HCPCS 88360

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

Laboratory Work RVU per service 0.85 (2024 fee schedule)

5,559
95th percentile among 6,471 codes billed · 2024
$32M
94th percentile among 6,471 codes billed · 2024
682K
94th percentile among 6,471 codes billed · 2024
58
76th percentile among 6,471 codes billed · 2024
275
72nd percentile among 6,471 codes billed · 2024
+3.9%
Medicare payment on the code vs 2023; billers +4.3% · 2024

Trend

Medicare payment on the code

$0$20M2020: $26M paid20202021: $29M paid20212022: $29M paid20222023: $31M paid20232024: $32M paid2024$32M$0$20M2020: $26M paid20202021: $29M paid20212022: $29M paid20222023: $31M paid20232024: $32M paid2024$32M$0$20M2020: $26M paid20202021: $29M paid20212022: $29M paid20222023: $31M paid20232024: $32M paid2024$32M$0$20M2020: $26M paid20202021: $29M paid20212022: $29M paid20222023: $31M paid20232024: $32M paid2024$32M

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

Billers

02,5005,0002020: 4,647 providers20202021: 5,029 providers20212022: 5,186 providers20222023: 5,330 providers20232024: 5,559 providers20245,55902,5005,0002020: 4,647 providers20202021: 5,029 providers20212022: 5,186 providers20222023: 5,330 providers20232024: 5,559 providers20245,55902,5005,0002020: 4,647 providers20202021: 5,029 providers20212022: 5,186 providers20222023: 5,330 providers20232024: 5,559 providers20245,55902,5005,0002020: 4,647 providers20202021: 5,029 providers20212022: 5,186 providers20222023: 5,330 providers20232024: 5,559 providers20245,559

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
20245,559$32,293,932+4%682,151582750.85
20235,330$31,074,472+6%641,727582710.85
20225,186$29,316,664+3%603,514562650.85
20215,029$28,558,471+11%579,896572640.85
20204,647$25,819,971first year in data508,338542450.85

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
Arizona128$7,428,491110,98268607
California590$5,490,34798,04785361
New York431$2,206,56547,08855327
Florida308$1,955,44442,38267388
Illinois265$1,853,26038,91865265
Texas406$1,761,67243,32850251
Massachusetts276$1,238,73128,94559224
New Jersey141$804,26416,57261394
Pennsylvania311$801,80024,64653212
Washington133$633,41615,27974310
Maryland105$618,04312,46952351
Tennessee152$575,91513,67559275
Ohio241$524,65216,71254156
North Carolina115$508,82512,79364345
Virginia114$471,42613,664100270

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 2024.

Top metro areas

observed calculated calculated calculated calculated
Phoenix-Mesa-Chandler, AZ96$7,236,308106,62767
Los Angeles-Long Beach-Anaheim, CA221$2,900,85648,59383
New York-Newark-Jersey City, NY-NJ422$2,580,49651,69560
Chicago-Naperville-Elgin, IL-IN243$1,842,00038,53571
Boston-Cambridge-Newton, MA-NH218$1,118,69024,99860
Dallas-Fort Worth-Arlington, TX114$1,045,00521,65659
San Francisco-Oakland-Fremont, CA87$667,96811,33780
Cape Coral-Fort Myers, FL14$535,82310,675190
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD164$457,36113,88859
Washington-Arlington-Alexandria, DC-VA-MD-WV70$381,0087,64060
Miami-Fort Lauderdale-West Palm Beach, FL89$374,2589,65168
Baltimore-Columbia-Towson, MD71$363,0047,78949
San Diego-Chula Vista-Carlsbad, CA43$341,0726,54792
Houston-Pasadena-The Woodlands, TX168$330,87210,28336
San Jose-Sunnyvale-Santa Clara, CA71$321,3007,48475

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 82 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 88360 nationally

Pathology accounts for 53% of payment for 88360 nationally in 2024, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology5,32196%$17,000,69553%458,53886
Clinical Laboratory1853.3%$14,291,15744%212,8981,151
Dermatology170.31%$835,4922.6%7,621448

Not listed: 12 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 88360 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