HCPCS 88312

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

Laboratory Work RVU per service 0.54 (2021 fee schedule)

7,445
96th percentile among 6,253 codes billed · 2021
$83M
97th percentile among 6,253 codes billed · 2021
1.4M
96th percentile among 6,253 codes billed · 2021
52
76th percentile among 6,253 codes billed · 2021
573
82nd percentile among 6,253 codes billed · 2021
+15.3%
Medicare payment on the code vs 2020; billers +0.7% · 2021

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
Florida545$12,737,602215,495751,308
New York469$10,894,791148,852541,207
California739$8,446,184127,13166585
Georgia245$6,863,20794,799761,155
Texas620$6,820,706112,55364382
New Jersey176$4,816,00767,947851,730
Arkansas97$2,919,73658,29559483
Maryland142$2,630,21035,31951927
Massachusetts238$2,318,91636,47855388
Tennessee213$2,294,16741,63260885
Pennsylvania350$1,965,70037,54541383
Illinois325$1,698,48134,74845322
North Carolina202$1,515,82730,62746498
Arizona141$1,405,47121,50460598
Ohio277$1,319,12826,02735245

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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ478$15,047,231200,79684
Miami-Fort Lauderdale-West Palm Beach, FL136$7,996,910129,915109
Atlanta-Sandy Springs-Roswell, GA145$6,000,41176,73478
Los Angeles-Long Beach-Anaheim, CA305$4,532,28765,06370
Dallas-Fort Worth-Arlington, TX146$3,838,91955,16965
Little Rock-North Little Rock-Conway, AR62$2,756,75454,54766
Washington-Arlington-Alexandria, DC-VA-MD-WV100$2,725,93240,18970
Boston-Cambridge-Newton, MA-NH188$2,274,28934,16357
Houston-Pasadena-The Woodlands, TX200$1,573,24925,72056
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD186$1,335,27624,88538
Chicago-Naperville-Elgin, IL-IN257$1,255,32026,81245
Orlando-Kissimmee-Sanford, FL68$1,202,89920,998205
Memphis, TN-MS-AR47$1,187,16919,086118
Phoenix-Mesa-Chandler, AZ102$1,120,25216,89760
Louisville/Jefferson County, KY-IN49$991,97112,65142

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 2021.

Specialties billing 88312 nationally

Pathology accounts for 51% of payment for 88312 nationally in 2021, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology6,06882%$42,254,35351%827,131136
Clinical Laboratory4115.5%$31,499,14638%424,4911,033
Dermatology4556.1%$4,502,8515.4%66,844147
Gastroenterology4095.5%$3,105,7253.7%51,592126
Podiatry250.34%$1,238,2011.5%13,942558
Internal Medicine190.26%$195,2940.23%3,417180
Oral Surgery (Dentist only)120.16%$21,7600.03%36330

Not listed: 17 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 2021.

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