Psychiatry

What they do most for Medicare patients

Service, sort	Code, sort	Times billed, sort	Patients, sort
Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)	G0453	839	344
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	G0406	875	546
Sleep study in sleep lab (6 years or older)	95810	908	902
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	G0481	978	306
Evaluation of psychological test, first hour	96130	985	557
Measurement of brain wave activity (eeg), awake and drowsy	95816	992	484
Comprehensive hearing and speech recognition test	92557	995	889
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes	99483	1,031	931
Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy	G0459	1,040	375
Therapy procedure using sensory experiences	97533	1,098	53
Critical care, first 30-74 minutes	99291	1,122	625
Sleep study in sleep lab with continuous airway pressure (6 years or older)	95811	1,124	1,073
Administration of developmental test, first hour	96112	1,158	79
Needle measurement of electrical activity in arm or leg muscles, complete study	95886	1,163	553
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	G0483	1,173	702
Psychotherapy for crisis, first hour	90839	1,177	787
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	96365	1,207	186
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	85025	1,221	444
Administration of psychological or neuropsychological test, each additional 30 minutes	96137	1,239	341
New patient office or other outpatient visit, 30-44 minutes	99203	1,250	1,250
Biofeedback training	90901	1,250	53
Administration of influenza virus vaccine	G0008	1,300	1,300
Family psychotherapy without patient, 50 minutes	90846	1,471	648
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth	G0425	1,543	1,489
Emergency department visit with straightforward medical decision making	99282	1,584	1,116
Therapy procedure for a range of mental processes, initial 15 minutes	97129	1,600	187
Evaluation of neuropsychological test, first hour	96132	1,624	1,129
Exam of neurobehavioral status, first hour	96116	1,674	613
Therapy procedure using functional activities	97530	1,706	98
Treatment using magnetic field to stimulate nerve cells in brain, subsequent motor threshold redetermination with delivery and management	90869	1,706	1,065
Application of electrical stimulation with therapist present, each 15 minutes	97032	1,706	98
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth	G0427	1,740	1,712
Administration of psychological or neuropsychological test, first 30 minutes	96136	1,784	899
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes	99344	1,852	1,852
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	1,874	822
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	97110	1,950	111
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth	G0407	2,085	1,192
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth	G0426	2,302	2,244
Emergency department visit with low level of medical decision making	99283	3,067	2,570
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	99439	3,204	782
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	99350	3,274	1,477
Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management	90867	3,673	3,437
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	G0316	3,772	1,280
Administration of psychological or neuropsychological test by technician, each additional 30 minutes	96139	3,860	1,476
Family psychotherapy with patient, 50 minutes	90847	3,881	1,627
Testing for presence of drug, read by direct observation	80305	4,006	2,013
Insertion of needle into vein for collection of blood sample	36415	4,398	2,017
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	99304	5,061	4,686
Emergency department visit with high level of medical decision making	99285	5,231	4,631
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	99490	5,543	1,923
Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration,	G2083	6,121	506
Emergency department visit with moderate level of medical decision making	99284	6,431	5,500
Telephone medical discussion with physician, 5-10 minutes	99441	6,822	3,237
Testing for presence of drug, by chemistry analyzers	80307	7,723	2,962
Administration of psychological or neuropsychological test by technician, first 30 minutes	96138	10,517	3,511
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	99305	12,363	11,851
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	99310	12,483	6,585
New patient office or other outpatient visit, 45-59 minutes	99204	14,021	14,015
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes	99221	14,627	12,882
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	99306	15,469	14,877
Psychiatric diagnostic evaluation	90791	16,018	14,406
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	99211	18,183	6,437
Psychiatric services complicated by communication factor	90785	18,240	7,579
New patient office or other outpatient visit, 60-74 minutes	99205	19,245	19,241
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes	99451	20,538	8,571
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	99484	21,558	10,107
Assessment of emotional or behavioral problems	96127	23,428	8,289
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	26,666	3,910
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	99347	27,984	6,169
Telehealth originating site facility fee	Q3014	29,303	9,792
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	99348	30,566	9,450
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	99349	31,675	10,397
Psychotherapy with evaluation and management visit, 1 hour	90838	39,177	6,394
Group psychotherapy	90853	40,766	1,892
Telephone medical discussion with physician, 21-30 minutes	99443	45,567	19,212
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	99307	47,498	13,808
Injection of drug or substance under skin or into muscle	96372	48,817	10,286
Hospital discharge day management, 30 minutes or less	99238	51,331	44,499
Psychotherapy, 30 minutes	90832	52,335	13,865
Hospital discharge day management, more than 30 minutes	99239	57,424	51,614
Telephone medical discussion with physician, 11-20 minutes	99442	59,650	20,636
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99222	67,790	61,358
Therapy using electrical currents	90870	68,966	12,905
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99223	88,695	81,616
Psychotherapy, 45 minutes	90834	95,428	16,678
Established patient office or other outpatient visit, 10-19 minutes	99212	113,591	33,201
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	99309	128,414	50,336
Psychotherapy, 1 hour	90837	142,090	19,098
Established patient office or other outpatient visit, 40-54 minutes	99215	145,649	56,498
Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management	90868	146,041	6,217
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	99308	163,756	58,866
Psychiatric diagnostic evaluation with medical services	90792	196,624	184,587
Psychotherapy with evaluation and management visit, 45 minutes	90836	209,846	36,612
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	K1034	242,441	30,245
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99233	292,186	86,157
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	99231	392,628	87,612
Psychotherapy with evaluation and management visit, 30 minutes	90833	690,156	181,361
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99232	1,031,639	219,567
Established patient office or other outpatient visit, 20-29 minutes	99213	1,033,614	298,019
Established patient office or other outpatient visit, 30-39 minutes	99214	1,457,104	447,281

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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).