HCPCS 88173

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

Laboratory Work RVU per service 1.39 (2024 fee schedule)

4,283
94th percentile among 6,471 codes billed · 2024
$22M
92nd percentile among 6,471 codes billed · 2024
343K
92nd percentile among 6,471 codes billed · 2024
50
72nd percentile among 6,471 codes billed · 2024
216
68th percentile among 6,471 codes billed · 2024
+2.4%
Medicare payment on the code vs 2023; billers +0.2% · 2024

Trend

Medicare payment on the code

$0$10M$20M2020: $21M paid20202021: $22M paid20212022: $21M paid20222023: $22M paid20232024: $22M paid2024$22M$0$10M$20M2020: $21M paid20202021: $22M paid20212022: $21M paid20222023: $22M paid20232024: $22M paid2024$22M$0$10M$20M2020: $21M paid20202021: $22M paid20212022: $21M paid20222023: $22M paid20232024: $22M paid2024$22M$0$10M$20M2020: $21M paid20202021: $22M paid20212022: $21M paid20222023: $22M paid20232024: $22M paid2024$22M

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

Billers

02,0004,0002020: 4,188 providers20202021: 4,294 providers20212022: 4,250 providers20222023: 4,276 providers20232024: 4,283 providers20244,28302,0004,0002020: 4,188 providers20202021: 4,294 providers20212022: 4,250 providers20222023: 4,276 providers20232024: 4,283 providers20244,28302,0004,0002020: 4,188 providers20202021: 4,294 providers20212022: 4,250 providers20222023: 4,276 providers20232024: 4,283 providers20244,28302,0004,0002020: 4,188 providers20202021: 4,294 providers20212022: 4,250 providers20222023: 4,276 providers20232024: 4,283 providers20244,283

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
20244,283$22,318,231+2%342,543502161.39
20234,276$21,796,575+3%325,855472071.39
20224,250$21,243,088-3%309,937441971.39
20214,294$21,789,570+6%310,706431991.39
20204,188$20,579,775first year in data288,601411871.39

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
California365$3,726,88442,18857296
New York244$2,916,84130,66959229
Florida277$1,276,72120,27348194
Texas297$1,177,79019,81538248
Pennsylvania221$876,24116,45745199
Illinois214$846,65315,59652196
Tennessee116$670,45810,37251304
Massachusetts157$654,40411,50751192
Ohio196$632,13611,76843142
New Jersey120$581,5048,90548213
North Carolina121$574,16110,06164179
Arizona91$499,6647,50655208
Indiana101$470,7938,10960148
Maryland79$463,6387,77863271
Virginia96$447,5707,54248208

Not listed: 3 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-NJ231$3,057,97131,67655
San Francisco-Oakland-Fremont, CA60$1,737,26916,09167
Chicago-Naperville-Elgin, IL-IN173$764,86613,96762
Los Angeles-Long Beach-Anaheim, CA118$620,0558,34444
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD113$563,77610,39566
Boston-Cambridge-Newton, MA-NH116$450,8197,68650
Houston-Pasadena-The Woodlands, TX86$434,4788,03141
Washington-Arlington-Alexandria, DC-VA-MD-WV49$392,5785,24364
Phoenix-Mesa-Chandler, AZ63$362,8465,56666
Nashville-Davidson--Murfreesboro--Franklin, TN54$334,4305,55160
Tampa-St. Petersburg-Clearwater, FL68$299,7544,97438
Atlanta-Sandy Springs-Roswell, GA65$298,5434,76752
San Jose-Sunnyvale-Santa Clara, CA32$278,6053,53352
Baltimore-Columbia-Towson, MD48$273,0155,04362
Indianapolis-Carmel-Greenwood, IN30$239,6353,73870

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 2024.

Specialties billing 88173 nationally

Pathology accounts for 77% of payment for 88173 nationally in 2024, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology4,08995%$17,104,21577%293,81972
Clinical Laboratory1794.2%$5,164,70523%47,909268

Not listed: 11 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 88173 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