Laboratory codes by Medicare payment, 2023
Every code billed to Original Medicare Part B, with how many providers bill it and what it paid.
+9.9%
Medicare payment on the code vs 2022. 2023 changed hospital and observation visit codes · 2023
Top 200 laboratory codes
The 200 with the most payment of 861 codes.
Not listed: 442 codes billed by fewer than 11 providers (small cells; each has its own page with the count).
| observed | calculated | calculated | calculated | calculated | calculated | ||
|---|---|---|---|---|---|---|---|
| 88305 | Descriptor not shown (CPT code) | 14,580 | $710,512,703 | 9.3% | 18,319,990 | 489 | |
| 81479 | Descriptor not shown (CPT code) | 80 | $488,385,850 | 6.4% | 209,946 | 149 | |
| 87798 | Descriptor not shown (CPT code) | 1,319 | $288,642,194 | 3.8% | 8,402,622 | 622 | |
| 80053 | Descriptor not shown (CPT code) | 26,416 | $278,792,828 | 3.7% | 26,991,705 | 98 | |
| 84443 | Descriptor not shown (CPT code) | 19,722 | $227,645,511 | 3.0% | 13,846,797 | 72 | |
| 80061 | Descriptor not shown (CPT code) | 21,671 | $226,533,213 | 3.0% | 17,301,079 | 89 | |
| 85025 | Descriptor not shown (CPT code) | 32,833 | $198,465,892 | 2.6% | 26,138,972 | 89 | |
| 82306 | Descriptor not shown (CPT code) | 12,453 | $179,806,647 | 2.4% | 6,209,479 | 48 | |
| 83036 | Descriptor not shown (CPT code) | 44,997 | $131,718,749 | 1.7% | 13,880,237 | 49 | |
| 80307 | Descriptor not shown (CPT code) | 4,760 | $120,855,747 | 1.6% | 2,003,570 | 136 | |
| 81455 | Descriptor not shown (CPT code) | 36 | $118,483,274 | 1.6% | 41,477 | 63 | |
| 88341 | Descriptor not shown (CPT code) | 10,274 | $114,255,266 | 1.5% | 3,581,269 | 213 | |
| 88342 | Descriptor not shown (CPT code) | 11,370 | $107,718,250 | 1.4% | 2,385,582 | 108 | |
| 88312 | Descriptor not shown (CPT code) | 6,966 | $82,223,361 | 1.1% | 1,352,038 | 51 | |
| 87637 | Descriptor not shown (CPT code) | 1,141 | $80,656,525 | 1.1% | 577,583 | 27 | |
| 83970 | Descriptor not shown (CPT code) | 3,436 | $68,568,520 | 0.90% | 1,699,379 | 41 | |
| 87481 | Descriptor not shown (CPT code) | 1,117 | $67,486,686 | 0.89% | 1,975,347 | 158 | |
| 82607 | Descriptor not shown (CPT code) | 11,159 | $65,650,301 | 0.86% | 4,449,760 | 37 | |
| 88307 | Descriptor not shown (CPT code) | 8,511 | $61,185,252 | 0.80% | 887,379 | 82 | |
| 84153 | Descriptor not shown (CPT code) | 8,151 | $56,523,427 | 0.74% | 3,143,326 | 42 | |
| 87150 | Descriptor not shown (CPT code) | 190 | $52,745,796 | 0.69% | 1,537,054 | 822 | |
| 88313 | Descriptor not shown (CPT code) | 6,757 | $50,183,262 | 0.66% | 1,413,874 | 66 | |
| 87635 | Descriptor not shown (CPT code) | 9,976 | $46,700,410 | 0.61% | 931,742 | 25 | |
| 84439 | Descriptor not shown (CPT code) | 10,614 | $46,412,062 | 0.61% | 5,260,037 | 51 | |
| 80048 | Descriptor not shown (CPT code) | 14,725 | $43,135,650 | 0.57% | 5,215,111 | 41 | |
| 82728 | Descriptor not shown (CPT code) | 8,797 | $42,786,900 | 0.56% | 3,210,076 | 39 | |
| 87636 | Descriptor not shown (CPT code) | 2,192 | $40,693,901 | 0.53% | 293,634 | 27 | |
| 88185 | Descriptor not shown (CPT code) | 618 | $39,186,530 | 0.52% | 1,970,122 | 698 | |
| 87801 | Descriptor not shown (CPT code) | 561 | $36,961,405 | 0.49% | 543,473 | 150 | |
| 87086 | Descriptor not shown (CPT code) | 5,074 | $35,223,975 | 0.46% | 4,458,847 | 32 | |
| 82746 | Descriptor not shown (CPT code) | 5,248 | $34,822,171 | 0.46% | 2,419,964 | 35 | |
| 83880 | Descriptor not shown (CPT code) | 2,349 | $32,554,343 | 0.43% | 847,502 | 30 | |
| 88360 | Descriptor not shown (CPT code) | 5,330 | $31,074,472 | 0.41% | 641,727 | 58 | |
| 87811 | Descriptor not shown (CPT code) | 10,132 | $30,411,197 | 0.40% | 756,135 | 27 | |
| 84403 | Descriptor not shown (CPT code) | 3,039 | $29,978,769 | 0.39% | 1,189,510 | 39 | |
| 87913 | Descriptor not shown (CPT code) | 11 | $28,925,059 | 0.38% | 114,660 | 8,088 | |
| 87426 | Descriptor not shown (CPT code) | 17,750 | $28,302,238 | 0.37% | 823,257 | 24 | |
| 0240U | Descriptor not shown (CPT code) | 184 | $27,664,168 | 0.36% | 197,985 | 24 | |
| 86235 | Descriptor not shown (CPT code) | 746 | $26,856,797 | 0.35% | 1,536,592 | 252 | |
| 81307 | Descriptor not shown (CPT code) | 62 | $26,086,129 | 0.34% | 39,428 | 148 | |
| 82570 | Descriptor not shown (CPT code) | 12,586 | $25,535,492 | 0.34% | 5,046,792 | 39 | |
| 88112 | Descriptor not shown (CPT code) | 4,868 | $24,661,162 | 0.32% | 827,246 | 80 | |
| 84481 | Descriptor not shown (CPT code) | 2,763 | $24,279,070 | 0.32% | 1,466,009 | 51 | |
| 83550 | Descriptor not shown (CPT code) | 6,572 | $23,252,667 | 0.31% | 2,718,961 | 40 | |
| 82043 | Descriptor not shown (CPT code) | 10,795 | $22,682,640 | 0.30% | 4,019,184 | 37 | |
| 87186 | Descriptor not shown (CPT code) | 2,821 | $22,171,349 | 0.29% | 2,618,249 | 28 | |
| 88120 | Descriptor not shown (CPT code) | 232 | $22,090,507 | 0.29% | 59,549 | 71 | |
| 88173 | Descriptor not shown (CPT code) | 4,276 | $21,796,575 | 0.29% | 325,855 | 47 | |
| 87502 | Descriptor not shown (CPT code) | 3,547 | $21,590,957 | 0.28% | 231,974 | 21 | |
| 81249 | Descriptor not shown (CPT code) | 62 | $21,250,998 | 0.28% | 36,162 | 92 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Descriptions of HCPCS Level II codes are the official CMS descriptors, shown verbatim; CPT codes show a ClaimLight category in place of the descriptor. Data year 2023.
Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed