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 (2022 fee schedule; adds 0 work RVUs)

1,217
87th percentile among 6,326 codes billed · 2022
$166M
99th percentile among 6,326 codes billed · 2022
684K
94th percentile among 6,326 codes billed · 2022
100
86th percentile among 6,326 codes billed · 2022
2,193
93rd percentile among 6,326 codes billed · 2022
-17.5%
Medicare payment on the code vs 2021; billers -3.3% · 2022

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
California74$30,826,245126,8103757,061
North Carolina84$27,444,454114,00744983
Texas197$17,047,04970,4381061,983
Tennessee80$11,247,35046,41068960
Georgia70$9,498,24539,0361612,368
New Jersey32$6,966,99128,5862384,515
Michigan38$5,727,94223,512683,612
Florida93$5,725,17623,54260996
Kentucky70$5,257,02021,630741,577
Indiana35$4,300,45717,693882,091
Arizona24$4,149,80417,0822942,466
Pennsylvania36$3,253,90813,341921,323
Oklahoma23$3,166,25513,0331322,268
Mississippi27$2,713,94011,194492,832
New York25$2,640,55510,8412531,314

Not listed: 20 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
Los Angeles-Long Beach-Anaheim, CA32$12,571,14651,621614
New York-Newark-Jersey City, NY-NJ46$9,124,60837,441255
Nashville-Davidson--Murfreesboro--Franklin, TN19$8,058,32633,16634
Raleigh-Cary, NC17$7,360,98730,191126
Dallas-Fort Worth-Arlington, TX55$6,163,59325,516158
Houston-Pasadena-The Woodlands, TX51$5,845,15424,058148
Atlanta-Sandy Springs-Roswell, GA45$5,574,32722,912217
Detroit-Warren-Dearborn, MI22$5,530,51622,704266
Phoenix-Mesa-Chandler, AZ23$4,135,11917,022299
Durham-Chapel Hill, NC12$3,367,85914,44344
Austin-Round Rock-San Marcos, TX44$2,853,60211,84169
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD38$2,796,68211,471130
Knoxville, TN38$2,107,6918,749107
Cincinnati, OH-KY-IN11$2,100,9408,655178
San Francisco-Oakland-Fremont, CA12$2,054,1408,435353

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 29 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 G0483 nationally

Clinical Laboratory accounts for 75% of payment for G0483 nationally in 2022, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory29824%$124,670,05175%513,5191,723
Pain Management14012%$7,131,2144.3%29,489211
Nurse Practitioner26322%$6,808,5164.1%28,206107
Anesthesiology13211%$6,595,9424.0%27,291207
Interventional Pain Management1028.4%$6,521,7893.9%26,965264
Physical Medicine and Rehabilitation846.9%$5,738,5923.5%23,635281
Physician Assistant1119.1%$2,973,8391.8%12,294111
Internal Medicine110.90%$1,262,1590.76%5,180471
Family Practice191.6%$557,7740.34%2,294121
Psychiatry171.4%$337,6300.20%1,38782

Not listed: 12 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 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