HCPCS 88377

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

Laboratory Work RVU per service 1.40 (2022 fee schedule)

616
82nd percentile among 6,326 codes billed · 2022
$18M
92nd percentile among 6,326 codes billed · 2022
124K
87th percentile among 6,326 codes billed · 2022
42
70th percentile among 6,326 codes billed · 2022
711
84th percentile among 6,326 codes billed · 2022
-24.2%
Medicare payment on the code vs 2021; billers -5.8% · 2022

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
California91$4,376,53928,03444625
New Jersey16$3,122,89013,755613,926
New York41$2,787,70213,200492,420
Texas48$1,801,12010,481501,117
Arizona34$894,6697,76572970
Washington15$741,0236,8691591,529
Florida34$566,8605,75587634
Tennessee44$493,4803,82134355
Illinois28$420,6383,99952507
Virginia21$329,5953,86339684
Minnesota18$161,4821,62022311
Massachusetts20$122,2931,19226183
Pennsylvania16$113,9652,17465526
Louisiana21$98,7711,34635208
Ohio28$72,3941,18421179

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ47$5,864,58526,41453
Los Angeles-Long Beach-Anaheim, CA55$4,036,85323,70448
Dallas-Fort Worth-Arlington, TX23$1,032,3174,94051
Phoenix-Mesa-Chandler, AZ24$781,8286,61969
Chicago-Naperville-Elgin, IL-IN30$436,7014,15752
Seattle-Tacoma-Bellevue, WA11$426,7304,64478
Nashville-Davidson--Murfreesboro--Franklin, TN32$417,5513,42838
Virginia Beach-Chesapeake-Norfolk, VA-NC11$266,8623,26154
Boston-Cambridge-Newton, MA-NH16$83,17582026
Columbus, OH13$14,54929620

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 10 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 88377 nationally

Pathology accounts for 31% of payment for 88377 nationally in 2022, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology52685%$5,635,96231%58,374111

Not listed: 5 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 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