HCPCS 84153

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

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

8,502
96th percentile among 6,326 codes billed · 2022
$57M
96th percentile among 6,326 codes billed · 2022
3.1M
98th percentile among 6,326 codes billed · 2022
42
70th percentile among 6,326 codes billed · 2022
590
83rd percentile among 6,326 codes billed · 2022
-1.2%
Medicare payment on the code vs 2021; billers -2.5% · 2022

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
California363$7,365,335405,839843,116
New Jersey240$6,814,895375,834641,198
Florida709$5,888,361324,45642473
Texas780$4,859,933268,23542495
North Carolina375$3,504,763193,14237410
New York704$3,045,796168,07546458
Arizona142$2,234,318123,29834654
Tennessee451$1,737,18196,15231545
Ohio198$1,693,48593,41436902
Illinois286$1,512,15283,51446480
Alabama230$1,422,96478,75547452
Kansas147$1,352,41974,56740534
Massachusetts227$1,335,45373,62934553
Maryland181$1,266,17569,93641436
Virginia344$1,228,68668,04247706

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ665$9,287,213512,10764
Los Angeles-Long Beach-Anaheim, CA227$4,017,396221,38484
Tampa-St. Petersburg-Clearwater, FL48$2,709,598149,24744
Phoenix-Mesa-Chandler, AZ61$2,151,720118,72435
Dallas-Fort Worth-Arlington, TX241$2,001,458110,40055
San Diego-Chula Vista-Carlsbad, CA24$1,567,06686,323111
Miami-Fort Lauderdale-West Palm Beach, FL121$1,438,93779,22856
Chicago-Naperville-Elgin, IL-IN205$1,365,92575,43742
Boston-Cambridge-Newton, MA-NH161$1,192,68265,72731
Houston-Pasadena-The Woodlands, TX96$1,143,23663,08337
Kansas City, MO-KS90$1,139,38662,80852
Birmingham, AL72$1,053,84658,17481
Austin-Round Rock-San Marcos, TX62$951,09752,48633
Columbus, OH95$920,37050,72325
Seattle-Tacoma-Bellevue, WA89$883,84748,81336

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 77 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 84153 nationally

Clinical Laboratory accounts for 71% of payment for 84153 nationally in 2022, across 17 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory6938.2%$40,001,66971%2,204,6963,181
Urology1,52718%$7,237,83813%400,750262
Pathology570.67%$2,726,0814.8%150,7912,645
Internal Medicine2,17526%$2,268,3524.0%125,48258
Family Practice1,98623%$1,541,1022.7%85,45743
Hematology-Oncology6968.2%$1,115,3152.0%61,65089
Nurse Practitioner4735.6%$515,8860.91%28,57360
Medical Oncology2152.5%$373,9200.66%20,66896
Physician Assistant3153.7%$365,2060.64%20,25864
Cardiology460.54%$116,4960.21%6,443140
Radiation Oncology790.93%$106,2860.19%5,87074
Endocrinology740.87%$75,8500.13%4,19057
Hematology150.18%$40,6520.07%2,240149
General Practice340.40%$38,3060.07%2,11862
Pediatric Medicine110.13%$32,9380.06%1,824166

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 2022.

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