HCPCS 88112

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

Laboratory Work RVU per service 0.56 (2024 fee schedule)

4,818
95th percentile among 6,471 codes billed · 2024
$24M
93rd percentile among 6,471 codes billed · 2024
813K
95th percentile among 6,471 codes billed · 2024
82
81st percentile among 6,471 codes billed · 2024
418
77th percentile among 6,471 codes billed · 2024
-3.5%
Medicare payment on the code vs 2023; billers -1.0% · 2024

Trend

Medicare payment on the code

$0$10M$20M2020: $26M paid20202021: $27M paid20212022: $25M paid20222023: $25M paid20232024: $24M paid2024$24M$0$10M$20M2020: $26M paid20202021: $27M paid20212022: $25M paid20222023: $25M paid20232024: $24M paid2024$24M$0$10M$20M2020: $26M paid20202021: $27M paid20212022: $25M paid20222023: $25M paid20232024: $24M paid2024$24M$0$10M$20M2020: $26M paid20202021: $27M paid20212022: $25M paid20222023: $25M paid20232024: $24M paid2024$24M

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

Billers

02,0004,0002020: 4,912 providers20202021: 4,949 providers20212022: 4,937 providers20222023: 4,868 providers20232024: 4,818 providers20244,81802,0004,0002020: 4,912 providers20202021: 4,949 providers20212022: 4,937 providers20222023: 4,868 providers20232024: 4,818 providers20244,81802,0004,0002020: 4,912 providers20202021: 4,949 providers20212022: 4,937 providers20222023: 4,868 providers20232024: 4,818 providers20244,81802,0004,0002020: 4,912 providers20202021: 4,949 providers20212022: 4,937 providers20222023: 4,868 providers20232024: 4,818 providers20244,818

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
20244,818$23,802,074-3%812,667824180.56
20234,868$24,661,162-3%827,246804260.56
20224,937$25,408,766-4%829,651794280.56
20214,949$26,603,617+2%849,065824430.56
20204,912$26,081,065first year in data822,103824410.56

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
New York305$2,863,17589,227122666
California417$2,200,54171,47786385
Florida311$1,971,05066,38186389
Pennsylvania257$1,655,54250,15789369
New Jersey143$1,611,30744,25296913
Massachusetts198$1,182,91342,212111439
Tennessee149$1,102,90834,14792747
Illinois216$1,050,08833,93185418
Texas263$809,89529,17857362
Maryland85$763,77318,74989848
Arizona107$608,21819,79299449
North Carolina153$572,96025,84582362
Ohio240$572,68726,08984283
Virginia110$572,41119,073100407
Michigan157$536,45421,18490324

Not listed: 2 billers with an armed-forces or unknown state code (AP, ZZ); they are in the national totals.

Not listed: 4 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ291$3,962,111112,817130
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD123$1,111,30431,286108
Chicago-Naperville-Elgin, IL-IN179$939,33330,00486
Los Angeles-Long Beach-Anaheim, CA134$897,37228,18278
Boston-Cambridge-Newton, MA-NH136$867,38030,683102
Tampa-St. Petersburg-Clearwater, FL80$579,64625,05667
Memphis, TN-MS-AR36$538,33014,426102
Phoenix-Mesa-Chandler, AZ83$524,77816,60399
Washington-Arlington-Alexandria, DC-VA-MD-WV82$524,51514,40298
Miami-Fort Lauderdale-West Palm Beach, FL79$388,49312,25673
San Diego-Chula Vista-Carlsbad, CA49$388,08012,05384
Oklahoma City, OK17$386,98911,243143
Baltimore-Columbia-Towson, MD41$383,1589,02387
Nashville-Davidson--Murfreesboro--Franklin, TN63$382,65712,20275
Detroit-Warren-Dearborn, MI66$322,57210,97598

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 86 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 88112 nationally

Pathology accounts for 66% of payment for 88112 nationally in 2024, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology4,42592%$15,799,63566%581,796131
Clinical Laboratory2384.9%$7,444,02231%212,632893
Urology1312.7%$508,1462.1%16,133123

Not listed: 13 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 2024.

Top billers of 88112 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