HCPCS 88377

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

Laboratory Work RVU per service 1.40 (2021 fee schedule)

654
82nd percentile among 6,253 codes billed · 2021
$24M
93rd percentile among 6,253 codes billed · 2021
147K
87th percentile among 6,253 codes billed · 2021
40
69th percentile among 6,253 codes billed · 2021
659
84th percentile among 6,253 codes billed · 2021
+3.8%
Medicare payment on the code vs 2020; billers +12.8% · 2021

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
California92$7,305,41440,83035612
New York46$4,337,51918,631372,973
Texas40$2,657,80212,787481,364
New Jersey17$1,935,8918,418532,591
Washington16$1,008,1167,5201231,726
Illinois28$963,0374,70941538
Arizona32$925,3917,382731,228
Florida55$735,8048,01453456
Tennessee36$692,6743,99934437
Virginia19$255,4563,90281717
Minnesota19$238,8301,71626234
Massachusetts24$137,9191,28820236
Louisiana25$128,8871,78535199
Pennsylvania19$124,4322,23743593
North Carolina12$82,6091,10462260

Not listed: 23 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 2021.

Top metro areas

observed calculated calculated calculated calculated
Los Angeles-Long Beach-Anaheim, CA54$6,824,29936,27847
New York-Newark-Jersey City, NY-NJ52$6,214,64426,28935
Dallas-Fort Worth-Arlington, TX16$1,451,7036,00563
Chicago-Naperville-Elgin, IL-IN30$986,1664,91644
Phoenix-Mesa-Chandler, AZ21$780,0186,06758
Nashville-Davidson--Murfreesboro--Franklin, TN29$562,8373,48634
Virginia Beach-Chesapeake-Norfolk, VA-NC11$185,3673,13981
Miami-Fort Lauderdale-West Palm Beach, FL11$149,6282,170181
Tucson, AZ11$145,3731,31583
Boston-Cambridge-Newton, MA-NH17$99,54989819
Tampa-St. Petersburg-Clearwater, FL12$65,4401,21968
San Jose-Sunnyvale-Santa Clara, CA17$52,54087833
Columbus, OH11$12,49825322

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 13 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 88377 nationally

Pathology accounts for 27% of payment for 88377 nationally in 2021, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology56486%$6,401,20427%60,010106

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 2021.

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