HCPCS G0105

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

Other services Work RVU per service 3.26 (2020 fee schedule)

7,238
96th percentile among 6,116 codes billed · 2020
$72M
97th percentile among 6,116 codes billed · 2020
280K
91st percentile among 6,116 codes billed · 2020
24
52nd percentile among 6,116 codes billed · 2020
117
60th percentile among 6,116 codes billed · 2020

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
Florida628$7,512,76029,75228158
California485$5,437,69617,70523113
Pennsylvania432$4,504,03917,15324119
Texas446$4,302,90917,24725120
North Carolina310$3,482,95813,68628131
New York257$2,558,2558,95022108
Georgia246$2,483,2179,69425106
Ohio283$2,313,6289,32021105
Massachusetts215$2,291,0628,95426129
Tennessee200$2,233,4969,47931145
New Jersey181$2,020,3756,72722125
Arizona168$1,961,2257,64330151
South Carolina157$1,908,3758,01429149
Michigan214$1,898,4827,47125112
Illinois239$1,890,0517,6452274

Not listed: 3 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ256$2,956,9739,28321
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD191$2,178,5557,72826
Boston-Cambridge-Newton, MA-NH164$1,484,8155,91323
Atlanta-Sandy Springs-Roswell, GA139$1,407,1285,29223
Phoenix-Mesa-Chandler, AZ113$1,351,4415,12229
Miami-Fort Lauderdale-West Palm Beach, FL131$1,293,2525,09222
Dallas-Fort Worth-Arlington, TX132$1,238,8014,71023
Chicago-Naperville-Elgin, IL-IN162$1,191,0534,88422
Los Angeles-Long Beach-Anaheim, CA129$1,113,0563,83322
Baltimore-Columbia-Towson, MD73$1,055,8253,83528
Seattle-Tacoma-Bellevue, WA91$882,0893,13323
Detroit-Warren-Dearborn, MI86$880,9993,36928
San Francisco-Oakland-Fremont, CA79$864,4362,52623
Jacksonville, FL71$847,2273,39920
Charlotte-Concord-Gastonia, NC-SC81$831,9213,33125

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 93 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing G0105 nationally

Ambulatory Surgical Center accounts for 55% of payment for G0105 nationally in 2020, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,30918%$39,488,64555%112,37386
Gastroenterology4,80766%$26,997,34938%140,43529
General Surgery5427.5%$2,192,9803.1%11,92222
Colorectal Surgery (Proctology)2974.1%$1,532,1942.1%8,03627
Internal Medicine2273.1%$1,149,2891.6%5,85326
Family Practice370.51%$113,3570.16%61717

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 2020.

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