HCPCS 88360

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

Laboratory Work RVU per service 0.85 (2023 fee schedule)

5,330
95th percentile among 6,405 codes billed · 2023
$31M
94th percentile among 6,405 codes billed · 2023
642K
94th percentile among 6,405 codes billed · 2023
58
77th percentile among 6,405 codes billed · 2023
271
72nd percentile among 6,405 codes billed · 2023
+6.0%
Medicare payment on the code vs 2022; billers +2.8% · 2023

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
Arizona115$6,634,66398,19678576
California586$5,507,13696,55175373
New York422$2,174,64145,91760332
Illinois260$2,000,77435,60459260
Florida297$1,787,78439,22863361
Texas374$1,751,94241,66257264
Massachusetts258$1,319,47329,34258254
New Jersey128$895,79616,37870392
Pennsylvania282$713,55421,41751192
Washington127$594,12713,78065297
Tennessee136$548,44212,68955333
Ohio231$534,17716,36158156
Maryland89$502,22110,39057389
Virginia122$457,78612,94289242
North Carolina126$440,63211,73555336

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 2023.

Top metro areas

observed calculated calculated calculated calculated
Phoenix-Mesa-Chandler, AZ84$6,429,70993,70978
Los Angeles-Long Beach-Anaheim, CA224$3,020,21549,64877
New York-Newark-Jersey City, NY-NJ405$2,677,30852,04267
Chicago-Naperville-Elgin, IL-IN245$2,013,07536,00361
Boston-Cambridge-Newton, MA-NH199$1,194,54125,43359
Dallas-Fort Worth-Arlington, TX104$1,024,51420,80560
San Francisco-Oakland-Fremont, CA80$589,90810,49189
Cape Coral-Fort Myers, FL17$508,1359,861150
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD155$435,68012,92053
San Diego-Chula Vista-Carlsbad, CA50$363,0896,70172
Houston-Pasadena-The Woodlands, TX155$358,21910,43050
Miami-Fort Lauderdale-West Palm Beach, FL84$356,0929,50165
Baltimore-Columbia-Towson, MD60$338,4167,07756
San Jose-Sunnyvale-Santa Clara, CA72$299,0776,81866
Nashville-Davidson--Murfreesboro--Franklin, TN73$284,7726,88751

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 2023.

Specialties billing 88360 nationally

Pathology accounts for 53% of payment for 88360 nationally in 2023, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology5,09996%$16,343,00953%432,93985
Clinical Laboratory1943.6%$13,718,49444%198,3181,022
Dermatology120.23%$882,2632.8%8,334695

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 2023.

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