CMS RBCS · Evaluation & management · Hospital Inpatient Services

Hospital E&M - Subsequent codes

7 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 G0316 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 CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 815,371 services · est. ▲ 63.9% YoY · 165,025 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 399,984 observed fee-for-service services

See the national market for G0316 → ranked groups · states · 12-yr trend

HCPCS · E&M G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 57,908 services · est. ▲ 61.5% YoY · 14,523 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 27,544 observed fee-for-service services

See the national market for G0408 → ranked groups · states · 12-yr trend

HCPCS · E&M G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 44,857 services · est. ▲ 2.3% YoY · 10,370 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 22,185 observed fee-for-service services

See the national market for G0407 → ranked groups · states · 12-yr trend

HCPCS · E&M G0406 Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 13,777 services · est. ▼ 19.3% YoY · 3,705 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 6,741 observed fee-for-service services

See the national market for G0406 → ranked groups · states · 12-yr trend

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