Psychologists

What they do most for Medicare patients

Service, sort	Code, sort	Times billed, sort	Patients, sort
Psychotherapy, 1 hour	90837	1,402,754	117,610
Psychotherapy, 45 minutes	90834	932,425	116,579
Psychotherapy, 30 minutes	90832	743,302	145,000
Evaluation of neuropsychological test, each additional hour	96133	338,566	115,623
Psychiatric diagnostic evaluation	90791	325,418	311,858
Administration of psychological or neuropsychological test by technician, each additional 30 minutes	96139	319,895	56,325
Administration of psychological or neuropsychological test, each additional 30 minutes	96137	278,198	68,278
Evaluation of neuropsychological test, first hour	96132	145,535	129,471
Psychiatric services complicated by communication factor	90785	99,419	21,801
Administration of psychological or neuropsychological test, first 30 minutes	96136	90,136	85,559
Exam of neurobehavioral status, first hour	96116	81,144	79,261
Administration of psychological or neuropsychological test by technician, first 30 minutes	96138	61,131	58,314
Group psychotherapy	90853	60,621	6,713
Evaluation of psychological test, each additional hour	96131	50,720	23,514
Evaluation of psychological test, first hour	96130	46,612	41,093
Therapy procedure for a range of mental processes, each additional 15 minutes	97130	29,904	660
Exam of neurobehavioral status, each additional hour	96121	25,648	20,277
Treatment of behavior impacting health in group setting, each additional 30 minutes	96165	23,693	1,491
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm	G2067	20,228	110
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	99484	17,337	6,705
Treatment of behavior impacting health, initial 30 minutes	96158	16,751	5,229
Assessment of emotional or behavioral problems	96127	15,489	13,126
Treatment of behavior impacting health, each additional 15 minutes	96159	13,283	1,949
Assessment of health behavior	96156	11,478	9,143
Therapy procedure for a range of mental processes, initial 15 minutes	97129	8,823	718
Family psychotherapy with patient, 50 minutes	90847	7,387	2,822
Treatment of behavior impacting health in group setting, initial 30 minutes	96164	6,640	1,539
Telehealth originating site facility fee	Q3014	6,047	1,157
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99232	1,560	322
Family psychotherapy without patient, 50 minutes	90846	1,437	543
Established patient office or other outpatient visit, 20-29 minutes	99213	1,215	172
Established patient office or other outpatient visit, 30-39 minutes	99214	1,112	181
Psychotherapy with evaluation and management visit, 45 minutes	90836	1,068	89
Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist or clinical social worker time, per calendar month. (these services include the following required elements: initial assessment or follow-up monitoring,	G0323	1,035	456
Guided hypnosis	90880	985	39
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	99309	974	269
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99233	823	176
Telephone medical discussion with physician, 21-30 minutes	99443	802	120
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	99231	774	129
Psychotherapy for crisis, first hour	90839	770	395
Treatment of behavior impacting health with family and patient, initial 30 minutes	96167	639	459
Insertion of needle into vein for collection of blood sample	36415	526	349
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99223	420	409
Psychotherapy with evaluation and management visit, 1 hour	90838	365	55
Treatment of behavior impacting health with family and patient, each additional 30 minutes	96168	316	110
Telephone medical discussion provided by nonphysician professional, 21-30 minutes	98968	309	85
Administration of psychological or neuropsychological test by single standardized instrument via electronic platform with automated result	96146	292	292
Psychotherapy for crisis, each additional 30 minutes	90840	286	34
Telephone medical discussion provided by nonphysician professional, 11-20 minutes	98967	277	198
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	99308	258	158
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	99307	187	39
Multiple-family group psychotherapy	90849	182	52
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within t	G2010	135	40
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	99305	133	131
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	99306	119	119
Psychotherapy with evaluation and management visit, 30 minutes	90833	114	59
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	G2012	110	15
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	G2212	102	58
Psychiatric diagnostic evaluation with medical services	90792	94	80
Test to assess the loss of the ability to speak, write, and understand language	96105	88	88
Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes	99493	86	51
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes	99483	85	78
Test of neurological function during functional mri	96020	76	61
Telephone medical discussion with physician, 11-20 minutes	99442	75	44
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes	G2011	72	72
New patient office or other outpatient visit, 60-74 minutes	99205	66	66
Administration of developmental test, each additional 30 minutes	96113	62	12
Established patient office or other outpatient visit, 40-54 minutes	99215	57	43
Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure	G2080	53	17
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99222	45	40
Nursing facility discharge day management, 30 minutes or less	99315	35	33
Therapy procedure using functional activities	97530	34	23
Functional mri scan of brain with neurofunctional testing	70555	32	31
Hospital discharge day management, more than 30 minutes	99239	31	31
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure	G2078	30	14
Sleep study in sleep lab (6 years or older)	95810	25	25
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	99349	24	20
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	97112	23	20
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	99310	22	22
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	97110	20	17
Initial psychiatric collaborative care management, first calendar month, first 70 minutes	99492	14	14
Sleep study in sleep lab with continuous airway pressure (6 years or older)	95811	12	11
Administration of developmental test, first hour	96112	12	12
New patient office or other outpatient visit, 45-59 minutes	99204	11	11

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Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).