HCPCS 83970

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

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

3,367
93rd percentile among 6,326 codes billed · 2022
$70M
97th percentile among 6,326 codes billed · 2022
1.7M
97th percentile among 6,326 codes billed · 2022
44
72nd percentile among 6,326 codes billed · 2022
1,029
88th percentile among 6,326 codes billed · 2022
+4.1%
Medicare payment on the code vs 2021; billers +2.3% · 2022

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
California196$8,238,719202,5061513,551
Texas232$7,183,050176,530411,325
Arizona134$6,956,742171,066759,813
Florida326$6,574,325161,68252770
New Jersey106$5,810,553142,652661,308
North Carolina275$5,323,774130,75650354
New York272$3,031,25174,51344817
Tennessee173$2,568,15163,35034553
Ohio116$2,044,47350,250321,102
Georgia120$1,963,88948,26951685
Kansas46$1,923,40647,275311,462
Massachusetts214$1,773,44143,54924349
Alabama43$1,731,48442,55738480
Illinois94$1,660,01040,976351,121
Washington85$1,302,26032,11641536

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ302$8,388,339205,96354
Los Angeles-Long Beach-Anaheim, CA118$5,149,436126,465126
Yuma, AZ12$3,562,63787,7058,214
Phoenix-Mesa-Chandler, AZ71$3,244,75079,66677
Dallas-Fort Worth-Arlington, TX95$3,079,43475,67840
Houston-Pasadena-The Woodlands, TX27$1,934,36747,49932
Kansas City, MO-KS19$1,832,03945,02998
Boston-Cambridge-Newton, MA-NH177$1,669,50240,98923
Chicago-Naperville-Elgin, IL-IN78$1,630,12240,26439
Birmingham, AL21$1,611,80039,59931
Atlanta-Sandy Springs-Roswell, GA25$1,506,17836,97166
San Diego-Chula Vista-Carlsbad, CA15$1,436,26135,262136
Austin-Round Rock-San Marcos, TX28$1,379,33633,86221
Miami-Fort Lauderdale-West Palm Beach, FL63$1,297,27031,85191
Columbus, OH86$1,248,70630,65827

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 53 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 83970 nationally

Clinical Laboratory accounts for 77% of payment for 83970 nationally in 2022, across 12 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory49815%$53,422,22477%1,313,3162,637
Nephrology45313%$3,529,4385.1%87,088192
Endocrinology42613%$2,345,3633.4%57,825136
Internal Medicine81124%$2,302,2153.3%56,72370
Nurse Practitioner2387.1%$2,197,2243.2%54,038227
Physician Assistant1033.1%$1,454,4232.1%35,803348
Family Practice50715%$1,294,6661.9%31,90163
Pathology270.80%$912,9641.3%22,493833
General Practice110.33%$645,6860.93%15,8851,444
Rheumatology1564.6%$616,0760.89%15,19997
Hematology-Oncology330.98%$134,6880.19%3,313100
Urology300.89%$34,5720.05%85328

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 2022.

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