HCPCS 88313

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

Laboratory Work RVU per service 0.24 (2020 fee schedule)

6,913
96th percentile among 6,116 codes billed · 2020
$42M
96th percentile among 6,116 codes billed · 2020
1.3M
96th percentile among 6,116 codes billed · 2020
65
82nd percentile among 6,116 codes billed · 2020
607
84th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$20M$40M2020: $42M paid20202021: $51M paid20212022: $49M paid20222023: $50M paid20232024: $48M paid2024$48M$0$20M$40M2020: $42M paid20202021: $51M paid20212022: $49M paid20222023: $50M paid20232024: $48M paid2024$48M$0$20M$40M2020: $42M paid20202021: $51M paid20212022: $49M paid20222023: $50M paid20232024: $48M paid2024$48M$0$20M$40M2020: $42M paid20202021: $51M paid20212022: $49M paid20222023: $50M paid20232024: $48M paid2024$48M

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

Billers

05,0002020: 6,913 providers20202021: 7,009 providers20212022: 6,772 providers20222023: 6,757 providers20232024: 6,734 providers20246,73405,0002020: 6,913 providers20202021: 7,009 providers20212022: 6,772 providers20222023: 6,757 providers20232024: 6,734 providers20246,73405,0002020: 6,913 providers20202021: 7,009 providers20212022: 6,772 providers20222023: 6,757 providers20232024: 6,734 providers20246,73405,0002020: 6,913 providers20202021: 7,009 providers20212022: 6,772 providers20222023: 6,757 providers20232024: 6,734 providers20246,734

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
20246,734$48,256,766-4%1,394,911696660.24
20236,757$50,183,262+3%1,413,874666930.24
20226,772$48,948,709-5%1,391,247656940.24
20217,009$51,432,994+22%1,478,397676730.24
20206,913$42,330,684first year in data1,315,368656070.24

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
California617$5,132,440135,80379691
New Jersey184$4,988,383100,964942,477
Florida515$4,632,868122,60581934
New York450$4,484,271116,258781,114
Texas549$3,645,205116,97967540
Maryland140$3,037,57563,127781,332
Arkansas99$1,760,03777,1641401,619
Georgia249$1,559,46246,48260589
Tennessee211$1,484,73044,62468753
Connecticut92$1,317,16928,37072976
Illinois302$986,66738,12659323
Arizona173$845,49127,13280488
Massachusetts274$820,16831,98662360
Pennsylvania349$717,15843,85561348
Ohio291$643,05831,46758250

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-NJ448$9,163,336199,261102
Washington-Arlington-Alexandria, DC-VA-MD-WV103$2,802,58358,142123
Los Angeles-Long Beach-Anaheim, CA253$2,749,50063,93982
Dallas-Fort Worth-Arlington, TX151$2,385,26863,04091
Little Rock-North Little Rock-Conway, AR66$1,630,27673,107201
Miami-Fort Lauderdale-West Palm Beach, FL133$1,262,28630,26380
Atlanta-Sandy Springs-Roswell, GA154$1,027,72927,73550
Cape Coral-Fort Myers, FL42$963,87222,929143
Memphis, TN-MS-AR49$856,11218,98791
Chicago-Naperville-Elgin, IL-IN249$828,36533,04366
Boston-Cambridge-Newton, MA-NH220$749,03426,74161
Phoenix-Mesa-Chandler, AZ131$608,09819,99178
North Port-Bradenton-Sarasota, FL19$596,34212,18399
Orlando-Kissimmee-Sanford, FL65$580,11316,385121
Baltimore-Columbia-Towson, MD81$540,63117,59672

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 81 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 88313 nationally

Pathology accounts for 57% of payment for 88313 nationally in 2020, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology5,86885%$24,008,81557%915,926156
Clinical Laboratory3475.0%$14,797,78135%311,982899
Gastroenterology3915.7%$2,496,2445.9%57,888148
Podiatry170.25%$313,7360.74%5,224307
Dermatology1552.2%$257,7050.61%8,10252
Urology370.54%$196,3850.46%6,285170
Internal Medicine260.38%$125,4700.30%3,528136
Hematology-Oncology220.32%$41,0550.10%1,30759
Ophthalmology170.25%$27,1760.06%1,53390

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 2020.

Top billers of 88313 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