HCPCS 84481

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

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

2,849
93rd percentile among 6,471 codes billed · 2024
$25M
93rd percentile among 6,471 codes billed · 2024
1.5M
97th percentile among 6,471 codes billed · 2024
52
73rd percentile among 6,471 codes billed · 2024
1,192
87th percentile among 6,471 codes billed · 2024
+2.9%
Medicare payment on the code vs 2023; billers +3.1% · 2024

Trend

Medicare payment on the code

$0$10M$20M2020: $22M paid20202021: $24M paid20212022: $24M paid20222023: $24M paid20232024: $25M paid2024$25M$0$10M$20M2020: $22M paid20202021: $24M paid20212022: $24M paid20222023: $24M paid20232024: $25M paid2024$25M$0$10M$20M2020: $22M paid20202021: $24M paid20212022: $24M paid20222023: $24M paid20232024: $25M paid2024$25M$0$10M$20M2020: $22M paid20202021: $24M paid20212022: $24M paid20222023: $24M paid20232024: $25M paid2024$25M

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

Billers

02,0002020: 2,648 providers20202021: 2,668 providers20212022: 2,667 providers20222023: 2,763 providers20232024: 2,849 providers20242,84902,0002020: 2,648 providers20202021: 2,668 providers20212022: 2,667 providers20222023: 2,763 providers20232024: 2,849 providers20242,84902,0002020: 2,648 providers20202021: 2,668 providers20212022: 2,667 providers20222023: 2,763 providers20232024: 2,849 providers20242,84902,0002020: 2,648 providers20202021: 2,668 providers20212022: 2,667 providers20222023: 2,763 providers20232024: 2,849 providers20242,849

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
20242,849$24,989,781+3%1,508,494521,1920.00
20232,763$24,279,070+2%1,466,009511,1830.00
20222,667$23,696,999-1%1,420,512551,1730.00
20212,668$23,885,052+8%1,413,681591,2180.00
20202,648$22,027,959first year in data1,311,812561,1420.00

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
California222$3,439,447207,6481233,754
Texas369$3,311,771199,887421,078
Florida284$3,243,271195,595661,569
New Jersey60$2,253,319135,89217610,420
North Carolina134$1,728,097104,23849551
Arizona117$1,626,61898,160371,375
New York144$1,353,91881,643531,338
Tennessee232$749,49845,39435224
Ohio44$711,87642,942421,653
Alabama85$626,56237,88353577
Georgia84$620,89137,46983428
Illinois48$505,60430,488711,629
Kansas22$498,72430,056544,795
Massachusetts16$378,83822,834907,251
Nevada24$336,08420,270653,213

Not listed: 13 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-NJ138$3,499,504211,031137
Los Angeles-Long Beach-Anaheim, CA153$2,334,189141,025132
Tampa-St. Petersburg-Clearwater, FL12$1,648,52999,403463
Phoenix-Mesa-Chandler, AZ59$1,557,80594,00056
Dallas-Fort Worth-Arlington, TX83$1,270,72176,69665
Austin-Round Rock-San Marcos, TX39$843,06650,82433
Houston-Pasadena-The Woodlands, TX86$842,09650,79335
Miami-Fort Lauderdale-West Palm Beach, FL54$764,39446,089146
Birmingham, AL39$542,02632,74264
Atlanta-Sandy Springs-Roswell, GA22$497,00329,957134
Chicago-Naperville-Elgin, IL-IN37$496,53529,94577
Kansas City, MO-KS16$490,02629,52944
Nashville-Davidson--Murfreesboro--Franklin, TN43$409,75624,79049
Columbus, OH22$381,42423,00630
Las Vegas-Henderson-North Las Vegas, NV24$336,08420,27065

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 48 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 84481 nationally

Clinical Laboratory accounts for 81% of payment for 84481 nationally in 2024, across 12 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory52418%$20,193,44381%1,218,2742,325
Internal Medicine52218%$1,320,7635.3%79,774153
Family Practice67624%$1,270,9325.1%76,924114
Endocrinology2619.2%$984,6293.9%59,646229
Nurse Practitioner46116%$420,3341.7%25,49255
Pathology291.0%$206,5750.83%12,484430
Physician Assistant1605.6%$122,8700.49%7,44647
Hematology-Oncology451.6%$86,8780.35%5,248117
Cardiology260.91%$84,9480.34%5,124197
Rheumatology170.60%$71,0760.28%4,308253
General Practice240.84%$55,1030.22%3,333139
Obstetrics & Gynecology240.84%$35,7260.14%2,17391

Not listed: 22 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 84481 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