HCPCS 84481

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

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

2,667
92nd percentile among 6,326 codes billed · 2022
$24M
93rd percentile among 6,326 codes billed · 2022
1.4M
96th percentile among 6,326 codes billed · 2022
55
77th percentile among 6,326 codes billed · 2022
1,173
89th percentile among 6,326 codes billed · 2022
-0.8%
Medicare payment on the code vs 2021; billers -0.0% · 2022

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
California210$3,242,291193,9321543,423
Texas339$3,181,320190,56746907
Florida326$3,102,579185,658601,056
New Jersey55$2,071,467123,98526911,098
North Carolina131$1,539,92092,21344613
New York140$1,497,47290,348511,697
Arizona99$1,495,43289,568471,482
Ohio51$680,52140,757521,506
Tennessee177$664,71840,02234412
Alabama72$552,83333,17566528
Georgia82$538,86332,27479461
Kansas17$487,11229,176818,269
Illinois49$452,33227,118441,430
Massachusetts31$378,50422,646305,083
South Carolina63$331,85319,920811,012

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ142$3,441,825206,717129
Los Angeles-Long Beach-Anaheim, CA146$2,173,446130,009159
Tampa-St. Petersburg-Clearwater, FL14$1,464,02087,590136
Phoenix-Mesa-Chandler, AZ49$1,430,01185,634115
Dallas-Fort Worth-Arlington, TX74$1,205,84872,23286
Houston-Pasadena-The Woodlands, TX80$816,01248,85937
Austin-Round Rock-San Marcos, TX30$777,79446,53125
Miami-Fort Lauderdale-West Palm Beach, FL60$697,85141,759123
Birmingham, AL33$471,33828,25956
Chicago-Naperville-Elgin, IL-IN41$457,77827,44950
Atlanta-Sandy Springs-Roswell, GA25$436,88926,13997
Columbus, OH27$377,51022,59835
Nashville-Davidson--Murfreesboro--Franklin, TN31$358,00421,51844
Boston-Cambridge-Newton, MA-NH16$342,94420,50542
Las Vegas-Henderson-North Las Vegas, NV28$276,99316,59058

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 54 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 84481 nationally

Clinical Laboratory accounts for 79% of payment for 84481 nationally in 2022, across 13 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory51719%$18,750,83879%1,123,2342,173
Internal Medicine56821%$1,503,3616.3%90,149159
Family Practice61423%$1,289,1285.4%77,558126
Endocrinology30011%$1,109,2944.7%66,664222
Nurse Practitioner28611%$313,9661.3%18,85966
Pathology230.86%$150,1680.63%9,013392
Physician Assistant1184.4%$117,9300.50%7,08460
Hematology-Oncology632.4%$114,1010.48%6,843109
Cardiology240.90%$88,8070.37%5,339222
General Practice250.94%$65,3620.28%3,920157
Rheumatology120.45%$48,2610.20%2,913243
Obstetrics & Gynecology291.1%$28,4530.12%1,71959
Medical Oncology170.64%$14,9730.06%89453

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 2022.

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