HCPCS 87631
Laboratory test (ClaimLight category; the code descriptor is not shown)
Laboratory Work RVU per service none (2023 fee schedule; adds 0 work RVUs)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 778 | $35,027,874 | +70% | 251,176 | 32 | 1,301 | 0.00 |
| 2023 | 636 | $20,552,882 | +14% | 147,604 | 32 | 1,012 | 0.00 |
| 2022 | 583 | $18,045,728 | -33% | 129,039 | 36 | 957 | 0.00 |
| 2021 | 522 | $26,915,103 | +1% | 189,407 | 32 | 1,222 | 0.00 |
| 2020 | 353 | $26,525,031 | first year in data | 186,822 | 34 | 2,093 | 0.00 |
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 | |
|---|---|---|---|---|---|---|
| Texas | 94 | $8,472,070 | 60,719 | 54 | 2,552 | |
| California | 42 | $2,679,348 | 19,215 | 137 | 1,574 | |
| New Jersey | 45 | $2,145,572 | 15,393 | 32 | 1,953 | |
| Florida | 59 | $1,418,722 | 10,217 | 48 | 1,035 | |
| Pennsylvania | 27 | $1,097,536 | 7,858 | 65 | 1,142 | |
| New York | 65 | $678,849 | 4,859 | 21 | 318 | |
| Illinois | 28 | $668,897 | 4,787 | 36 | 1,041 | |
| Washington | 16 | $511,474 | 3,662 | 17 | 913 | |
| Alabama | 25 | $375,160 | 2,877 | 26 | 559 | |
| Connecticut | 45 | $179,798 | 1,290 | 21 | 73 | |
| Louisiana | 13 | $163,584 | 1,211 | 33 | 345 | |
| Maryland | 11 | $127,636 | 914 | 42 | 271 | |
| Massachusetts | 15 | $124,125 | 888 | 17 | 306 | |
| Arkansas | 18 | $106,512 | 765 | 27 | 146 |
Not listed: 30 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 2023.
Top metro areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| Dallas-Fort Worth-Arlington, TX | 33 | $7,147,272 | 51,198 | 60 | |
| New York-Newark-Jersey City, NY-NJ | 93 | $2,710,352 | 19,434 | 28 | |
| Los Angeles-Long Beach-Anaheim, CA | 26 | $2,041,216 | 14,646 | 407 | |
| Houston-Pasadena-The Woodlands, TX | 19 | $795,942 | 5,695 | 89 | |
| Chicago-Naperville-Elgin, IL-IN | 27 | $663,026 | 4,745 | 31 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 14 | $638,248 | 4,601 | 168 | |
| Birmingham, AL | 13 | $293,570 | 2,281 | 23 | |
| Boston-Cambridge-Newton, MA-NH | 11 | $114,060 | 816 | 17 | |
| Bridgeport-Stamford-Danbury, CT | 20 | $90,172 | 646 | 23 | |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 11 | $40,727 | 292 | 17 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 10 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.
Specialties billing 87631 nationally
Clinical Laboratory accounts for 88% of payment for 87631 nationally in 2023, across 6 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Clinical Laboratory | 249 | 39% | $18,187,758 | 88% | 130,534 | 524 |
| Family Practice | 100 | 16% | $797,794 | 3.9% | 5,761 | 58 |
| Internal Medicine | 84 | 13% | $535,259 | 2.6% | 3,875 | 46 |
| Physician Assistant | 94 | 15% | $343,775 | 1.7% | 2,468 | 26 |
| Nurse Practitioner | 50 | 7.9% | $177,967 | 0.87% | 1,276 | 26 |
| Emergency Medicine | 27 | 4.2% | $107,727 | 0.52% | 778 | 29 |
Not listed: 16 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 2023.
Top billers of 87631 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