HCPCS 84153

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

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

8,103
96th percentile among 6,471 codes billed · 2024
$58M
96th percentile among 6,471 codes billed · 2024
3.2M
98th percentile among 6,471 codes billed · 2024
43
69th percentile among 6,471 codes billed · 2024
612
81st percentile among 6,471 codes billed · 2024
+2.6%
Medicare payment on the code vs 2023; billers -0.6% · 2024

Trend

Medicare payment on the code

$0$25M$50M2020: $55M paid20202021: $57M paid20212022: $57M paid20222023: $57M paid20232024: $58M paid2024$58M$0$25M$50M2020: $55M paid20202021: $57M paid20212022: $57M paid20222023: $57M paid20232024: $58M paid2024$58M$0$25M$50M2020: $55M paid20202021: $57M paid20212022: $57M paid20222023: $57M paid20232024: $58M paid2024$58M$0$25M$50M2020: $55M paid20202021: $57M paid20212022: $57M paid20222023: $57M paid20232024: $58M paid2024$58M

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

Billers

05,0002020: 8,813 providers20202021: 8,716 providers20212022: 8,502 providers20222023: 8,151 providers20232024: 8,103 providers20248,10305,0002020: 8,813 providers20202021: 8,716 providers20212022: 8,502 providers20222023: 8,151 providers20232024: 8,103 providers20248,10305,0002020: 8,813 providers20202021: 8,716 providers20212022: 8,502 providers20222023: 8,151 providers20232024: 8,103 providers20248,10305,0002020: 8,813 providers20202021: 8,716 providers20212022: 8,502 providers20222023: 8,151 providers20232024: 8,103 providers20248,103

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
20248,103$58,001,445+3%3,225,143436120.00
20238,151$56,523,427-0%3,143,326426000.00
20228,502$56,658,212-1%3,126,705425900.00
20218,716$57,356,826+5%3,125,832425940.00
20208,813$54,665,849first year in data2,998,015425960.00

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
California315$7,605,309422,4731113,473
New Jersey228$7,329,548407,23657838
Florida516$6,167,119342,42842743
Texas806$5,072,922282,15442553
North Carolina376$3,509,937194,99033343
New York658$3,026,625168,24447541
Arizona126$2,428,664134,90232988
Tennessee490$1,875,922104,62431424
Illinois298$1,560,81986,74446464
Ohio196$1,555,38786,459391,001
Alabama234$1,378,45276,93447454
Massachusetts202$1,360,57275,58234600
Maryland174$1,271,68570,70647499
Virginia354$1,259,93370,21349735
Georgia284$1,244,64269,21154459

Not listed: 6 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-NJ614$9,896,874549,79460
Los Angeles-Long Beach-Anaheim, CA208$4,089,064227,207102
Tampa-St. Petersburg-Clearwater, FL25$2,897,837160,84773
Phoenix-Mesa-Chandler, AZ48$2,342,326130,10228
Dallas-Fort Worth-Arlington, TX246$2,120,450117,90148
San Diego-Chula Vista-Carlsbad, CA15$1,738,83396,559233
Miami-Fort Lauderdale-West Palm Beach, FL89$1,428,13579,27271
Chicago-Naperville-Elgin, IL-IN208$1,397,47477,63146
Boston-Cambridge-Newton, MA-NH140$1,247,68769,28932
Houston-Pasadena-The Woodlands, TX106$1,206,93067,10736
Austin-Round Rock-San Marcos, TX79$1,003,68355,79435
Birmingham, AL76$986,00654,89060
Atlanta-Sandy Springs-Roswell, GA105$968,48953,797104
Kansas City, MO-KS69$955,56453,03829
Nashville-Davidson--Murfreesboro--Franklin, TN103$895,35749,88945

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 76 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 84153 nationally

Clinical Laboratory accounts for 72% of payment for 84153 nationally in 2024, across 18 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory6718.3%$41,746,82272%2,319,0883,456
Urology1,41017%$6,429,70411%358,572254
Pathology670.83%$3,120,7745.4%173,7692,594
Internal Medicine1,96124%$2,057,0073.5%114,51858
Family Practice1,89823%$1,566,5112.7%87,40146
Hematology-Oncology6087.5%$1,046,0581.8%58,28296
Nurse Practitioner6077.5%$762,0721.3%42,53170
Physician Assistant3794.7%$509,4950.88%28,47375
Medical Oncology1722.1%$311,4800.54%17,341101
Cardiology330.41%$98,9780.17%5,517167
Radiation Oncology770.95%$83,2020.14%4,62760
Endocrinology640.79%$70,8770.12%3,94362
General Practice300.37%$39,3460.07%2,20473
Pediatric Medicine120.15%$34,2040.06%1,912159
Hematology140.17%$33,7670.06%1,879134

Not listed: 18 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 84153 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