HCPCS 87150

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

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

332
77th percentile among 6,253 codes billed · 2021
$42M
95th percentile among 6,253 codes billed · 2021
1.2M
96th percentile among 6,253 codes billed · 2021
696
96th percentile among 6,253 codes billed · 2021
18,740
99th percentile among 6,253 codes billed · 2021
+7.4%
Medicare payment on the code vs 2020; billers +12.9% · 2021

Trend

Medicare payment on the code

$0$20M$40M2020: $39M paid20202021: $42M paid20212022: $40M paid20222023: $53M paid20232024: $50M paid2024$50M$0$20M$40M2020: $39M paid20202021: $42M paid20212022: $40M paid20222023: $53M paid20232024: $50M paid2024$50M$0$20M$40M2020: $39M paid20202021: $42M paid20212022: $40M paid20222023: $53M paid20232024: $50M paid2024$50M$0$20M$40M2020: $39M paid20202021: $42M paid20212022: $40M paid20222023: $53M paid20232024: $50M paid2024$50M

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

Billers

02002020: 294 providers20202021: 332 providers20212022: 247 providers20222023: 190 providers20232024: 213 providers202421302002020: 294 providers20202021: 332 providers20212022: 247 providers20222023: 190 providers20232024: 213 providers202421302002020: 294 providers20202021: 332 providers20212022: 247 providers20222023: 190 providers20232024: 213 providers202421302002020: 294 providers20202021: 332 providers20212022: 247 providers20222023: 190 providers20232024: 213 providers2024213

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
2024213$49,932,282-5%1,455,7481,09534,7050.00
2023190$52,745,796+30%1,537,05482240,8850.00
2022247$40,457,788-3%1,169,78068427,2910.00
2021332$41,582,599+7%1,186,55169618,7400.00
2020294$38,726,901first year in data1,112,17368418,0410.00

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
California26$10,156,313289,4473,53929,052
Texas69$5,715,546163,06985212,166
Florida16$3,963,451112,9511,18332,027
New Jersey21$2,302,53665,62950415,888
Oklahoma13$2,068,28359,03099720,805
New York47$1,809,39552,5014921,623
Michigan33$946,49026,9966051,597
Virginia11$750,16121,4027568,160
North Carolina14$344,4299,8594322,151
Arizona11$267,3167,6184231,603

Not listed: 24 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
Los Angeles-Long Beach-Anaheim, CA22$9,419,423268,4473,793
New York-Newark-Jersey City, NY-NJ61$3,785,031108,734444
Houston-Pasadena-The Woodlands, TX13$2,596,82074,085936
Dallas-Fort Worth-Arlington, TX19$1,482,23542,2811,149
San Antonio-New Braunfels, TX34$1,246,71235,595792
Detroit-Warren-Dearborn, MI33$946,49026,996605
Washington-Arlington-Alexandria, DC-VA-MD-WV12$360,36510,312642
Charlotte-Concord-Gastonia, NC-SC12$329,9689,445474
Phoenix-Mesa-Chandler, AZ11$267,3167,618423

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 9 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 87150 nationally

Clinical Laboratory accounts for 76% of payment for 87150 nationally in 2021, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory10632%$31,593,91776%901,3118,503
Urology18756%$7,601,99818%216,9621,160
Nurse Practitioner154.5%$629,2951.5%17,9661,198

Not listed: 6 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 87150 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