HCPCS 88312

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

Laboratory Work RVU per service 0.54 (2022 fee schedule)

7,110
96th percentile among 6,326 codes billed · 2022
$80M
97th percentile among 6,326 codes billed · 2022
1.3M
96th percentile among 6,326 codes billed · 2022
50
75th percentile among 6,326 codes billed · 2022
580
82nd percentile among 6,326 codes billed · 2022
-4.1%
Medicare payment on the code vs 2021; billers -4.5% · 2022

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
Florida546$11,468,283187,414681,160
New York472$10,579,160143,879541,115
Georgia228$8,558,798112,294761,756
California732$8,531,657127,60362598
Texas613$6,027,511102,96056498
New Jersey170$4,784,55963,9031001,359
Arkansas93$3,008,61960,40358551
Maryland125$2,403,75231,40938898
Massachusetts227$2,215,01833,21646513
Tennessee196$2,121,10938,07857738
Pennsylvania324$1,960,39836,74839422
Illinois319$1,946,64636,54144376
Arizona146$1,676,04624,54358765
North Carolina194$1,364,43727,12244510
Ohio242$1,183,05922,56435246

Not listed: 1 billers with an armed-forces or unknown state code (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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ474$14,679,471193,28181
Atlanta-Sandy Springs-Roswell, GA129$7,709,65694,77784
Miami-Fort Lauderdale-West Palm Beach, FL142$6,964,062110,57495
Los Angeles-Long Beach-Anaheim, CA302$4,549,61965,91473
Little Rock-North Little Rock-Conway, AR62$2,864,85657,04178
Washington-Arlington-Alexandria, DC-VA-MD-WV94$2,687,55240,55654
Dallas-Fort Worth-Arlington, TX149$2,386,78737,80855
Houston-Pasadena-The Woodlands, TX206$2,258,00035,91057
Boston-Cambridge-Newton, MA-NH186$2,188,91331,82246
Chicago-Naperville-Elgin, IL-IN248$1,483,70828,21148
Phoenix-Mesa-Chandler, AZ107$1,417,15520,07458
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD172$1,353,32923,25542
Orlando-Kissimmee-Sanford, FL64$1,240,84020,726203
Memphis, TN-MS-AR45$1,157,72117,98582
Tampa-St. Petersburg-Clearwater, FL98$959,13917,66556

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 86 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 88312 nationally

Pathology accounts for 54% of payment for 88312 nationally in 2022, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology5,78281%$42,670,93654%798,165138
Clinical Laboratory3995.6%$27,235,89834%369,587926
Dermatology4636.5%$5,065,8636.4%70,317152
Gastroenterology3705.2%$3,004,9933.8%48,483131
Podiatry180.25%$1,178,1511.5%13,217734
Internal Medicine230.32%$237,3740.30%4,236184
Oral Surgery (Dentist only)130.18%$30,3720.04%45435

Not listed: 16 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 2022.

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