CMS RBCS · Evaluation & management · Behavioral Health Services

Behavioral Health Services — codes without an RBCS family

46 CPT®/HCPCS codes, ranked by est. all-Medicare services — scaled from national Medicare Part B fee-for-service volume. Open any code for the full market view — ranked physician groups, geography, and 12-year trend.

CMS's RBCS classification leaves these codes at the subcategory level — no family is assigned. We list them; we don't invent a family.

CY2024 · National scale is an all-Medicare estimate · est. — scaled estimate — assumes MA utilization mirrors FFS; not an observation; the observed fee-for-service figure is shown adjacent. Part B · national figures

HCPCS · E&M G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes CMS descriptor · HCPCS
Medicare Part B claims

First observed 2013 — start of our 12-year window; the code predates it

National scale 728,427 services · est. ▲ 16.1% YoY · 355,470 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 355,929 observed fee-for-service services

See the national market for G0446 → ranked groups · states · 12-yr trend

HCPCS · E&M G0447 Face-to-face behavioral counseling for obesity, 15 minutes CMS descriptor · HCPCS
Medicare Part B claims

First observed 2013 — start of our 12-year window; the code predates it

National scale 557,638 services · est. ▲ 13.0% YoY · 151,704 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 275,157 observed fee-for-service services

See the national market for G0447 → ranked groups · states · 12-yr trend

HCPCS · E&M G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes CMS descriptor · HCPCS
Medicare Part B claims

First observed 2013 — start of our 12-year window; the code predates it

National scale 122,563 services · est. ▲ 31.7% YoY · 29,894 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 60,152 observed fee-for-service services

See the national market for G0396 → ranked groups · states · 12-yr trend

HCPCS · E&M G2214 Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care CMS descriptor · HCPCS
Medicare Part B claims

First observed 2021 — first year this code appears in Part B claims

National scale 46,926 services · est. ▲ 146.1% YoY · 16,562 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 22,129 observed fee-for-service services

See the national market for G2214 → ranked groups · states · 12-yr trend

HCPCS · E&M G0323 Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (these services include the following requi CMS descriptor · HCPCS
Medicare Part B claims

First observed 2023 — first year this code appears in Part B claims

National scale 13,615 services · est. ▲ 129.6% YoY · 2,888 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 6,534 observed fee-for-service services

See the national market for G0323 → ranked groups · states · 12-yr trend

HCPCS · E&M G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes CMS descriptor · HCPCS
Medicare Part B claims

First observed 2013 — start of our 12-year window; the code predates it

National scale 3,580 services · est. ▲ 11.4% YoY · 915 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 1,836 observed fee-for-service services

See the national market for G0397 → ranked groups · states · 12-yr trend

HCPCS · E&M G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes CMS descriptor · HCPCS
Medicare Part B claims

First observed 2013 — start of our 12-year window; the code predates it

National scale 2,646 services · est. ▲ 38.9% YoY · 1,075 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 1,281 observed fee-for-service services

See the national market for G0443 → ranked groups · states · 12-yr trend

HCPCS · E&M G0473 Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes CMS descriptor · HCPCS
Medicare Part B claims

First observed 2015 — first year this code appears in Part B claims

National scale 1,974 services · est. · 328 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 982 observed fee-for-service services

See the national market for G0473 → ranked groups · states · 12-yr trend

HCPCS · E&M G0445 High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes CMS descriptor · HCPCS
Medicare Part B claims

First observed 2013 — start of our 12-year window; the code predates it

National scale 1,146 services · est. ▼ 5.7% YoY · 509 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 532 observed fee-for-service services

See the national market for G0445 → ranked groups · states · 12-yr trend

HCPCS · E&M G2172 All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project CMS descriptor · HCPCS
Medicare Part B claims

First observed 2021 — first year this code appears in Part B claims

National scale 1,042 services · est. ▼ 45.9% YoY · 288 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 692 observed fee-for-service services

See the national market for G2172 → ranked groups · states · 12-yr trend

36 more CPT-coded procedures — shown with a trial or subscription, under AMA licensing.