HCPCS 87150

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

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

247
75th percentile among 6,326 codes billed · 2022
$40M
95th percentile among 6,326 codes billed · 2022
1.2M
96th percentile among 6,326 codes billed · 2022
684
95th percentile among 6,326 codes billed · 2022
27,291
99th percentile among 6,326 codes billed · 2022
-2.7%
Medicare payment on the code vs 2021; billers -25.6% · 2022

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
California23$8,400,198242,5203,90833,412
Texas64$7,035,564203,70963621,448
Florida31$5,182,674149,6811,2366,882
New Jersey13$1,622,20746,86556419,222
Delaware12$454,31913,0685882,412

Not listed: 28 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
Los Angeles-Long Beach-Anaheim, CA20$7,732,147223,2163,939
Houston-Pasadena-The Woodlands, TX13$3,676,538106,5441,023
New York-Newark-Jersey City, NY-NJ12$3,338,37197,2831,119
Dallas-Fort Worth-Arlington, TX11$2,483,13072,0112,868
San Antonio-New Braunfels, TX36$824,48623,678570
Pensacola-Ferry Pass-Brent, FL12$728,98021,1441,080

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 6 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 87150 nationally

Clinical Laboratory accounts for 77% of payment for 87150 nationally in 2022, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory11747%$31,257,47277%903,7217,724
Urology9438%$5,042,11412%145,8241,551
Nurse Practitioner166.5%$561,8691.4%16,1981,012

Not listed: 7 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 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