HCPCS 84153

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

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

8,716
97th percentile among 6,253 codes billed · 2021
$57M
96th percentile among 6,253 codes billed · 2021
3.1M
98th percentile among 6,253 codes billed · 2021
42
70th percentile among 6,253 codes billed · 2021
594
83rd percentile among 6,253 codes billed · 2021
+4.9%
Medicare payment on the code vs 2020; billers -1.1% · 2021

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
California397$7,397,456402,632733,090
New Jersey166$6,391,941347,813632,086
Florida780$5,970,275325,05148476
Texas782$4,795,925261,46244535
North Carolina399$3,551,956193,39035382
New York703$3,148,389171,49046496
Arizona145$2,235,425121,68439736
Tennessee480$1,780,94297,37633505
Ohio205$1,680,05191,47735796
Illinois298$1,568,74085,49745496
Alabama239$1,436,08378,62147404
Massachusetts228$1,372,99974,72733462
Pennsylvania115$1,356,88273,841484,262
Kansas145$1,270,08869,14637530
Maryland198$1,224,31366,76842399

Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.

Not listed: 5 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-NJ616$9,083,564494,26259
Los Angeles-Long Beach-Anaheim, CA246$4,018,044218,74076
Tampa-St. Petersburg-Clearwater, FL61$2,712,919147,65561
Phoenix-Mesa-Chandler, AZ59$2,134,668116,19143
Dallas-Fort Worth-Arlington, TX239$1,959,232106,72252
San Diego-Chula Vista-Carlsbad, CA26$1,502,66881,751123
Miami-Fort Lauderdale-West Palm Beach, FL113$1,495,07381,35979
Chicago-Naperville-Elgin, IL-IN210$1,415,75677,15743
Boston-Cambridge-Newton, MA-NH160$1,249,53567,97333
Houston-Pasadena-The Woodlands, TX90$1,110,78560,56734
Birmingham, AL77$1,101,89660,11873
Kansas City, MO-KS88$1,054,84557,40245
Columbus, OH100$937,44651,02526
Austin-Round Rock-San Marcos, TX49$923,07350,32144
Atlanta-Sandy Springs-Roswell, GA120$886,03848,21578

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 81 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 84153 nationally

Clinical Laboratory accounts for 70% of payment for 84153 nationally in 2021, across 17 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory7118.2%$39,990,77070%2,176,8803,062
Urology1,57218%$7,715,72413%421,862268
Pathology530.61%$2,711,2294.7%147,9692,792
Internal Medicine2,29026%$2,401,7444.2%131,15457
Family Practice2,02823%$1,565,5112.7%85,57442
Hematology-Oncology7458.5%$1,236,0292.2%67,52791
Nurse Practitioner4325.0%$469,9370.82%25,68859
Medical Oncology2222.5%$393,7300.69%21,50397
Physician Assistant2793.2%$335,5470.59%18,35066
Cardiology470.54%$117,1050.20%6,399136
Radiation Oncology830.95%$111,9320.20%6,10674
Endocrinology810.93%$80,8280.14%4,40554
General Practice390.45%$41,9320.07%2,29259
Hematology140.16%$39,5750.07%2,153154
Pediatric Medicine110.13%$39,2340.07%2,146195

Not listed: 20 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 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