HCPCS 88360

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

Laboratory Work RVU per service 0.85 (2022 fee schedule)

5,186
95th percentile among 6,326 codes billed · 2022
$29M
94th percentile among 6,326 codes billed · 2022
604K
94th percentile among 6,326 codes billed · 2022
56
78th percentile among 6,326 codes billed · 2022
265
73rd percentile among 6,326 codes billed · 2022
+2.7%
Medicare payment on the code vs 2021; billers +3.1% · 2022

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
Arizona110$6,237,67392,22082371
California553$4,613,75183,30471330
New York448$2,275,68746,48151316
Texas364$1,976,73044,39457305
Illinois263$1,682,45731,59561238
Florida277$1,523,27933,60463344
Massachusetts246$1,319,18626,92755186
New Jersey121$714,64113,34061290
Pennsylvania265$674,74020,01547196
Washington119$581,35112,94964230
Tennessee135$580,82613,04154308
Ohio227$513,75715,36654154
Virginia117$506,17413,83482306
Maryland87$489,2139,96161364
North Carolina111$478,52311,89668318

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

Not listed: 3 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 2022.

Top metro areas

observed calculated calculated calculated calculated
Phoenix-Mesa-Chandler, AZ82$6,058,95788,77179
Los Angeles-Long Beach-Anaheim, CA210$2,732,95445,75277
New York-Newark-Jersey City, NY-NJ418$2,579,72649,04954
Chicago-Naperville-Elgin, IL-IN234$1,658,88930,91664
Dallas-Fort Worth-Arlington, TX104$1,217,24723,31562
Boston-Cambridge-Newton, MA-NH184$1,191,38123,15356
Cape Coral-Fort Myers, FL17$429,5558,026135
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD142$383,27511,13651
Houston-Pasadena-The Woodlands, TX151$376,12410,83250
San Francisco-Oakland-Fremont, CA81$362,2867,75075
Nashville-Davidson--Murfreesboro--Franklin, TN76$345,2758,07463
Miami-Fort Lauderdale-West Palm Beach, FL70$320,4258,33273
Washington-Arlington-Alexandria, DC-VA-MD-WV68$282,6236,49163
San Jose-Sunnyvale-Santa Clara, CA65$280,4665,99860
Seattle-Tacoma-Bellevue, WA68$274,0906,63577

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 79 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 88360 nationally

Pathology accounts for 53% of payment for 88360 nationally in 2022, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology4,95896%$15,530,66853%409,66783
Clinical Laboratory1903.7%$13,032,91444%186,057979
Dermatology110.21%$625,3662.1%5,752523

Not listed: 10 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 2022.

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