HCPCS 88360

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

Laboratory Work RVU per service 0.85 (2020 fee schedule)

4,647
94th percentile among 6,116 codes billed · 2020
$26M
94th percentile among 6,116 codes billed · 2020
508K
93rd percentile among 6,116 codes billed · 2020
54
78th percentile among 6,116 codes billed · 2020
245
72nd percentile among 6,116 codes billed · 2020

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
Arizona85$5,286,76472,30078645
California485$4,150,37073,65871335
New York375$2,068,76038,52552278
Texas295$1,947,51738,61851219
Illinois256$1,268,32825,91357221
North Carolina96$1,213,80920,58273417
Florida250$1,203,26025,33961324
Pennsylvania265$687,73118,71946207
Washington104$630,86213,31175348
Massachusetts225$532,25513,62446157
Ohio215$493,23113,74745151
Tennessee129$481,47910,18046278
Maryland96$475,8048,51258266
Virginia118$446,89312,04479272
New Jersey110$389,9638,63149182

Not listed: 1 billers with an armed-forces or unknown state code (ZZ); they are in the national totals.

Not listed: 5 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
Phoenix-Mesa-Chandler, AZ62$5,110,10269,19076
New York-Newark-Jersey City, NY-NJ345$2,074,76537,93951
Los Angeles-Long Beach-Anaheim, CA186$2,057,57237,30775
Dallas-Fort Worth-Arlington, TX87$1,363,34324,53361
Chicago-Naperville-Elgin, IL-IN239$1,245,65225,25856
Boston-Cambridge-Newton, MA-NH169$434,57410,78451
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD142$363,7389,57551
Seattle-Tacoma-Bellevue, WA65$297,8946,46869
Nashville-Davidson--Murfreesboro--Franklin, TN69$279,5056,21450
San Francisco-Oakland-Fremont, CA63$270,1076,63183
Miami-Fort Lauderdale-West Palm Beach, FL69$268,3926,59056
Houston-Pasadena-The Woodlands, TX109$247,2146,18136
Washington-Arlington-Alexandria, DC-VA-MD-WV64$247,0585,01563
Cape Coral-Fort Myers, FL15$245,9793,357135
San Jose-Sunnyvale-Santa Clara, CA51$242,1434,98870

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 78 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 88360 nationally

Pathology accounts for 52% of payment for 88360 nationally in 2020, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology4,44096%$13,518,49752%337,11776
Clinical Laboratory1773.8%$11,703,56245%165,084933

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 2020.

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