Clinical Social Workers

What they do most for Medicare patients

Service, sort	Code, sort	Times billed, sort	Patients, sort
Psychotherapy, 1 hour	90837	1,700,330	154,082
Psychotherapy, 45 minutes	90834	888,965	113,013
Psychotherapy, 30 minutes	90832	683,533	109,343
Psychiatric diagnostic evaluation	90791	133,859	128,198
Psychiatric services complicated by communication factor	90785	123,000	16,529
Group psychotherapy	90853	100,720	6,964
Family psychotherapy with patient, 50 minutes	90847	7,557	1,957
Assessment of emotional or behavioral problems	96127	6,187	3,044
Telehealth originating site facility fee	Q3014	5,744	1,588
Family psychotherapy without patient, 50 minutes	90846	3,939	1,585
Psychotherapy for crisis, first hour	90839	2,062	1,735
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	1,483	582
Treatment of behavior impacting health, initial 30 minutes	96158	1,139	379
Telephone medical discussion provided by nonphysician professional, 21-30 minutes	98968	1,135	230
Treatment of behavior impacting health, each additional 15 minutes	96159	1,114	264
Treatment of speech, language, voice, communication, and/or hearing processing disorder	92507	823	15
Assessment of health behavior	96156	773	716
Treatment of behavior impacting health in group setting, each additional 30 minutes	96165	709	50
Telephone medical discussion provided by nonphysician professional, 11-20 minutes	98967	664	100
Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	G2087	517	56
Diabetes outpatient self-management training services, individual, per 30 minutes	G0108	419	149
Therapy procedure for a range of mental processes, each additional 15 minutes	97130	408	35
Psychotherapy for crisis, each additional 30 minutes	90840	333	172
Advance care planning, first 30 minutes	99497	258	217
Telephone medical discussion provided by nonphysician professional, 5-10 minutes	98966	215	96
Annual depression screening, 5 to 15 minutes	G0444	207	207
Therapy procedure for a range of mental processes, initial 15 minutes	97129	205	35
Treatment of behavior impacting health in group setting, initial 30 minutes	96164	179	52
Biofeedback training	90901	145	11
Evaluation of psychological test, first hour	96130	134	134
Established patient office or other outpatient visit, 40-54 minutes	99215	126	31
Advance care planning, each additional 30 minutes	99498	105	79
Psychotherapy with evaluation and management visit, 1 hour	90838	95	18
Treatment of behavior impacting health with family and patient, each additional 30 minutes	96168	87	19
Psychiatric collaborative care management per calendar month, each additional 30 minutes	99494	75	18
Treatment of behavior impacting health with family and patient, initial 30 minutes	96167	73	30
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	99484	70	49
Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes	99493	67	16
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	G0396	53	53
Established patient office or other outpatient visit, 20-29 minutes	99213	47	20
Psychiatric diagnostic evaluation with medical services	90792	45	37
Administration of psychological or neuropsychological test by technician, first 30 minutes	96138	37	37
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	G0397	34	33
Testing for presence of drug, by chemistry analyzers	80307	22	22
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	99426	21	20
Initial psychiatric collaborative care management, first calendar month, first 70 minutes	99492	19	19
Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month	99427	12	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).