HCPCS 84153

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

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

8,151
96th percentile among 6,405 codes billed · 2023
$57M
96th percentile among 6,405 codes billed · 2023
3.1M
98th percentile among 6,405 codes billed · 2023
42
70th percentile among 6,405 codes billed · 2023
600
81st percentile among 6,405 codes billed · 2023
-0.2%
Medicare payment on the code vs 2022; billers -4.1% · 2023

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
California331$7,449,894413,754873,204
New Jersey238$6,814,629378,82385764
Florida537$6,011,279333,82542635
Texas782$4,813,658267,74741516
North Carolina355$4,084,412227,03635444
New York703$3,159,486175,61145488
Arizona122$2,254,510125,25732832
Ohio201$1,629,19890,58134822
Illinois321$1,508,68883,90345410
Alabama216$1,353,42775,58652489
Massachusetts214$1,332,61474,02533603
Kansas137$1,260,03869,97642412
Maryland188$1,252,99569,70339378
Virginia343$1,236,25768,94247737
Georgia276$1,217,86167,71664432

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ652$9,502,810528,08764
Los Angeles-Long Beach-Anaheim, CA226$3,966,899220,32276
Tampa-St. Petersburg-Clearwater, FL29$2,800,997155,48967
Phoenix-Mesa-Chandler, AZ46$2,171,444120,63537
Dallas-Fort Worth-Arlington, TX242$1,992,793110,79054
San Diego-Chula Vista-Carlsbad, CA21$1,600,42288,891122
Miami-Fort Lauderdale-West Palm Beach, FL95$1,400,46777,73665
Chicago-Naperville-Elgin, IL-IN235$1,366,23575,95745
Boston-Cambridge-Newton, MA-NH141$1,183,25465,70732
Houston-Pasadena-The Woodlands, TX102$1,171,61365,17131
Kansas City, MO-KS84$1,042,76357,88659
Birmingham, AL68$984,27554,84493
Austin-Round Rock-San Marcos, TX60$956,94953,17240
Atlanta-Sandy Springs-Roswell, GA109$933,57351,82499
Seattle-Tacoma-Bellevue, WA91$843,72046,96935

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 2023.

Specialties billing 84153 nationally

Clinical Laboratory accounts for 71% of payment for 84153 nationally in 2023, across 17 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory7028.6%$40,271,41171%2,237,0783,187
Urology1,50919%$7,028,39912%392,203260
Pathology590.72%$2,718,3354.8%151,3202,565
Internal Medicine2,02125%$2,122,4083.8%118,20358
Family Practice1,88423%$1,501,8962.7%83,80344
Hematology-Oncology5877.2%$1,009,7261.8%56,28696
Nurse Practitioner5246.4%$587,7601.0%32,81463
Physician Assistant3334.1%$474,3830.84%26,50080
Medical Oncology1822.2%$327,5940.58%18,245100
Radiation Oncology760.93%$101,9460.18%5,67675
Cardiology420.52%$95,4050.17%5,317127
Endocrinology660.81%$72,9350.13%4,07162
Hematology130.16%$38,3670.07%2,134164
General Practice330.40%$37,6260.07%2,09363
Pediatric Medicine120.15%$33,4270.06%1,866156

Not listed: 19 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 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