HCPCS 83970

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

Laboratory Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

3,436
93rd percentile among 6,405 codes billed · 2023
$69M
97th percentile among 6,405 codes billed · 2023
1.7M
97th percentile among 6,405 codes billed · 2023
41
69th percentile among 6,405 codes billed · 2023
968
86th percentile among 6,405 codes billed · 2023
-1.4%
Medicare payment on the code vs 2022; billers +2.0% · 2023

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
California188$8,564,343212,2231553,914
Texas236$7,358,648182,281381,273
North Carolina300$6,896,941170,86948331
Florida323$6,536,659162,02446830
New Jersey116$6,303,699155,987551,129
Arizona127$4,190,789103,765802,577
New York301$3,032,83275,12939754
Ohio146$2,248,45155,71031915
Georgia133$2,015,66249,93940650
Kansas42$1,912,99847,311302,076
Alabama36$1,776,00044,07861425
Massachusetts205$1,713,67942,40522347
Illinois94$1,676,78041,65345737
Tennessee189$1,452,30536,12641500
Washington80$1,363,53333,86335947

Not listed: 14 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ308$8,884,784219,88453
Los Angeles-Long Beach-Anaheim, CA119$5,084,596125,844119
Phoenix-Mesa-Chandler, AZ67$3,243,41780,33091
Dallas-Fort Worth-Arlington, TX96$3,101,18376,81437
Houston-Pasadena-The Woodlands, TX31$2,057,41650,91034
Kansas City, MO-KS11$1,696,16241,93564
Greensboro-High Point, NC26$1,679,92241,63053
Birmingham, AL17$1,670,72241,45440
Chicago-Naperville-Elgin, IL-IN80$1,631,46240,54643
Boston-Cambridge-Newton, MA-NH159$1,603,11939,66522
San Diego-Chula Vista-Carlsbad, CA11$1,588,33139,313192
Atlanta-Sandy Springs-Roswell, GA25$1,519,25237,58444
Austin-Round Rock-San Marcos, TX21$1,430,45435,37146
Columbus, OH116$1,323,88532,79528
Miami-Fort Lauderdale-West Palm Beach, FL64$1,258,12731,11972

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 2023.

Specialties billing 83970 nationally

Clinical Laboratory accounts for 81% of payment for 83970 nationally in 2023, across 12 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory51015%$55,689,13181%1,379,4752,705
Nephrology44113%$3,466,6885.1%86,138195
Internal Medicine80123%$2,140,3223.1%53,20966
Endocrinology40412%$2,095,7333.1%52,117129
Family Practice57917%$1,360,9292.0%33,79958
Pathology310.90%$932,2561.4%23,116746
Nurse Practitioner2748.0%$931,9501.4%23,09684
Physician Assistant1083.1%$581,6000.85%14,416133
Rheumatology1464.2%$567,4400.83%14,10297
General Practice120.35%$206,7010.30%5,124427
Hematology-Oncology320.93%$143,5200.21%3,555111
Urology260.76%$34,4690.05%85633

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 2023.

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