HCPCS 88312

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

Laboratory Work RVU per service 0.54 (2020 fee schedule)

7,395
96th percentile among 6,116 codes billed · 2020
$72M
97th percentile among 6,116 codes billed · 2020
1.3M
96th percentile among 6,116 codes billed · 2020
51
77th percentile among 6,116 codes billed · 2020
531
82nd percentile among 6,116 codes billed · 2020

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
Florida550$11,813,735214,571801,176
New York447$8,278,661117,11154890
California718$7,534,970120,65263577
Texas587$5,241,65695,73260355
Georgia279$3,962,45164,10359729
New Jersey186$3,591,47555,100681,524
Tennessee225$2,606,43946,95359871
Arkansas106$2,588,39752,60859450
Maryland145$2,302,02634,78452919
Massachusetts231$1,999,50332,84153425
Pennsylvania345$1,737,11734,79043330
North Carolina214$1,721,54536,87343483
Illinois321$1,341,04230,92544301
Virginia134$1,250,38023,06158356
South Carolina115$1,201,05422,59848773

Not listed: 1 billers with an armed-forces or unknown state code (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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ462$11,343,292159,53572
Miami-Fort Lauderdale-West Palm Beach, FL153$7,569,089131,845100
Los Angeles-Long Beach-Anaheim, CA291$3,678,85156,44176
Dallas-Fort Worth-Arlington, TX148$3,072,82148,11751
Atlanta-Sandy Springs-Roswell, GA175$2,961,32544,50852
Little Rock-North Little Rock-Conway, AR67$2,408,47047,84461
Washington-Arlington-Alexandria, DC-VA-MD-WV96$2,103,83831,93380
Boston-Cambridge-Newton, MA-NH178$1,903,64829,52951
Memphis, TN-MS-AR52$1,525,23924,22196
Chicago-Naperville-Elgin, IL-IN251$987,84923,67747
Orlando-Kissimmee-Sanford, FL64$965,69118,930171
Houston-Pasadena-The Woodlands, TX171$963,33218,45053
Louisville/Jefferson County, KY-IN45$960,55012,97441
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD180$951,44519,05842
Tampa-St. Petersburg-Clearwater, FL98$883,23816,01651

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 2020.

Specialties billing 88312 nationally

Pathology accounts for 51% of payment for 88312 nationally in 2020, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology5,98981%$36,656,18551%771,248129
Clinical Laboratory4125.6%$27,736,67438%398,268967
Dermatology4506.1%$3,660,1915.1%59,592132
Gastroenterology4426.0%$2,567,8323.6%45,730103
Podiatry210.28%$964,2051.3%12,065575
Internal Medicine260.35%$189,6760.26%3,346129

Not listed: 19 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 2020.

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