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#149 of 11K

G0480

Drug test, definitive, 1-7 drug classes

Drug test, definitive, 1-7 drug classes is the #149 most-billed Medicaid procedure code, with $1.24B in payments across 26.1M claims from 2018–2024. The national median cost per claim is $37.56. Costs vary widely — the 90th percentile is $79.96 per claim, 2.1× the median.

Total Paid

$1.24B

0.11% of all spending

Total Claims

26.1M

Providers

3K

Avg Cost/Claim

$47

National Cost Distribution

How much do providers bill per claim for G0480? Based on 3K providers billing this code nationally.

Median

$37.56

Average

$41.13

Std Dev

$35.80

Max

$591.59

Percentile Distribution (Cost per Claim)

p10
$2.73
p25
$12.87
Median
$37.56
p75
$60.33
p90
$79.96
p95
$97.26
p99
$146.55

50% of providers bill between $12.87 and $60.33 per claim for this code.

90% bill between $2.73 and $79.96.

Top 1% bill above $146.55.

About This Procedure

HCPCS code G0480 (Drug test, definitive, 1-7 drug classes) was billed by 3K providers across 26.1M claims, totaling $1.24B in Medicaid payments from 2018–2024. This code was used for 17.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.56

Providers Billing

3K

National Spending

$1.24B

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0480

#ProviderTotal Paid
1Dominion Diagnostics, Llc

North Kingstown, RI · Clinical Medical Laboratory

$88.9M
2Millennium Health Llc

San Diego, CA · Clinical Medical Laboratory

$43.3M
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$33.2M
4Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$28.9M
51881841120$28.6M
6Ammon Analytical Laboratories Llc

Linden, NJ · Clinical Medical Laboratory

$28.0M
7Quest Diagnostics Venture Llc

Pittsburgh, PA · Clinical Medical Laboratory

$23.4M
81821092297$21.6M
9Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$21.2M
101326386939$20.3M
111215914288$19.4M
12Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$19.2M
13Labone Of Ohio Inc

Cincinnati, OH · Clinical Medical Laboratory

$18.0M
14Spero Health Of Kentucky Llc

Danville, KY · Family Medicine Addiction Medicine

$17.5M
15Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$16.3M
161649418351$15.7M
171770020018$13.8M
18Precision Toxicology, Llc

San Diego, CA · Clinical Medical Laboratory

$13.6M
19Aegis Sciences Corporation

Nashville, TN · Clinical Medical Laboratory

$12.5M
20Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$12.4M

Showing top 20 of 3K providers billing this code