How much does Medicare pay for CPT 83719?

Medicare allowed an average of $12.46 per service and paid $12.46 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $36.41, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 83719?

Vldl cholesterol level. It was billed 2,435 times to 1,896 Medicare beneficiaries by 17 providers in 2024.

Which specialty bills 83719 most?

Family Practice, with 1,130 services from 6 clinicians. Next are Internal Medicine, Clinical Laboratory, Pathology.

CPT 83719

Vldl cholesterol level

$12.46Medicare-allowed amount per service, averaged across 2,435 services

Providers submitted

$36.41

Asking price, not received

Medicare allowed

$12.46

The fee schedule figure

Medicare paid

$12.46

Balance is patient coinsurance

Providers submitted an average of $36.41 for this code and Medicare allowed $12.46 — 2.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $12.46 (100%); the rest is the patient’s coinsurance and deductible.

Services: 2,435
Beneficiaries: 1,896
Providers billing it: 17
Total allowed: $30,340

What Medicare pays for CPT 83719

Across 2,435 services billed by 17 providers to 1,896 beneficiaries, Medicare allowed an average of $12.46 per service. That is 1.3 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 83719

Specialty	Services	Beneficiaries	Avg allowed	Providers
Family Practice	1,130	937	$12.46	6
Internal Medicine	737	624	$12.46	3
Clinical Laboratory	552	319	$12.45	7
Pathology	16	16	$12.49	1

83719 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Ohio	1,561	$12.46	$12.50	6
New York	592	$12.47	$12.50	2
Texas	117	$12.49	$12.50	2
Illinois	48	$12.49	$12.50	2
Puerto Rico	47	$12.08	$12.50	1
Virginia	22	$12.49	$12.50	1
Missouri	21	$12.49	$12.50	1
Arizona	16	$12.49	$12.50	1
Alabama	11	$12.49	$12.50	1

Related codes

83735Magnesium level$6.55
83721Ldl cholesterol level$10.27
83704Lipoprotein level$33.38
83718Hdl cholesterol level$8.02
83789Mass spectrometry (laboratory testing method)$23.60
83722Measurement of small dense low density lipoprotein cholesterol$33.39
83785Manganese (heavy metal) level$26.11
83700Lipoprotein level$11.02
83701Lipoprotein measurement$33.08

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.