HCPCS G0480
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (CMS descriptor)
Other services Work RVU per service none (2021 fee schedule; adds 0 work RVUs)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 1,595 | $67,979,748 | -3% | 616,141 | 71 | 1,264 | 0.00 |
| 2023 | 1,590 | $70,250,898 | -4% | 635,738 | 78 | 1,200 | 0.00 |
| 2022 | 1,416 | $73,102,565 | -5% | 656,785 | 85 | 1,625 | 0.00 |
| 2021 | 1,394 | $77,022,470 | -2% | 683,697 | 91 | 1,966 | 0.00 |
| 2020 | 1,409 | $78,399,061 | first year in data | 700,837 | 99 | 1,723 | 0.00 |
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 | |
|---|---|---|---|---|---|---|
| Massachusetts | 62 | $6,415,252 | 56,398 | 157 | 2,498 | |
| California | 41 | $6,148,559 | 54,114 | 89 | 11,430 | |
| Georgia | 84 | $5,993,190 | 52,648 | 162 | 1,343 | |
| Texas | 110 | $5,725,512 | 50,876 | 76 | 2,707 | |
| North Carolina | 123 | $5,641,139 | 51,162 | 94 | 445 | |
| Pennsylvania | 33 | $4,797,335 | 42,443 | 270 | 4,785 | |
| Florida | 127 | $3,710,445 | 32,958 | 47 | 614 | |
| New Jersey | 48 | $3,604,420 | 31,683 | 156 | 1,706 | |
| Tennessee | 81 | $3,127,075 | 28,519 | 111 | 1,198 | |
| Illinois | 18 | $2,764,688 | 24,229 | 82 | 5,868 | |
| Kentucky | 89 | $2,759,940 | 24,425 | 35 | 1,030 | |
| New York | 37 | $2,579,458 | 22,776 | 138 | 3,370 | |
| Washington | 32 | $2,479,827 | 21,861 | 64 | 1,519 | |
| Alabama | 15 | $1,555,900 | 13,858 | 73 | 5,282 | |
| Nevada | 16 | $1,536,414 | 13,466 | 152 | 3,835 |
Not listed: 18 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-NJ | 47 | $5,468,483 | 48,185 | 197 | |
| Boston-Cambridge-Newton, MA-NH | 23 | $4,265,047 | 37,517 | 150 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 41 | $3,107,745 | 27,625 | 119 | |
| Dallas-Fort Worth-Arlington, TX | 30 | $2,894,893 | 25,379 | 67 | |
| Chicago-Naperville-Elgin, IL-IN | 18 | $2,812,418 | 24,648 | 141 | |
| Atlanta-Sandy Springs-Roswell, GA | 40 | $2,790,643 | 24,485 | 131 | |
| Los Angeles-Long Beach-Anaheim, CA | 23 | $2,143,479 | 18,929 | 73 | |
| Tampa-St. Petersburg-Clearwater, FL | 13 | $2,089,216 | 18,526 | 87 | |
| Seattle-Tacoma-Bellevue, WA | 14 | $2,027,480 | 17,864 | 72 | |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 37 | $1,716,782 | 15,295 | 48 | |
| Springfield, MA | 23 | $1,609,146 | 14,075 | 98 | |
| Houston-Pasadena-The Woodlands, TX | 17 | $1,262,494 | 11,084 | 80 | |
| Las Vegas-Henderson-North Las Vegas, NV | 15 | $1,142,243 | 10,013 | 59 | |
| Kansas City, MO-KS | 11 | $1,025,573 | 9,001 | 115 | |
| Detroit-Warren-Dearborn, MI | 11 | $901,568 | 7,977 | 279 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 39 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 G0480 nationally
Clinical Laboratory accounts for 75% of payment for G0480 nationally in 2021, across 10 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Clinical Laboratory | 352 | 25% | $57,554,167 | 75% | 510,770 | 1,451 |
| Nurse Practitioner | 318 | 23% | $3,581,784 | 4.7% | 31,859 | 100 |
| Interventional Pain Management | 115 | 8.2% | $3,576,976 | 4.6% | 31,573 | 275 |
| Anesthesiology | 138 | 9.9% | $3,263,644 | 4.2% | 28,837 | 209 |
| Pain Management | 133 | 9.5% | $2,782,677 | 3.6% | 24,707 | 186 |
| Physical Medicine and Rehabilitation | 84 | 6.0% | $2,041,471 | 2.7% | 18,114 | 216 |
| Physician Assistant | 143 | 10% | $1,473,386 | 1.9% | 13,133 | 92 |
| Family Practice | 30 | 2.2% | $512,523 | 0.67% | 4,506 | 150 |
| Internal Medicine | 18 | 1.3% | $445,167 | 0.58% | 3,967 | 220 |
| Emergency Medicine | 13 | 0.93% | $322,721 | 0.42% | 2,836 | 218 |
Not listed: 20 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 G0480 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