HCPCS 88341

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

Laboratory Work RVU per service 0.56 (2021 fee schedule)

10,142
97th percentile among 6,253 codes billed · 2021
$113M
98th percentile among 6,253 codes billed · 2021
3.4M
98th percentile among 6,253 codes billed · 2021
203
92nd percentile among 6,253 codes billed · 2021
844
86th percentile among 6,253 codes billed · 2021
+9.0%
Medicare payment on the code vs 2020; billers +1.8% · 2021

Trend

Medicare payment on the code

$0$50M$100M2020: $104M paid20202021: $113M paid20212022: $110M paid20222023: $114M paid20232024: $119M paid2024$119M$0$50M$100M2020: $104M paid20202021: $113M paid20212022: $110M paid20222023: $114M paid20232024: $119M paid2024$119M$0$50M$100M2020: $104M paid20202021: $113M paid20212022: $110M paid20222023: $114M paid20232024: $119M paid2024$119M$0$50M$100M2020: $104M paid20202021: $113M paid20212022: $110M paid20222023: $114M paid20232024: $119M paid2024$119M

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

Billers

05,00010K2020: 9,961 providers20202021: 10K providers20212022: 10K providers20222023: 10K providers20232024: 10K providers202410K05,00010K2020: 9,961 providers20202021: 10K providers20212022: 10K providers20222023: 10K providers20232024: 10K providers202410K05,00010K2020: 9,961 providers20202021: 10K providers20212022: 10K providers20222023: 10K providers20232024: 10K providers202410K05,00010K2020: 9,961 providers20202021: 10K providers20212022: 10K providers20222023: 10K providers20232024: 10K providers202410K

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
202410,448$119,025,755+4%3,714,4002199490.56
202310,274$114,255,266+4%3,581,2692139200.56
202210,211$110,165,585-3%3,408,5512058580.56
202110,142$113,075,997+9%3,350,3482038440.56
20209,961$103,783,517first year in data3,065,3941908090.56

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
California871$13,482,642367,602244968
Florida628$12,516,089311,1002631,593
New York753$8,417,503237,562193816
Texas800$7,478,305215,514169664
Arizona197$6,211,631137,3212411,111
Illinois462$4,864,184147,152205783
New Jersey219$4,486,037111,9283161,195
Pennsylvania541$3,997,559148,112190687
Maryland222$3,590,83386,1362311,036
Massachusetts436$3,570,566115,912207703
Virginia196$3,495,269100,6892561,426
Tennessee272$3,207,11090,940222785
Ohio417$3,178,562116,481189734
North Carolina281$2,671,75386,364231883
Georgia232$2,492,97777,685208880

Not listed: 2 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-NJ676$10,879,921273,569225
Los Angeles-Long Beach-Anaheim, CA343$6,776,750165,898239
Phoenix-Mesa-Chandler, AZ143$5,584,337120,751265
Chicago-Naperville-Elgin, IL-IN378$4,363,987125,137206
Miami-Fort Lauderdale-West Palm Beach, FL178$4,235,36996,199252
Washington-Arlington-Alexandria, DC-VA-MD-WV157$3,223,41573,241281
Dallas-Fort Worth-Arlington, TX208$3,139,96873,144163
Cape Coral-Fort Myers, FL34$3,113,77957,466682
Boston-Cambridge-Newton, MA-NH353$2,998,53393,132199
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD273$2,124,14975,020194
Houston-Pasadena-The Woodlands, TX272$1,708,17357,721154
Atlanta-Sandy Springs-Roswell, GA135$1,625,12647,977214
Virginia Beach-Chesapeake-Norfolk, VA-NC43$1,555,51837,135412
Nashville-Davidson--Murfreesboro--Franklin, TN130$1,540,10647,532216
St. Louis, MO-IL135$1,538,58144,924208

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 94 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 88341 nationally

Pathology accounts for 65% of payment for 88341 nationally in 2021, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology9,28492%$73,573,11665%2,638,781284
Clinical Laboratory3843.8%$33,992,37030%605,4491,577
Dermatology3703.6%$5,030,2334.4%91,311247
Gastroenterology270.27%$107,4110.09%3,107115
Urology220.22%$40,2660.04%1,50068

Not listed: 18 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 88341 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