HCPCS 88305

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

Laboratory Work RVU per service 0.75 (2024 fee schedule)

14,573
98th percentile among 6,471 codes billed · 2024
$708M
100th percentile among 6,471 codes billed · 2024
18.4M
99th percentile among 6,471 codes billed · 2024
490
93rd percentile among 6,471 codes billed · 2024
4,469
95th percentile among 6,471 codes billed · 2024
-0.4%
Medicare payment on the code vs 2023; billers -0.0% · 2024

Trend

Medicare payment on the code

$0$500M2020: $654M paid20202021: $722M paid20212022: $707M paid20222023: $711M paid20232024: $708M paid2024$708M$0$500M2020: $654M paid20202021: $722M paid20212022: $707M paid20222023: $711M paid20232024: $708M paid2024$708M$0$500M2020: $654M paid20202021: $722M paid20212022: $707M paid20222023: $711M paid20232024: $708M paid2024$708M$0$500M2020: $654M paid20202021: $722M paid20212022: $707M paid20222023: $711M paid20232024: $708M paid2024$708M

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

Billers

010K2020: 15K providers20202021: 15K providers20212022: 15K providers20222023: 15K providers20232024: 15K providers202415K010K2020: 15K providers20202021: 15K providers20212022: 15K providers20222023: 15K providers20232024: 15K providers202415K010K2020: 15K providers20202021: 15K providers20212022: 15K providers20222023: 15K providers20232024: 15K providers202415K010K2020: 15K providers20202021: 15K providers20212022: 15K providers20222023: 15K providers20232024: 15K providers202415K

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
202414,573$707,769,609-0%18,351,5514904,4690.75
202314,580$710,512,703+0%18,319,9904894,3960.75
202214,626$707,366,234-2%18,119,1684944,2980.75
202114,708$722,157,640+10%18,432,7555164,1270.75
202014,801$654,091,212first year in data16,814,8604723,6700.75

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
Florida993$82,963,0632,036,3215529,060
California1,608$81,037,9721,885,1604244,754
New York991$57,694,2071,267,4593664,651
Texas1,144$57,162,8721,465,9713853,737
Pennsylvania591$32,155,994829,0615704,343
Massachusetts512$26,765,310693,4315953,978
Georgia338$24,832,038584,1856215,991
North Carolina438$22,575,982572,9984445,971
Tennessee394$21,773,748585,6295056,519
Ohio548$21,721,806606,5524843,062
Illinois597$21,490,002628,9925413,005
Arizona279$20,061,695488,0526148,064
New Jersey290$19,417,443492,1667058,171
Maryland282$18,134,068419,6214704,453
Wisconsin286$14,809,403410,2665025,647

Not listed: 7 billers with an armed-forces or unknown state code (AE, AP, ZZ); they are in the national totals.

Not listed: 2 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-NJ935$66,563,9091,450,897438
Los Angeles-Long Beach-Anaheim, CA693$33,082,658793,855400
Miami-Fort Lauderdale-West Palm Beach, FL278$32,232,556747,763442
Dallas-Fort Worth-Arlington, TX265$26,170,707640,062453
Boston-Cambridge-Newton, MA-NH420$24,983,101637,731604
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD307$20,950,341506,877629
Atlanta-Sandy Springs-Roswell, GA200$20,120,637446,577619
Chicago-Naperville-Elgin, IL-IN502$18,426,433539,025534
Phoenix-Mesa-Chandler, AZ200$15,383,436362,955595
Washington-Arlington-Alexandria, DC-VA-MD-WV187$15,218,175365,033580
Houston-Pasadena-The Woodlands, TX452$13,009,750335,950301
Tampa-St. Petersburg-Clearwater, FL192$12,835,533314,917413
San Francisco-Oakland-Fremont, CA185$12,205,112234,854308
Birmingham, AL96$9,605,447226,497583
Memphis, TN-MS-AR86$8,877,077223,530438

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 94 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 88305 nationally

Pathology accounts for 59% of payment for 88305 nationally in 2024, across 16 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology10,98475%$414,837,20559%11,269,0381,026
Clinical Laboratory5123.5%$171,553,10224%4,044,2637,899
Dermatology1,64011%$103,450,29515%2,468,3941,505
Gastroenterology8996.2%$10,236,4811.4%348,603388
Micrographic Dermatologic Surgery390.27%$1,521,8470.22%38,763994
Internal Medicine840.58%$836,6810.12%25,548304
Physician Assistant940.65%$486,0970.07%17,194183
Podiatry160.11%$473,2980.07%8,658541
Oral Surgery (Dentist only)360.25%$419,3840.06%10,287286
Nurse Practitioner330.23%$270,0140.04%10,089306
Family Practice440.30%$264,1470.04%6,767154
Dentist160.11%$200,5970.03%5,797362
Oral and Maxillofacial Pathology110.08%$114,3950.02%2,697245
Urology340.23%$96,0380.01%2,57476
Ophthalmology220.15%$89,0510.01%2,932133

Not listed: 23 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 88305 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