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 (2023 fee schedule; adds 0 work RVUs)

1,618
90th percentile among 6,405 codes billed · 2023
$108M
98th percentile among 6,405 codes billed · 2023
560K
94th percentile among 6,405 codes billed · 2023
84
84th percentile among 6,405 codes billed · 2023
920
85th percentile among 6,405 codes billed · 2023
-10.0%
Medicare payment on the code vs 2022; billers -4.6% · 2023

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
Tennessee77$19,242,13599,42565741
California33$18,344,56294,4337420,904
Texas201$10,855,42456,566152849
Florida214$6,814,45435,07975533
Michigan50$5,452,88528,0551423,037
North Carolina118$4,758,06424,55677502
Oklahoma43$4,680,60924,1853111,309
New Jersey59$4,378,50122,5421162,291
Kentucky36$3,504,14818,020551,136
Maryland92$3,364,44017,30396497
Arkansas64$2,990,21715,530171808
Georgia77$2,832,38514,61374727
Pennsylvania48$2,072,08610,701129525
Washington57$1,985,91710,26954447
New York28$1,729,9338,914941,287

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 2023.

Top metro areas

observed calculated calculated calculated calculated
Nashville-Davidson--Murfreesboro--Franklin, TN32$17,422,48089,90434
Detroit-Warren-Dearborn, MI36$4,926,60625,338140
New York-Newark-Jersey City, NY-NJ51$3,679,55818,926118
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD60$2,913,36615,031106
Tulsa, OK31$2,549,84213,196285
Dallas-Fort Worth-Arlington, TX43$2,118,77311,15251
Austin-Round Rock-San Marcos, TX27$1,736,2879,037267
Baltimore-Columbia-Towson, MD47$1,725,4528,877107
Tampa-St. Petersburg-Clearwater, FL40$1,703,0978,75848
Little Rock-North Little Rock-Conway, AR37$1,695,5238,830194
Phoenix-Mesa-Chandler, AZ57$1,637,6448,45857
Raleigh-Cary, NC31$1,509,7447,76156
San Antonio-New Braunfels, TX20$1,497,4947,749382
Houston-Pasadena-The Woodlands, TX36$1,448,6417,51083
Atlanta-Sandy Springs-Roswell, GA57$1,323,5086,83271

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 32 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing G0482 nationally

Clinical Laboratory accounts for 61% of payment for G0482 nationally in 2023, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory24615%$66,517,74061%343,2901,395
Nurse Practitioner42226%$9,648,4308.9%49,999118
Anesthesiology17611%$7,552,9417.0%39,015222
Pain Management20513%$7,376,7806.8%38,202186
Interventional Pain Management1559.6%$6,636,5976.1%34,567223
Physician Assistant20713%$4,555,8284.2%23,570114
Physical Medicine and Rehabilitation1267.8%$3,638,5263.4%18,887150
Family Practice130.80%$620,8950.57%3,214247
Psychiatry110.68%$115,1500.11%59354

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 2023.

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