HCPCS 88342

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

Laboratory Work RVU per service 0.70 (2020 fee schedule)

11,066
97th percentile among 6,116 codes billed · 2020
$97M
98th percentile among 6,116 codes billed · 2020
2.1M
97th percentile among 6,116 codes billed · 2020
99
87th percentile among 6,116 codes billed · 2020
495
81st percentile among 6,116 codes billed · 2020

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% (2023 changed hospital and observation visit codes)2,385,5821085710.70
202211,287$105,468,654-4%2,311,1681065570.70
202111,205$109,690,784– (Not compared: 2021 changed office visit values)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
Florida711$11,084,281206,7031361,057
California944$8,865,664175,032103508
Texas878$8,076,052161,66882401
New York821$7,493,541146,96581526
Maryland237$4,988,50780,8091271,233
New Jersey256$4,307,07882,6361371,135
Tennessee308$3,703,77074,656133704
Arizona207$3,688,05865,088141667
Illinois484$3,521,34284,247105528
Massachusetts459$3,307,25871,19495413
Pennsylvania586$3,162,28585,72197382
Arkansas131$2,864,27847,887101625
North Carolina319$2,563,09156,246106610
Georgia264$2,422,01249,72698577
Virginia205$2,368,03351,123146624

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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ754$10,282,973188,12698
Washington-Arlington-Alexandria, DC-VA-MD-WV168$4,486,67970,455152
Dallas-Fort Worth-Arlington, TX229$4,405,50471,21291
Los Angeles-Long Beach-Anaheim, CA369$3,520,44069,84899
Miami-Fort Lauderdale-West Palm Beach, FL206$3,365,73160,286107
Phoenix-Mesa-Chandler, AZ158$3,148,14853,655139
Chicago-Naperville-Elgin, IL-IN394$3,083,96671,303105
Boston-Cambridge-Newton, MA-NH370$2,910,90459,01492
Little Rock-North Little Rock-Conway, AR92$2,569,83640,88899
Tampa-St. Petersburg-Clearwater, FL148$2,078,64339,405106
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD289$1,828,68548,512100
Atlanta-Sandy Springs-Roswell, GA158$1,738,24132,34785
Memphis, TN-MS-AR63$1,660,70626,521162
Nashville-Davidson--Murfreesboro--Franklin, TN148$1,385,67631,553117
Baltimore-Columbia-Towson, MD153$1,360,26127,74999

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 93 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 88342 nationally

Pathology accounts for 61% of payment for 88342 nationally in 2020, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology9,81489%$59,198,97061%1,482,254151
Clinical Laboratory4414.0%$31,626,11833%462,6331,049
Dermatology5505.0%$5,146,9985.3%86,526157
Gastroenterology1491.3%$744,3480.77%13,82593
Urology290.26%$123,1100.13%3,706128
Neurology140.13%$43,8140.05%1,13181
Hematology110.10%$26,3010.03%86178
Ophthalmology120.11%$18,6800.02%44237

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 2020.

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