HCPCS 88312

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

Laboratory Work RVU per service 0.54 (2024 fee schedule)

6,961
96th percentile among 6,471 codes billed · 2024
$82M
97th percentile among 6,471 codes billed · 2024
1.4M
96th percentile among 6,471 codes billed · 2024
51
73rd percentile among 6,471 codes billed · 2024
590
80th percentile among 6,471 codes billed · 2024
+0.2%
Medicare payment on the code vs 2023; billers -0.1% · 2024

Trend

Medicare payment on the code

$0$50M2020: $72M paid20202021: $83M paid20212022: $80M paid20222023: $82M paid20232024: $82M paid2024$82M$0$50M2020: $72M paid20202021: $83M paid20212022: $80M paid20222023: $82M paid20232024: $82M paid2024$82M$0$50M2020: $72M paid20202021: $83M paid20212022: $80M paid20222023: $82M paid20232024: $82M paid2024$82M$0$50M2020: $72M paid20202021: $83M paid20212022: $80M paid20222023: $82M paid20232024: $82M paid2024$82M

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

Billers

05,0002020: 7,395 providers20202021: 7,445 providers20212022: 7,110 providers20222023: 6,966 providers20232024: 6,961 providers20246,96105,0002020: 7,395 providers20202021: 7,445 providers20212022: 7,110 providers20222023: 6,966 providers20232024: 6,961 providers20246,96105,0002020: 7,395 providers20202021: 7,445 providers20212022: 7,110 providers20222023: 6,966 providers20232024: 6,961 providers20246,96105,0002020: 7,395 providers20202021: 7,445 providers20212022: 7,110 providers20222023: 6,966 providers20232024: 6,961 providers20246,961

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
20246,961$82,400,933+0%1,382,731515900.54
20236,966$82,223,361+3%1,352,038515890.54
20227,110$79,719,317-4%1,309,839505800.54
20217,445$83,109,937+15%1,393,386525730.54
20207,395$72,086,252first year in data1,296,368515310.54

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
Florida512$12,601,706226,842721,280
New York448$10,478,035155,069591,180
California726$10,312,543148,03264639
Georgia239$7,932,924107,871691,546
Texas595$6,413,838107,56563559
New Jersey164$4,211,42656,534991,459
Arkansas86$3,047,15064,53881468
Maryland130$3,041,61741,990361,060
Massachusetts232$2,638,29641,95748626
Pennsylvania304$2,289,41739,69738488
Arizona152$1,913,87029,32658864
Tennessee198$1,656,69430,02553582
Illinois272$1,585,12331,99647348
Ohio251$1,323,25625,37935474
Virginia137$1,190,90324,48051536

Not listed: 3 billers with an armed-forces or unknown state code (AE, AP, ZZ); they are in the national totals.

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-NJ471$13,857,070196,30676
Miami-Fort Lauderdale-West Palm Beach, FL139$8,004,293143,57674
Atlanta-Sandy Springs-Roswell, GA147$7,304,49893,97876
Los Angeles-Long Beach-Anaheim, CA300$5,382,59873,92173
Little Rock-North Little Rock-Conway, AR57$2,909,69861,51491
Washington-Arlington-Alexandria, DC-VA-MD-WV99$2,891,02543,79946
Dallas-Fort Worth-Arlington, TX132$2,770,94040,99351
Boston-Cambridge-Newton, MA-NH201$2,624,17240,66949
Houston-Pasadena-The Woodlands, TX217$2,352,79638,94863
Phoenix-Mesa-Chandler, AZ115$1,680,46825,27860
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD164$1,465,63625,26347
San Jose-Sunnyvale-Santa Clara, CA56$1,378,52916,59435
Chicago-Naperville-Elgin, IL-IN224$1,350,15827,33349
Orlando-Kissimmee-Sanford, FL59$1,218,09620,732191
Tampa-St. Petersburg-Clearwater, FL101$1,183,63724,33561

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 84 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 88312 nationally

Pathology accounts for 53% of payment for 88312 nationally in 2024, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology5,61881%$43,556,72253%822,412146
Clinical Laboratory3885.6%$28,064,25434%402,8881,038
Dermatology4646.7%$5,346,4236.5%75,037162
Gastroenterology3755.4%$3,101,2583.8%50,690135
Podiatry230.33%$1,809,0912.2%20,915909
Internal Medicine340.49%$249,0020.30%4,768140
Ophthalmology110.16%$20,9520.03%84176
Oral Surgery (Dentist only)110.16%$17,7120.02%35232

Not listed: 15 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 88312 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