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 (2022 fee schedule; adds 0 work RVUs)

1,696
89th percentile among 6,326 codes billed · 2022
$120M
98th percentile among 6,326 codes billed · 2022
617K
94th percentile among 6,326 codes billed · 2022
89
85th percentile among 6,326 codes billed · 2022
1,009
88th percentile among 6,326 codes billed · 2022
-5.4%
Medicare payment on the code vs 2021; billers +7.4% · 2022

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
Tennessee87$19,384,05699,28962677
California30$19,163,47697,96018922,014
Texas230$10,280,34753,078102592
Florida197$8,180,01941,82879638
Michigan45$6,561,58633,5892473,293
North Carolina148$6,244,95632,09462526
Oklahoma42$5,431,41127,8123571,799
New Jersey52$5,227,48726,666923,421
Maryland108$5,212,86026,571173586
Kentucky41$3,953,93520,177581,146
Georgia84$3,501,13217,890701,015
Arkansas53$3,259,42916,7102251,117
Pennsylvania48$2,797,58714,3281451,290
Washington69$2,765,68214,20661797
New York26$2,489,87712,7171721,723

Not listed: 15 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 2022.

Top metro areas

observed calculated calculated calculated calculated
Nashville-Davidson--Murfreesboro--Franklin, TN35$17,574,98989,91934
Detroit-Warren-Dearborn, MI30$5,824,95429,763309
New York-Newark-Jersey City, NY-NJ44$5,505,85128,068124
Tulsa, OK29$2,972,78515,214278
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD61$2,896,91014,795131
Tampa-St. Petersburg-Clearwater, FL22$2,823,47514,39783
Dallas-Fort Worth-Arlington, TX44$2,440,99212,71162
Raleigh-Cary, NC35$2,157,35711,01485
Baltimore-Columbia-Towson, MD51$2,135,20510,877172
Washington-Arlington-Alexandria, DC-VA-MD-WV34$2,029,48410,355197
Atlanta-Sandy Springs-Roswell, GA57$1,994,84810,18170
Austin-Round Rock-San Marcos, TX44$1,948,22010,01695
Phoenix-Mesa-Chandler, AZ54$1,838,4939,40146
Little Rock-North Little Rock-Conway, AR36$1,785,1919,186153
Jacksonville, FL30$1,344,9886,940144

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 2022.

Specialties billing G0482 nationally

Clinical Laboratory accounts for 62% of payment for G0482 nationally in 2022, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory24214%$74,211,08262%379,8631,570
Nurse Practitioner45827%$11,439,7009.5%58,773128
Pain Management20012%$7,601,1016.3%38,962195
Anesthesiology19011%$7,470,6866.2%38,322202
Interventional Pain Management1559.1%$6,821,8175.7%35,210227
Physician Assistant22213%$5,304,0584.4%27,213123
Physical Medicine and Rehabilitation1307.7%$4,484,5853.7%23,030177
Family Practice221.3%$859,7420.71%4,385199
Psychiatry140.83%$238,3170.20%1,21387
Internal Medicine110.65%$187,4190.16%96488

Not listed: 15 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 2022.

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