HCPCS 84481

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

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

2,668
92nd percentile among 6,253 codes billed · 2021
$24M
93rd percentile among 6,253 codes billed · 2021
1.4M
96th percentile among 6,253 codes billed · 2021
59
78th percentile among 6,253 codes billed · 2021
1,218
90th percentile among 6,253 codes billed · 2021
+8.4%
Medicare payment on the code vs 2020; billers +0.8% · 2021

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
California215$3,378,683199,6231503,392
Florida347$3,179,897188,041681,220
Texas337$3,089,423182,79848893
New Jersey54$1,969,233116,39915110,826
North Carolina131$1,551,96391,77246749
New York132$1,517,55190,291642,364
Arizona83$1,461,23286,406721,482
Ohio57$673,18739,789431,337
Tennessee165$646,50738,40936427
Georgia90$565,40033,43274438
Alabama75$547,70232,46249610
Illinois41$452,51426,773651,236
Kansas16$443,21426,215648,440
South Carolina64$406,57224,089871,264
Massachusetts37$388,42722,947385,126

Not listed: 14 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-NJ142$3,414,783202,418131
Los Angeles-Long Beach-Anaheim, CA154$2,235,616132,082142
Tampa-St. Petersburg-Clearwater, FL17$1,467,02186,78057
Phoenix-Mesa-Chandler, AZ43$1,403,53082,988145
Dallas-Fort Worth-Arlington, TX86$1,167,44169,08166
Houston-Pasadena-The Woodlands, TX69$785,82446,46139
Austin-Round Rock-San Marcos, TX31$721,84542,66624
Miami-Fort Lauderdale-West Palm Beach, FL66$701,99441,511127
Birmingham, AL32$457,12127,05838
Chicago-Naperville-Elgin, IL-IN34$456,36527,00772
Atlanta-Sandy Springs-Roswell, GA26$454,16026,830108
Columbus, OH29$380,35322,47438
Boston-Cambridge-Newton, MA-NH19$344,17920,32238
Nashville-Davidson--Murfreesboro--Franklin, TN30$340,59720,19340
Las Vegas-Henderson-North Las Vegas, NV24$291,31717,22579

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 51 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 84481 nationally

Clinical Laboratory accounts for 78% of payment for 84481 nationally in 2021, across 13 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory51419%$18,722,60078%1,107,5502,155
Internal Medicine55321%$1,630,6346.8%96,558175
Family Practice62924%$1,313,2685.5%77,897124
Endocrinology29411%$1,171,1974.9%69,488236
Nurse Practitioner28311%$309,5181.3%18,37465
Pathology230.86%$148,4780.62%8,804383
Hematology-Oncology782.9%$133,8740.56%7,942102
Physician Assistant1053.9%$101,2330.42%6,00757
Cardiology220.82%$83,4720.35%4,955225
General Practice260.97%$77,0890.32%4,573176
Rheumatology120.45%$37,8850.16%2,268189
Obstetrics & Gynecology341.3%$29,7850.12%1,78252
Medical Oncology180.67%$18,8980.08%1,12162

Not listed: 18 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 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