HCPCS G0105

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

Other services Work RVU per service 3.26 (2021 fee schedule)

8,482
96th percentile among 6,253 codes billed · 2021
$97M
97th percentile among 6,253 codes billed · 2021
372K
92nd percentile among 6,253 codes billed · 2021
27
55th percentile among 6,253 codes billed · 2021
136
62nd percentile among 6,253 codes billed · 2021
+35.2%
Medicare payment on the code vs 2020; billers +17.2% · 2021

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
Florida699$9,572,09337,17329185
California567$7,462,84323,66326131
Pennsylvania493$6,473,41124,38430160
Texas562$5,989,75623,89126135
North Carolina338$4,403,44316,90431161
New York325$3,608,44812,25622122
Massachusetts261$3,527,73113,45729179
New Jersey261$3,371,34511,25024147
Maryland199$3,162,43011,33334186
Georgia294$3,148,29712,21428118
Ohio313$3,062,84212,14025120
Tennessee217$2,747,69811,52335153
Arizona183$2,602,7949,92733199
Michigan261$2,590,15210,27124115
Illinois274$2,578,67410,4082795

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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ359$4,771,44314,92123
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD228$3,316,17411,76130
Boston-Cambridge-Newton, MA-NH201$2,375,8529,19828
Miami-Fort Lauderdale-West Palm Beach, FL166$2,077,6357,97225
Washington-Arlington-Alexandria, DC-VA-MD-WV167$2,008,2167,48328
Phoenix-Mesa-Chandler, AZ130$1,902,0276,99429
Atlanta-Sandy Springs-Roswell, GA170$1,892,7177,09827
Dallas-Fort Worth-Arlington, TX176$1,806,3886,99125
Chicago-Naperville-Elgin, IL-IN198$1,681,5406,86724
Los Angeles-Long Beach-Anaheim, CA154$1,624,6735,52024
Baltimore-Columbia-Towson, MD94$1,528,3145,50234
San Francisco-Oakland-Fremont, CA95$1,466,2544,13828
Detroit-Warren-Dearborn, MI103$1,259,2584,82929
Seattle-Tacoma-Bellevue, WA117$1,212,7784,35023
Jacksonville, FL72$1,079,7204,27228

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 2021.

Specialties billing G0105 nationally

Ambulatory Surgical Center accounts for 56% of payment for G0105 nationally in 2021, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,38216%$54,175,29556%147,536107
Gastroenterology5,65867%$35,589,50237%187,46133
General Surgery7228.5%$2,902,2953.0%16,01422
Colorectal Surgery (Proctology)3734.4%$2,209,9652.3%11,54631
Internal Medicine2733.2%$1,520,9821.6%8,01529
Family Practice460.54%$156,1500.16%94421

Not listed: 14 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 2021.

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