HCPCS G0483

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)

1,241
87th percentile among 6,116 codes billed · 2020
$220M
99th percentile among 6,116 codes billed · 2020
903K
95th percentile among 6,116 codes billed · 2020
125
90th percentile among 6,116 codes billed · 2020
2,850
95th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$100M$200M2020: $220M paid20202021: $201M paid20212022: $166M paid20222023: $143M paid20232024: $129M paid2024$129M$0$100M$200M2020: $220M paid20202021: $201M paid20212022: $166M paid20222023: $143M paid20232024: $129M paid2024$129M$0$100M$200M2020: $220M paid20202021: $201M paid20212022: $166M paid20222023: $143M paid20232024: $129M paid2024$129M$0$100M$200M2020: $220M paid20202021: $201M paid20212022: $166M paid20222023: $143M paid20232024: $129M paid2024$129M

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

Billers

05001,0002020: 1,241 providers20202021: 1,259 providers20212022: 1,217 providers20222023: 1,063 providers20232024: 1,021 providers20241,02105001,0002020: 1,241 providers20202021: 1,259 providers20212022: 1,217 providers20222023: 1,063 providers20232024: 1,021 providers20241,02105001,0002020: 1,241 providers20202021: 1,259 providers20212022: 1,217 providers20222023: 1,063 providers20232024: 1,021 providers20241,02105001,0002020: 1,241 providers20202021: 1,259 providers20212022: 1,217 providers20222023: 1,063 providers20232024: 1,021 providers20241,021

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
20241,021$129,438,547-9%537,743841,7730.00
20231,063$142,991,321-14%594,2081061,8140.00
20221,217$166,039,776-18%684,4751002,1930.00
20211,259$201,308,658-9%819,6201242,6590.00
20201,241$220,063,830first year in data902,5431252,8500.00

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
California83$41,163,859168,2213269,826
North Carolina106$30,064,050124,9791181,752
Texas206$20,916,88185,7191042,057
Georgia67$16,989,15169,4712583,958
Tennessee85$11,887,83748,9111501,337
Florida73$11,190,94845,751952,764
Michigan30$10,314,67542,1772885,771
New Jersey41$7,997,29332,6441414,184
Nevada22$7,021,84728,8412972,196
Kentucky71$5,905,29124,19393982
Oklahoma15$5,809,62723,6713916,521
Indiana31$5,624,66422,999584,081
Arizona28$4,822,35519,7963433,304
Mississippi23$3,665,19815,008594,260
New York26$3,164,17212,9282761,512

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 2020.

Top metro areas

observed calculated calculated calculated calculated
Los Angeles-Long Beach-Anaheim, CA34$22,335,57791,080852
New York-Newark-Jersey City, NY-NJ54$10,587,31643,234217
Atlanta-Sandy Springs-Roswell, GA50$10,016,86540,944244
Detroit-Warren-Dearborn, MI25$9,990,78740,850386
Raleigh-Cary, NC17$8,032,27832,768497
Nashville-Davidson--Murfreesboro--Franklin, TN33$7,663,34231,505136
Dallas-Fort Worth-Arlington, TX63$7,204,64229,503110
Houston-Pasadena-The Woodlands, TX41$6,371,67526,070304
Tampa-St. Petersburg-Clearwater, FL11$5,651,96623,094107
Phoenix-Mesa-Chandler, AZ25$4,717,19519,361435
Austin-Round Rock-San Marcos, TX40$3,458,55514,21385
Chicago-Naperville-Elgin, IL-IN11$2,942,06211,998262
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD35$2,890,23211,821101
Cincinnati, OH-KY-IN11$2,602,34110,705104
Knoxville, TN28$1,878,4747,743160

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 26 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 G0483 nationally

Clinical Laboratory accounts for 76% of payment for G0483 nationally in 2020, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory33527%$167,688,47876%686,7872,050
Nurse Practitioner23919%$8,796,6164.0%36,250152
Interventional Pain Management1229.8%$8,509,0303.9%35,058287
Anesthesiology1159.3%$8,500,1593.9%34,920304
Pain Management1229.8%$7,838,4383.6%32,232264
Physical Medicine and Rehabilitation806.4%$6,277,7912.9%25,748322
Physician Assistant957.7%$3,389,6891.5%14,341151
Family Practice302.4%$1,318,2290.60%5,408180
Psychiatry181.5%$1,088,5820.49%4,518251
Internal Medicine211.7%$1,067,2540.48%4,355207
Emergency Medicine131.0%$613,0840.28%2,512193

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 2020.

Top billers of G0483 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