HCPCS 88112

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

Laboratory Work RVU per service 0.56 (2023 fee schedule)

4,868
95th percentile among 6,405 codes billed · 2023
$25M
93rd percentile among 6,405 codes billed · 2023
827K
95th percentile among 6,405 codes billed · 2023
80
83rd percentile among 6,405 codes billed · 2023
426
78th percentile among 6,405 codes billed · 2023
-2.9%
Medicare payment on the code vs 2022; billers -1.4% · 2023

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 York325$3,603,61099,148126710
California427$2,203,71770,27277361
Florida325$2,173,10571,64686377
New Jersey130$1,698,86945,619911,450
Tennessee155$1,213,32435,808801,056
Massachusetts194$1,210,39243,059114486
Pennsylvania263$1,198,81642,61578315
Illinois226$932,71631,60879356
Texas260$827,63927,80256327
Maryland81$718,59518,094881,188
North Carolina150$632,33727,60097427
Arizona108$614,71320,19092370
Ohio247$601,69926,86384259
Virginia111$593,16818,51895369
Michigan164$574,58322,63990375

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ284$4,716,894122,566139
Los Angeles-Long Beach-Anaheim, CA138$937,82829,01063
Boston-Cambridge-Newton, MA-NH134$914,72232,351105
Chicago-Naperville-Elgin, IL-IN187$818,17727,51686
Memphis, TN-MS-AR34$678,33417,36185
Washington-Arlington-Alexandria, DC-VA-MD-WV78$656,06817,02698
Tampa-St. Petersburg-Clearwater, FL81$634,35327,04571
Phoenix-Mesa-Chandler, AZ84$522,67816,736100
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD122$514,74520,14086
Oklahoma City, OK17$438,93714,049115
Miami-Fort Lauderdale-West Palm Beach, FL78$377,56111,84477
Dallas-Fort Worth-Arlington, TX72$376,70311,32264
Atlanta-Sandy Springs-Roswell, GA76$371,11312,01273
San Diego-Chula Vista-Carlsbad, CA47$366,74711,05583
Detroit-Warren-Dearborn, MI70$339,91811,49992

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 87 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 88112 nationally

Pathology accounts for 68% of payment for 88112 nationally in 2023, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology4,43491%$16,687,22368%596,923135
Clinical Laboratory2455.0%$7,394,07630%211,303862
Urology1633.3%$527,3072.1%16,892104

Not listed: 14 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 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