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 (2021 fee schedule; adds 0 work RVUs)

1,259
87th percentile among 6,253 codes billed · 2021
$201M
99th percentile among 6,253 codes billed · 2021
820K
94th percentile among 6,253 codes billed · 2021
124
89th percentile among 6,253 codes billed · 2021
2,659
94th percentile among 6,253 codes billed · 2021
-8.5%
Medicare payment on the code vs 2020; billers +1.5% · 2021

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
California81$35,261,930143,2364569,148
North Carolina104$29,647,051121,82179884
Texas203$20,636,01783,9931012,430
Georgia68$14,578,37559,2382104,160
Tennessee86$11,800,68748,2601301,162
Florida80$9,579,13138,8531102,193
Michigan48$9,282,21937,675715,199
New Jersey36$7,855,53531,8292194,663
Indiana37$6,355,01025,798405,145
Kentucky80$5,349,15921,733104741
Arizona26$5,024,18820,4273353,025
Pennsylvania33$3,835,73215,5641231,307
Oklahoma15$3,281,23513,3283463,113
New York27$3,032,85012,3052241,572
Mississippi26$2,529,70010,285672,818

Not listed: 16 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
Los Angeles-Long Beach-Anaheim, CA32$17,035,62669,091808
New York-Newark-Jersey City, NY-NJ52$9,904,11040,145217
Detroit-Warren-Dearborn, MI25$9,029,12636,650294
Nashville-Davidson--Murfreesboro--Franklin, TN28$8,407,67534,335192
Atlanta-Sandy Springs-Roswell, GA45$8,310,76333,763221
Raleigh-Cary, NC16$8,118,59632,897246
Houston-Pasadena-The Woodlands, TX42$7,037,82828,612271
Dallas-Fort Worth-Arlington, TX56$7,034,36028,654168
Phoenix-Mesa-Chandler, AZ24$4,948,93620,117356
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD37$3,951,87216,035198
Durham-Chapel Hill, NC12$3,765,21115,97747
Austin-Round Rock-San Marcos, TX43$3,315,89813,50187
Chicago-Naperville-Elgin, IL-IN13$2,365,0259,583152
Cincinnati, OH-KY-IN11$2,070,5118,413147
San Antonio-New Braunfels, TX23$1,706,5346,95150

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 28 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 G0483 nationally

Clinical Laboratory accounts for 74% of payment for G0483 nationally in 2021, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory32125%$149,268,71274%606,9681,891
Pain Management14211%$9,189,5674.6%37,537264
Interventional Pain Management1209.5%$8,903,1824.4%36,417303
Anesthesiology13010%$8,625,2584.3%35,203271
Nurse Practitioner24920%$8,410,9214.2%34,498139
Physical Medicine and Rehabilitation786.2%$5,630,9852.8%22,932294
Physician Assistant1139.0%$3,202,4411.6%13,147116
Family Practice231.8%$1,433,6980.71%5,812253
Internal Medicine110.87%$1,333,2610.66%5,409492
Psychiatry161.3%$666,0170.33%2,735171

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 2021.

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