HCPCS 84443

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

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

20,795
98th percentile among 6,253 codes billed · 2021
$236M
99th percentile among 6,253 codes billed · 2021
14.1M
99th percentile among 6,253 codes billed · 2021
76
83rd percentile among 6,253 codes billed · 2021
676
84th percentile among 6,253 codes billed · 2021
+5.9%
Medicare payment on the code vs 2020; billers +0.5% · 2021

Trend

Medicare payment on the code

$0$100M$200M2020: $223M paid20202021: $236M paid20212022: $229M paid20222023: $228M paid20232024: $228M paid2024$228M$0$100M$200M2020: $223M paid20202021: $236M paid20212022: $229M paid20222023: $228M paid20232024: $228M paid2024$228M$0$100M$200M2020: $223M paid20202021: $236M paid20212022: $229M paid20222023: $228M paid20232024: $228M paid2024$228M$0$100M$200M2020: $223M paid20202021: $236M paid20212022: $229M paid20222023: $228M paid20232024: $228M paid2024$228M

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

Billers

010K20K2020: 21K providers20202021: 21K providers20212022: 20K providers20222023: 20K providers20232024: 19K providers202419K010K20K2020: 21K providers20202021: 21K providers20212022: 20K providers20222023: 20K providers20232024: 19K providers202419K010K20K2020: 21K providers20202021: 21K providers20212022: 20K providers20222023: 20K providers20232024: 19K providers202419K010K20K2020: 21K providers20202021: 21K providers20212022: 20K providers20222023: 20K providers20232024: 19K providers202419K

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
202419,436$227,681,029+0%13,847,047706290.00
202319,722$227,645,511-0%13,846,797726570.00
202220,286$228,779,695-3%13,805,579726580.00
202120,795$236,471,864+6%14,091,746766760.00
202020,690$223,199,508first year in data13,381,141766780.00

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
Florida1,413$25,918,6781,543,5661461,252
California642$24,677,5601,469,5921324,846
Texas1,680$22,880,1611,363,39979731
New Jersey358$22,802,3251,357,790961,728
North Carolina1,053$17,926,9701,067,77391574
New York1,546$13,006,747776,13998693
Ohio488$9,461,502563,57666348
Arizona373$8,262,238492,21667879
Tennessee1,260$8,099,989483,130107491
Alabama617$7,105,898423,82094628
Georgia620$6,602,367393,461127684
Kansas278$6,412,158381,86992414
Illinois559$6,243,007372,04772694
Massachusetts670$5,813,109346,23160408
Pennsylvania217$5,540,974330,042922,628

Not listed: 4 billers with an armed-forces or unknown state code (AE, XX, ZZ); they are in the national totals.

Not listed: 4 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-NJ1,061$33,612,3012,002,920134
Burlington, NC31$13,067,927778,15379
Los Angeles-Long Beach-Anaheim, CA397$13,061,027777,878136
Tampa-St. Petersburg-Clearwater, FL114$12,520,473745,54897
Dallas-Fort Worth-Arlington, TX314$9,388,439559,387129
Phoenix-Mesa-Chandler, AZ169$7,743,720461,25380
Miami-Fort Lauderdale-West Palm Beach, FL180$6,315,585376,032256
Chicago-Naperville-Elgin, IL-IN401$6,282,149374,32575
Columbus, OH289$5,965,624355,25874
Birmingham, AL144$5,635,549335,74994
Houston-Pasadena-The Woodlands, TX275$5,480,111326,34357
Kansas City, MO-KS132$5,390,895321,003118
Boston-Cambridge-Newton, MA-NH509$5,145,763306,39249
San Diego-Chula Vista-Carlsbad, CA28$4,997,962297,605657
Atlanta-Sandy Springs-Roswell, GA209$4,854,615289,02293

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 89 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 84443 nationally

Clinical Laboratory accounts for 77% of payment for 84443 nationally in 2021, across 29 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory1,1025.3%$182,006,63077%10,841,4559,838
Internal Medicine5,06724%$19,514,1928.3%1,163,965230
Family Practice6,31630%$16,057,2966.8%958,285152
Endocrinology7323.5%$4,574,8951.9%273,550374
Nurse Practitioner3,10415%$3,369,1731.4%201,13465
Pathology530.25%$3,285,8091.4%196,0613,699
Hematology-Oncology9674.7%$2,153,8710.91%128,401133
Physician Assistant1,3826.6%$1,386,8120.59%82,77760
Cardiology4082.0%$1,143,4960.48%68,177167
Medical Oncology2861.4%$523,6050.22%31,221109
General Practice1080.52%$424,4110.18%25,302234
Rheumatology3351.6%$400,3980.17%23,92871
Gastroenterology840.40%$307,6960.13%18,473220
Pediatric Medicine380.18%$166,6680.07%9,945262
Interventional Cardiology930.45%$154,1990.07%9,20899

Not listed: 28 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 84443 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