HCPCS 88112

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

Laboratory Work RVU per service 0.56 (2021 fee schedule)

4,949
95th percentile among 6,253 codes billed · 2021
$27M
93rd percentile among 6,253 codes billed · 2021
849K
95th percentile among 6,253 codes billed · 2021
82
84th percentile among 6,253 codes billed · 2021
443
80th percentile among 6,253 codes billed · 2021
+2.0%
Medicare payment on the code vs 2020; billers +0.8% · 2021

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 York319$3,434,71088,769117915
Florida331$2,401,05969,51985436
California428$2,321,79469,23376410
New Jersey128$1,924,39549,490941,752
Massachusetts199$1,349,10247,071109550
Tennessee140$1,210,02334,52190931
Pennsylvania273$1,203,55143,16581450
Texas267$1,068,34333,39155308
Maryland86$919,97921,52489597
Illinois235$912,83430,22464367
Michigan173$696,93325,14386332
North Carolina149$669,65027,70494406
Oklahoma35$659,90321,911147976
Ohio257$635,39827,30181258
Virginia114$619,19518,86383508

Not listed: 1 billers with an armed-forces or unknown state code (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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ277$4,705,184114,989136
Los Angeles-Long Beach-Anaheim, CA139$1,190,55232,36870
Boston-Cambridge-Newton, MA-NH141$1,020,92334,551100
Washington-Arlington-Alexandria, DC-VA-MD-WV91$912,74721,87979
Chicago-Naperville-Elgin, IL-IN188$830,29926,92377
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD126$811,37127,163103
Memphis, TN-MS-AR22$633,41715,611166
Dallas-Fort Worth-Arlington, TX83$599,80916,57257
Tampa-St. Petersburg-Clearwater, FL75$582,34817,83065
Oklahoma City, OK17$572,51217,984167
Phoenix-Mesa-Chandler, AZ84$481,35915,737102
Miami-Fort Lauderdale-West Palm Beach, FL75$416,90713,50285
Nashville-Davidson--Murfreesboro--Franklin, TN63$340,38910,30786
Detroit-Warren-Dearborn, MI72$314,52010,68886
San Diego-Chula Vista-Carlsbad, CA49$298,78310,64576

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 85 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 88112 nationally

Pathology accounts for 68% of payment for 88112 nationally in 2021, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology4,47790%$18,064,24568%619,754138
Clinical Laboratory2625.3%$7,891,57730%207,979794
Urology1953.9%$615,2292.3%20,003103

Not listed: 9 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 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