HCPCS 88342

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

Laboratory Work RVU per service 0.70 (2021 fee schedule)

11,205
97th percentile among 6,253 codes billed · 2021
$110M
98th percentile among 6,253 codes billed · 2021
2.3M
97th percentile among 6,253 codes billed · 2021
107
87th percentile among 6,253 codes billed · 2021
551
82nd percentile among 6,253 codes billed · 2021
+12.9%
Medicare payment on the code vs 2020; billers +1.3% · 2021

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
Florida729$12,125,363228,4721411,087
California945$10,356,243205,760121633
New York859$9,212,028181,86490569
Texas903$9,199,748181,59493509
New Jersey249$5,670,459106,4361701,684
Maryland246$5,502,28687,0051341,248
Illinois497$4,317,394102,287115562
Arizona210$4,282,65077,350162882
Massachusetts473$3,913,26883,386101465
Tennessee296$3,717,20376,991135778
Pennsylvania582$3,512,01995,645101473
Arkansas135$3,138,31653,413112705
Georgia266$2,864,85556,611109571
Virginia210$2,724,44259,294159752
North Carolina317$2,624,36658,727112568

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-NJ785$13,103,759239,737110
Washington-Arlington-Alexandria, DC-VA-MD-WV169$5,249,22281,404152
Dallas-Fort Worth-Arlington, TX240$5,142,14782,51897
Los Angeles-Long Beach-Anaheim, CA367$4,331,14083,895114
Chicago-Naperville-Elgin, IL-IN408$3,876,06588,162115
Phoenix-Mesa-Chandler, AZ154$3,671,95064,109169
Miami-Fort Lauderdale-West Palm Beach, FL193$3,633,39465,820117
Boston-Cambridge-Newton, MA-NH385$3,525,35771,62399
Little Rock-North Little Rock-Conway, AR98$2,825,38645,718102
Tampa-St. Petersburg-Clearwater, FL167$2,303,71944,999122
Atlanta-Sandy Springs-Roswell, GA155$2,290,79040,054109
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD291$2,233,93958,427109
Memphis, TN-MS-AR61$1,579,30525,169140
Nashville-Davidson--Murfreesboro--Franklin, TN144$1,496,26534,875126
Houston-Pasadena-The Woodlands, TX309$1,466,93134,66585

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 91 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 88342 nationally

Pathology accounts for 60% of payment for 88342 nationally in 2021, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology9,94289%$66,175,51460%1,664,855167
Clinical Laboratory4454.0%$36,236,62933%531,5871,195
Dermatology5354.8%$6,126,3315.6%102,398191
Gastroenterology1291.2%$559,2680.51%12,50197
Micrographic Dermatologic Surgery410.37%$176,2770.16%2,65265
Urology270.24%$110,8090.10%3,487129
Neurology140.12%$45,2540.04%1,18385
Ophthalmology120.11%$24,1240.02%59550
Oral Surgery (Dentist only)110.10%$12,9210.01%30728

Not listed: 19 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 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