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 (2021 fee schedule; adds 0 work RVUs)

1,579
89th percentile among 6,253 codes billed · 2021
$127M
98th percentile among 6,253 codes billed · 2021
644K
94th percentile among 6,253 codes billed · 2021
102
87th percentile among 6,253 codes billed · 2021
1,203
90th percentile among 6,253 codes billed · 2021
+1.8%
Medicare payment on the code vs 2020; billers +2.0% · 2021

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
Tennessee75$20,216,597102,15147679
California28$17,384,12087,77815120,344
Texas238$12,446,62163,275120688
Michigan43$8,375,56442,3223434,462
Florida171$7,747,55239,08186697
North Carolina142$7,155,89136,39568629
Maryland107$6,084,36130,731194812
Oklahoma42$5,846,70929,5202392,931
New Jersey48$4,806,99524,2331802,514
Kentucky50$4,418,01422,300971,168
Georgia82$3,920,36619,835100598
Washington69$3,246,13116,46160946
Pennsylvania43$2,877,79314,5381281,665
New York30$2,812,54914,1921462,212
Arkansas47$1,965,7049,967109592

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 2021.

Top metro areas

observed calculated calculated calculated calculated
Nashville-Davidson--Murfreesboro--Franklin, TN27$18,373,65792,75040
Detroit-Warren-Dearborn, MI29$7,403,53537,389352
New York-Newark-Jersey City, NY-NJ47$6,372,31632,113169
Dallas-Fort Worth-Arlington, TX63$3,610,96518,47863
Cincinnati, OH-KY-IN14$3,146,32515,883165
Tulsa, OK29$2,837,88214,323170
Tampa-St. Petersburg-Clearwater, FL18$2,737,23413,806111
Baltimore-Columbia-Towson, MD51$2,689,54013,605213
Austin-Round Rock-San Marcos, TX44$2,593,89313,135172
Raleigh-Cary, NC28$2,515,71312,68561
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD57$2,384,30512,04086
Washington-Arlington-Alexandria, DC-VA-MD-WV35$2,200,59211,097180
Atlanta-Sandy Springs-Roswell, GA57$1,774,9398,99699
Phoenix-Mesa-Chandler, AZ23$1,401,4807,076172
Seattle-Tacoma-Bellevue, WA19$1,282,9916,49156

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 36 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 G0482 nationally

Clinical Laboratory accounts for 63% of payment for G0482 nationally in 2021, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory24415%$80,580,39163%407,3561,669
Nurse Practitioner37324%$9,978,2507.8%50,512135
Pain Management20213%$8,250,4766.5%41,759207
Interventional Pain Management1559.8%$7,309,3155.7%37,132240
Anesthesiology18212%$6,934,5765.4%35,125193
Physician Assistant18712%$5,068,4214.0%25,677137
Physical Medicine and Rehabilitation1177.4%$4,724,2083.7%24,001205
Family Practice301.9%$1,349,1521.1%6,808227
Internal Medicine140.89%$458,0110.36%2,331167
Orthopedic Surgery161.0%$123,5250.10%62639

Not listed: 18 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 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