CMS RBCS · Evaluation & management · Care Management/Coordination

Chronic, Principal, and Transitional Care Management codes

16 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.

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 G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo CMS descriptor · HCPCS
Medicare Part B claims

First observed 2020 — first year this code appears in Part B claims

National scale 881,018 services · est. · 192,928 FFS beneficiary-episodes (CY2020, all-Medicare estimate) — 532,598 observed fee-for-service services

See the national market for G2058 → ranked groups · states · 12-yr trend

HCPCS · E&M G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) CMS descriptor · HCPCS
Medicare Part B claims

First observed 2017 — first year this code appears in Part B claims

National scale 314,561 services · est. ▲ 14.9% YoY · 144,719 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 153,319 observed fee-for-service services

See the national market for G0506 → ranked groups · states · 12-yr trend

HCPCS · E&M G2065 Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following ele CMS descriptor · HCPCS
Medicare Part B claims

First observed 2020 — first year this code appears in Part B claims

National scale 61,016 services · est. ▲ 390.5% YoY · 9,775 FFS beneficiary-episodes (CY2021, all-Medicare estimate) — 36,387 observed fee-for-service services

See the national market for G2065 → ranked groups · states · 12-yr trend

HCPCS · E&M G2064 Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic co CMS descriptor · HCPCS
Medicare Part B claims

First observed 2020 — first year this code appears in Part B claims

National scale 31,629 services · est. ▲ 43.2% YoY · 6,386 FFS beneficiary-episodes (CY2021, all-Medicare estimate) — 18,948 observed fee-for-service services

See the national market for G2064 → ranked groups · states · 12-yr trend

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