582127,204631,373
Arizona140$4,933,467119,691733,042
New York246$2,925,77071,06750880
Tennessee130$2,545,59562,00048661
Ohio96$2,045,07049,620371,769
Georgia118$1,989,93448,29040714
Massachusetts226$1,847,29344,78628309
Alabama42$1,836,81244,59148579
Kansas41$1,806,51443,823331,419
Illinois74$1,665,48440,551381,274
Washington91$1,405,24234,22731632

Not listed: 13 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ260$7,734,435187,56769
Los Angeles-Long Beach-Anaheim, CA121$5,187,409125,810124
Dallas-Fort Worth-Arlington, TX85$3,194,15377,52241
Phoenix-Mesa-Chandler, AZ77$3,187,67777,38374
Boston-Cambridge-Newton, MA-NH192$1,743,93242,26727
Kansas City, MO-KS17$1,708,12941,453240
Birmingham, AL21$1,700,68041,27236
Yuma, AZ16$1,622,13939,2971,736
Chicago-Naperville-Elgin, IL-IN66$1,604,54339,07938
Houston-Pasadena-The Woodlands, TX28$1,576,96038,25027
Atlanta-Sandy Springs-Roswell, GA22$1,547,11737,507119
San Diego-Chula Vista-Carlsbad, CA14$1,378,32433,406137
Miami-Fort Lauderdale-West Palm Beach, FL71$1,283,19931,10788
Columbus, OH68$1,269,20430,78531
Austin-Round Rock-San Marcos, TX23$1,249,12930,29033

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 56 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 83970 nationally

Clinical Laboratory accounts for 78% of payment for 83970 nationally in 2021, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory48515%$52,323,58078%1,270,1882,619
Nephrology47414%$3,710,4045.6%90,370191
Internal Medicine81225%$2,434,8273.6%59,29073
Endocrinology42013%$2,424,0463.6%59,056141
Nurse Practitioner2066.3%$1,551,0352.3%37,654183
Family Practice47514%$1,392,9502.1%33,86271
Pathology270.82%$854,7201.3%20,829771
Rheumatology1504.6%$633,9860.95%15,473103
Physician Assistant952.9%$414,9190.62%10,074106
Hematology-Oncology361.1%$141,9990.21%3,45496
Urology331.0%$51,0910.08%1,24438

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 2021.

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