HCPCS 88312

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

Laboratory Work RVU per service 0.54 (2023 fee schedule)

6,966
96th percentile among 6,405 codes billed · 2023
$82M
97th percentile among 6,405 codes billed · 2023
1.4M
96th percentile among 6,405 codes billed · 2023
51
74th percentile among 6,405 codes billed · 2023
589
81st percentile among 6,405 codes billed · 2023
+3.1%
Medicare payment on the code vs 2022; billers -2.0% · 2023

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
Florida506$12,130,685204,772741,429
New York428$10,531,467149,151661,168
California733$10,503,068148,18765611
Georgia244$8,289,662111,506661,287
Texas581$5,652,79998,30357538
New Jersey171$4,515,96559,981871,417
Arkansas87$2,915,48560,87262429
Maryland129$2,744,55636,65336813
Massachusetts237$2,675,60939,49843568
Pennsylvania315$2,382,75141,39440491
Tennessee196$1,945,22935,91860664
Arizona146$1,918,43127,64564716
Illinois307$1,741,75233,78839328
North Carolina189$1,236,77024,17041531
Ohio233$1,231,13523,74337386

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ452$14,019,304191,81192
Atlanta-Sandy Springs-Roswell, GA145$7,521,98895,56882
Miami-Fort Lauderdale-West Palm Beach, FL137$7,387,535122,89377
Los Angeles-Long Beach-Anaheim, CA297$5,915,75378,80476
Washington-Arlington-Alexandria, DC-VA-MD-WV88$2,852,27842,76370
Little Rock-North Little Rock-Conway, AR54$2,779,46157,74184
Boston-Cambridge-Newton, MA-NH205$2,668,43238,35746
Dallas-Fort Worth-Arlington, TX138$2,399,06937,18054
Houston-Pasadena-The Woodlands, TX189$1,705,08329,97562
Phoenix-Mesa-Chandler, AZ106$1,651,08722,78666
Chicago-Naperville-Elgin, IL-IN247$1,509,94328,63541
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD166$1,466,66524,97143
Orlando-Kissimmee-Sanford, FL60$1,250,11321,135199
San Jose-Sunnyvale-Santa Clara, CA62$1,200,36715,22731
Tampa-St. Petersburg-Clearwater, FL110$1,136,29322,37864

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 2023.

Specialties billing 88312 nationally

Pathology accounts for 55% of payment for 88312 nationally in 2023, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology5,63681%$45,120,86555%825,097146
Clinical Laboratory3835.5%$27,115,51533%379,473991
Dermatology4586.6%$5,432,7596.6%76,248166
Gastroenterology3735.4%$2,993,9263.6%49,408132
Podiatry250.36%$1,051,4671.3%12,060482
Internal Medicine310.45%$231,4810.28%4,457144
Oral Surgery (Dentist only)130.19%$21,7730.03%41632

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 2023.

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