HCPCS 88342

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

Laboratory Work RVU per service 0.70 (2024 fee schedule)

11,517
98th percentile among 6,471 codes billed · 2024
$112M
98th percentile among 6,471 codes billed · 2024
2.4M
97th percentile among 6,471 codes billed · 2024
107
85th percentile among 6,471 codes billed · 2024
583
80th percentile among 6,471 codes billed · 2024
+3.8%
Medicare payment on the code vs 2023; billers +1.3% · 2024

Trend

Medicare payment on the code

$0$50M$100M2020: $97M paid20202021: $110M paid20212022: $105M paid20222023: $108M paid20232024: $112M paid2024$112M$0$50M$100M2020: $97M paid20202021: $110M paid20212022: $105M paid20222023: $108M paid20232024: $112M paid2024$112M$0$50M$100M2020: $97M paid20202021: $110M paid20212022: $105M paid20222023: $108M paid20232024: $112M paid2024$112M$0$50M$100M2020: $97M paid20202021: $110M paid20212022: $105M paid20222023: $108M paid20232024: $112M paid2024$112M

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

Billers

05,00010K2020: 11K providers20202021: 11K providers20212022: 11K providers20222023: 11K providers20232024: 12K providers202412K05,00010K2020: 11K providers20202021: 11K providers20212022: 11K providers20222023: 11K providers20232024: 12K providers202412K05,00010K2020: 11K providers20202021: 11K providers20212022: 11K providers20222023: 11K providers20232024: 12K providers202412K05,00010K2020: 11K providers20202021: 11K providers20212022: 11K providers20222023: 11K providers20232024: 12K providers202412K

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
202411,517$111,797,225+4%2,417,7981075830.70
202311,370$107,718,250+2%2,385,5821085710.70
202211,287$105,468,654-4%2,311,1681065570.70
202111,205$109,690,784+13%2,324,8121075510.70
202011,066$97,139,441first year in data2,055,955994950.70

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
Florida741$12,430,233241,6961291,202
California1,021$11,185,957228,017126659
New York866$9,005,233182,88291642
Texas951$8,784,626181,35796424
Maryland247$5,818,08396,0201161,462
New Jersey260$4,782,02093,2281631,294
Pennsylvania578$4,679,298111,808106615
Illinois478$4,667,487108,230119512
Arizona230$4,264,36580,337136939
Massachusetts481$4,104,34095,126119510
Tennessee311$3,651,91372,101115742
Georgia266$2,876,92156,174115627
Ohio474$2,789,77473,371105434
North Carolina328$2,757,58259,82099780
Virginia211$2,703,89661,614155719

Not listed: 7 billers with an armed-forces or unknown state code (AE, AP, ZZ); they are in the national totals.

Not listed: 1 state 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ813$12,226,113230,496124
Washington-Arlington-Alexandria, DC-VA-MD-WV161$5,169,07785,183144
Dallas-Fort Worth-Arlington, TX236$4,629,24378,309105
Los Angeles-Long Beach-Anaheim, CA405$4,395,20889,606119
Chicago-Naperville-Elgin, IL-IN407$4,292,50197,015120
Boston-Cambridge-Newton, MA-NH400$3,728,85282,395117
Miami-Fort Lauderdale-West Palm Beach, FL206$3,529,89968,591108
Phoenix-Mesa-Chandler, AZ173$3,453,78362,612138
Tampa-St. Petersburg-Clearwater, FL173$2,823,43854,681130
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD298$2,757,38563,232111
Atlanta-Sandy Springs-Roswell, GA163$2,331,78341,128120
Little Rock-North Little Rock-Conway, AR99$2,214,69937,92085
Houston-Pasadena-The Woodlands, TX354$1,803,75744,49686
Memphis, TN-MS-AR74$1,786,13827,980108
San Francisco-Oakland-Fremont, CA131$1,505,14427,167113

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 92 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 88342 nationally

Pathology accounts for 62% of payment for 88342 nationally in 2024, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology10,21489%$69,635,58662%1,751,934172
Clinical Laboratory4213.7%$32,412,04129%495,5371,177
Dermatology6235.4%$8,766,5957.8%146,176235
Gastroenterology950.82%$362,8080.32%9,11096
Micrographic Dermatologic Surgery480.42%$230,0940.21%3,43572
Urology250.22%$117,0120.10%3,496140
Neurology180.16%$47,6950.04%1,15764
Ophthalmology140.12%$25,6380.02%73252

Not listed: 20 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 2024.

Top billers of 88342 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