HCPCS 88112

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

Laboratory Work RVU per service 0.56 (2022 fee schedule)

4,937
95th percentile among 6,326 codes billed · 2022
$25M
93rd percentile among 6,326 codes billed · 2022
830K
95th percentile among 6,326 codes billed · 2022
79
83rd percentile among 6,326 codes billed · 2022
428
79th percentile among 6,326 codes billed · 2022
-4.5%
Medicare payment on the code vs 2021; billers -0.2% · 2022

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 York341$4,011,81299,028109809
Florida319$2,180,56969,40886351
California436$2,134,82267,74468389
New Jersey126$1,755,01647,263891,536
Massachusetts199$1,233,14943,185103520
Tennessee142$1,207,77935,753951,036
Pennsylvania258$954,77337,44384297
Illinois243$933,16331,61476341
Texas263$911,52729,57852255
Maryland84$809,33618,744841,141
Virginia120$693,73821,41594486
Michigan170$692,84525,32185351
North Carolina147$662,55228,472102451
Ohio251$611,95026,43482272
Oklahoma34$548,35819,653115889

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ291$5,008,849120,833115
Los Angeles-Long Beach-Anaheim, CA139$984,80829,09561
Boston-Cambridge-Newton, MA-NH141$939,63132,604100
Chicago-Naperville-Elgin, IL-IN193$808,46526,65471
Washington-Arlington-Alexandria, DC-VA-MD-WV93$793,02519,13980
Memphis, TN-MS-AR23$628,70115,876117
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD122$605,01922,71198
Tampa-St. Petersburg-Clearwater, FL79$598,05724,10183
Dallas-Fort Worth-Arlington, TX84$482,58614,27862
Oklahoma City, OK17$480,36416,644135
Phoenix-Mesa-Chandler, AZ81$474,83415,41495
Detroit-Warren-Dearborn, MI74$416,86913,35991
Miami-Fort Lauderdale-West Palm Beach, FL73$377,72411,96478
Nashville-Davidson--Murfreesboro--Franklin, TN62$356,52211,35295
San Diego-Chula Vista-Carlsbad, CA51$348,92111,99778

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 2022.

Specialties billing 88112 nationally

Pathology accounts for 67% of payment for 88112 nationally in 2022, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology4,48891%$17,117,48967%599,311134
Clinical Laboratory2595.2%$7,656,52030%209,746810
Urology1713.5%$596,6942.3%19,127112

Not listed: 12 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 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