HCPCS G0482

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 (2020 fee schedule; adds 0 work RVUs)

1,548
89th percentile among 6,116 codes billed · 2020
$125M
98th percentile among 6,116 codes billed · 2020
637K
94th percentile among 6,116 codes billed · 2020
101
88th percentile among 6,116 codes billed · 2020
1,291
91st percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$50M$100M2020: $125M paid20202021: $127M paid20212022: $120M paid20222023: $108M paid20232024: $95M paid2024$95M$0$50M$100M2020: $125M paid20202021: $127M paid20212022: $120M paid20222023: $108M paid20232024: $95M paid2024$95M$0$50M$100M2020: $125M paid20202021: $127M paid20212022: $120M paid20222023: $108M paid20232024: $95M paid2024$95M$0$50M$100M2020: $125M paid20202021: $127M paid20212022: $120M paid20222023: $108M paid20232024: $95M paid2024$95M

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

Billers

01,0002020: 1,548 providers20202021: 1,579 providers20212022: 1,696 providers20222023: 1,618 providers20232024: 1,428 providers20241,42801,0002020: 1,548 providers20202021: 1,579 providers20212022: 1,696 providers20222023: 1,618 providers20232024: 1,428 providers20241,42801,0002020: 1,548 providers20202021: 1,579 providers20212022: 1,696 providers20222023: 1,618 providers20232024: 1,428 providers20241,42801,0002020: 1,548 providers20202021: 1,579 providers20212022: 1,696 providers20222023: 1,618 providers20232024: 1,428 providers20241,428

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
20241,428$94,765,334-13%489,866788970.00
20231,618$108,357,043-10%560,112849200.00
20221,696$120,409,493-5%617,182891,0090.00
20211,579$127,340,337+2%644,3341021,2030.00
20201,548$125,069,410first year in data637,3691011,2910.00

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
Tennessee83$20,127,575102,43950546
California29$16,091,86981,7927617,273
Texas223$12,145,99062,106145811
Michigan49$7,635,28838,8902163,599
North Carolina121$7,408,51437,825671,383
Florida161$7,249,03636,89476694
New Jersey49$5,379,76427,3162412,433
Oklahoma41$5,018,23325,5252902,605
Maryland111$4,814,66024,461141659
Kentucky48$4,642,79223,7501291,953
Georgia79$3,897,40319,807110512
Washington58$3,231,70216,49582984
Pennsylvania41$3,096,61415,7932151,588
Arizona52$2,431,62212,393791,155
Arkansas52$2,427,02612,423113973

Not listed: 17 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
Nashville-Davidson--Murfreesboro--Franklin, TN31$17,779,36790,36232
Detroit-Warren-Dearborn, MI32$6,408,28832,617174
New York-Newark-Jersey City, NY-NJ48$5,984,60930,361204
Dallas-Fort Worth-Arlington, TX59$3,438,96817,80478
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD59$3,277,67316,684138
Raleigh-Cary, NC25$3,069,79415,58548
Austin-Round Rock-San Marcos, TX44$2,747,49213,952169
Cincinnati, OH-KY-IN16$2,435,23512,509129
Tulsa, OK27$2,333,55211,879222
Tampa-St. Petersburg-Clearwater, FL18$2,279,93311,591102
Baltimore-Columbia-Towson, MD55$2,142,80410,893161
Washington-Arlington-Alexandria, DC-VA-MD-WV34$1,831,8569,293127
Atlanta-Sandy Springs-Roswell, GA58$1,721,0878,74093
Phoenix-Mesa-Chandler, AZ26$1,617,9438,224113
Jacksonville, FL33$1,382,6977,076170

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 37 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 G0482 nationally

Clinical Laboratory accounts for 64% of payment for G0482 nationally in 2020, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory25917%$79,471,50764%404,6761,562
Nurse Practitioner36524%$10,036,0388.0%51,152140
Pain Management20313%$8,296,4146.6%42,336209
Interventional Pain Management16210%$7,069,7845.7%36,203223
Anesthesiology16411%$6,975,9605.6%35,598217
Physical Medicine and Rehabilitation1207.8%$5,133,9734.1%26,235219
Physician Assistant1549.9%$3,865,2733.1%19,666128
Family Practice332.1%$1,724,7981.4%8,767266
Internal Medicine191.2%$467,3790.37%2,370125
Orthopedic Surgery150.97%$128,8940.10%65844

Not listed: 21 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 G0482 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