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 (2023 fee schedule; adds 0 work RVUs)

1,063
86th percentile among 6,405 codes billed · 2023
$143M
98th percentile among 6,405 codes billed · 2023
594K
94th percentile among 6,405 codes billed · 2023
106
86th percentile among 6,405 codes billed · 2023
1,814
91st percentile among 6,405 codes billed · 2023
-13.9%
Medicare payment on the code vs 2022; billers -12.7% · 2023

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
California70$29,949,985124,0673617,476
North Carolina78$22,704,30895,20874702
Texas166$14,095,46858,6721501,387
Tennessee66$11,976,34349,779115759
Georgia59$5,893,79824,3961191,295
New Jersey41$5,522,09522,882581,814
Florida98$5,473,82822,70787643
Michigan23$4,743,48319,6321393,969
Arizona22$4,311,31517,8722902,640
Kentucky41$4,010,55316,623831,614
Oklahoma26$3,490,23814,4811382,584
Mississippi28$3,339,17313,8531432,547
Indiana31$3,026,98712,57479748
Maryland25$2,047,3788,4731371,316
Nevada25$1,868,9857,794721,515

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 2023.

Top metro areas

observed calculated calculated calculated calculated
Los Angeles-Long Beach-Anaheim, CA30$11,673,57748,255599
Nashville-Davidson--Murfreesboro--Franklin, TN11$9,223,29038,22456
New York-Newark-Jersey City, NY-NJ45$6,572,08527,205136
Dallas-Fort Worth-Arlington, TX55$5,848,08524,353201
Raleigh-Cary, NC18$4,985,32720,60584
Detroit-Warren-Dearborn, MI20$4,679,84219,369149
Houston-Pasadena-The Woodlands, TX44$4,579,42819,032153
Phoenix-Mesa-Chandler, AZ20$4,260,72917,662300
Atlanta-Sandy Springs-Roswell, GA33$3,827,17815,852283
Durham-Chapel Hill, NC13$3,652,68615,75252
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD39$2,986,81512,383146
Cincinnati, OH-KY-IN15$2,425,22210,06097
Tampa-St. Petersburg-Clearwater, FL13$1,929,6987,998210
Knoxville, TN36$1,741,8857,297140
Tulsa, OK11$1,725,1117,15372

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 27 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 G0483 nationally

Clinical Laboratory accounts for 75% of payment for G0483 nationally in 2023, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory29227%$107,824,62075%447,6141,533
Anesthesiology11611%$5,989,6014.2%25,021216
Pain Management12712%$5,829,3674.1%24,334192
Nurse Practitioner19018%$5,584,1173.9%23,314123
Physical Medicine and Rehabilitation716.7%$5,269,1523.7%21,882308
Interventional Pain Management938.7%$4,859,7373.4%20,251218
Physician Assistant11110%$2,728,4521.9%11,388103
Family Practice161.5%$451,7910.32%1,877117

Not listed: 14 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 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