HCPCS G0105

Colorectal cancer screening; colonoscopy on individual at high risk (CMS descriptor)

Other services Work RVU per service 3.26 (2024 fee schedule)

8,537
97th percentile among 6,471 codes billed · 2024
$105M
98th percentile among 6,471 codes billed · 2024
365K
92nd percentile among 6,471 codes billed · 2024
26
52nd percentile among 6,471 codes billed · 2024
132
60th percentile among 6,471 codes billed · 2024
-0.1%
Medicare payment on the code vs 2023; billers -2.7% · 2024

Trend

Medicare payment on the code

$0$50M$100M2020: $72M paid20202021: $97M paid20212022: $99M paid20222023: $105M paid20232024: $105M paid2024$105M$0$50M$100M2020: $72M paid20202021: $97M paid20212022: $99M paid20222023: $105M paid20232024: $105M paid2024$105M$0$50M$100M2020: $72M paid20202021: $97M paid20212022: $99M paid20222023: $105M paid20232024: $105M paid2024$105M$0$50M$100M2020: $72M paid20202021: $97M paid20212022: $99M paid20222023: $105M paid20232024: $105M paid2024$105M

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

Billers

05,0002020: 7,238 providers20202021: 8,482 providers20212022: 8,623 providers20222023: 8,773 providers20232024: 8,537 providers20248,53705,0002020: 7,238 providers20202021: 8,482 providers20212022: 8,623 providers20222023: 8,773 providers20232024: 8,537 providers20248,53705,0002020: 7,238 providers20202021: 8,482 providers20212022: 8,623 providers20222023: 8,773 providers20232024: 8,537 providers20248,53705,0002020: 7,238 providers20202021: 8,482 providers20212022: 8,623 providers20222023: 8,773 providers20232024: 8,537 providers20248,537

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
20248,537$105,008,876-0%364,912261323.26
20238,773$105,087,294+7%384,059271363.26
20228,623$98,638,928+2%380,903271373.26
20218,482$96,750,545+35%372,353271363.26
20207,238$71,579,724first year in data279,730241173.26

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
Florida666$10,107,73534,36331171
California612$9,675,75926,69227132
Texas607$7,338,04825,67126131
Pennsylvania503$6,149,23221,89026143
North Carolina334$4,228,54414,61327138
Maryland218$3,880,63412,27531160
New Jersey268$3,814,67111,21825134
New York316$3,707,60611,40120129
Georgia297$3,587,20212,35526132
Massachusetts267$3,411,18412,61826135
Ohio342$3,316,97212,25823116
Arizona195$3,064,00910,54033190
South Carolina177$2,991,61710,82237204
Illinois291$2,771,16010,6802685
Tennessee199$2,651,77610,17935145

Not listed: 4 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ359$5,256,47414,73524
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD232$3,335,45610,85927
Los Angeles-Long Beach-Anaheim, CA190$2,437,9897,13224
Dallas-Fort Worth-Arlington, TX198$2,430,0968,20128
Boston-Cambridge-Newton, MA-NH196$2,385,5458,70025
Phoenix-Mesa-Chandler, AZ146$2,203,1637,29930
Miami-Fort Lauderdale-West Palm Beach, FL145$2,159,3956,91125
Washington-Arlington-Alexandria, DC-VA-MD-WV178$2,093,1656,87626
Atlanta-Sandy Springs-Roswell, GA168$2,090,1366,70723
Baltimore-Columbia-Towson, MD103$2,086,3916,62231
Chicago-Naperville-Elgin, IL-IN206$1,882,6597,37627
San Francisco-Oakland-Fremont, CA86$1,622,8143,73830
Detroit-Warren-Dearborn, MI90$1,260,8104,29633
Seattle-Tacoma-Bellevue, WA115$1,223,9433,90621
Charlotte-Concord-Gastonia, NC-SC84$1,163,3543,92127

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 97 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing G0105 nationally

Ambulatory Surgical Center accounts for 62% of payment for G0105 nationally in 2024, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,41917%$65,358,24362%142,676101
Gastroenterology5,68467%$33,011,02231%184,70232
General Surgery6888.1%$2,698,1462.6%15,73323
Colorectal Surgery (Proctology)3664.3%$1,994,3781.9%10,97730
Internal Medicine3143.7%$1,665,0431.6%9,33230
Family Practice370.43%$124,9780.12%68318

Not listed: 11 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 2024.

Top billers of G0105 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