HCPCS 88377

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

Laboratory Work RVU per service 1.40 (2020 fee schedule)

580
81st percentile among 6,116 codes billed · 2020
$23M
93rd percentile among 6,116 codes billed · 2020
143K
87th percentile among 6,116 codes billed · 2020
46
74th percentile among 6,116 codes billed · 2020
759
86th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$10M$20M2020: $23M paid20202021: $24M paid20212022: $18M paid20222023: $17M paid20232024: $18M paid2024$18M$0$10M$20M2020: $23M paid20202021: $24M paid20212022: $18M paid20222023: $17M paid20232024: $18M paid2024$18M$0$10M$20M2020: $23M paid20202021: $24M paid20212022: $18M paid20222023: $17M paid20232024: $18M paid2024$18M$0$10M$20M2020: $23M paid20202021: $24M paid20212022: $18M paid20222023: $17M paid20232024: $18M paid2024$18M

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

Billers

02505002020: 580 providers20202021: 654 providers20212022: 616 providers20222023: 616 providers20232024: 586 providers202458602505002020: 580 providers20202021: 654 providers20212022: 616 providers20222023: 616 providers20232024: 586 providers202458602505002020: 580 providers20202021: 654 providers20212022: 616 providers20222023: 616 providers20232024: 586 providers202458602505002020: 580 providers20202021: 654 providers20212022: 616 providers20222023: 616 providers20232024: 586 providers2024586

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
2024586$17,543,731+1%123,751437721.40
2023616$17,290,595-5%120,969406971.40
2022616$18,250,914-24%124,134427111.40
2021654$24,090,351+4%146,962406591.40
2020580$23,199,437first year in data142,881467591.40

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
California85$8,661,65547,046421,082
Texas36$2,892,88914,145372,035
New York42$2,271,84311,637461,800
New Jersey21$1,847,8988,319501,563
Arizona29$1,211,2288,37776991
Illinois26$809,9303,75934568
Tennessee23$776,6004,141104549
Washington19$729,4686,562701,037
Florida49$674,1316,52953454
Virginia18$219,2133,32094530
Minnesota16$177,4391,33919309
Massachusetts16$147,3311,19942206
Pennsylvania16$147,2762,61069627
Louisiana22$119,3581,52153191
North Carolina13$93,4771,11123277

Not listed: 24 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
Los Angeles-Long Beach-Anaheim, CA46$6,428,94336,82049
New York-Newark-Jersey City, NY-NJ52$4,057,60419,08145
Dallas-Fort Worth-Arlington, TX13$1,462,5886,36439
Phoenix-Mesa-Chandler, AZ20$1,123,4047,546141
Chicago-Naperville-Elgin, IL-IN27$826,1343,88737
Nashville-Davidson--Murfreesboro--Franklin, TN17$483,8902,914112
Boston-Cambridge-Newton, MA-NH11$92,90875915
San Jose-Sunnyvale-Santa Clara, CA11$39,27363142

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 8 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 88377 nationally

Pathology accounts for 20% of payment for 88377 nationally in 2020, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology48383%$4,649,98820%49,968103

Not listed: 4 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 88377 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