CMS RBCS · Evaluation & management · Office/Outpatient Services

Office/Outpatient Services — codes without an RBCS family

29 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 Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 564,235 services · est. ▼ 4.2% YoY · 278,697 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 278,719 observed fee-for-service services

See the national market for Q0091 → ranked groups · states · 12-yr trend

HCPCS · E&M G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face wi CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 92,724 services · est. ▲ 30.4% YoY · 2,969 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 45,932 observed fee-for-service services

See the national market for G0270 → ranked groups · states · 12-yr trend

HCPCS · E&M G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 79,316 services · est. ▼ 21.4% YoY · 11,644 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 40,709 observed fee-for-service services

See the national market for G0250 → ranked groups · states · 12-yr trend

HCPCS · E&M G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve CMS descriptor · HCPCS
Medicare Part B claims

First observed 2018 — first year this code appears in Part B claims

National scale 42,044 services · est. ▲ 73.2% YoY · 21,744 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 21,748 observed fee-for-service services

See the national market for G0513 → ranked groups · states · 12-yr trend

HCPCS · E&M G0248 Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 23,331 services · est. ▼ 10.9% YoY · 11,620 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 11,637 observed fee-for-service services

See the national market for G0248 → ranked groups · states · 12-yr trend

HCPCS · E&M G0102 Prostate cancer screening; digital rectal examination CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 11,003 services · est. ▼ 27.3% YoY · 5,486 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 5,486 observed fee-for-service services

See the national market for G0102 → ranked groups · states · 12-yr trend

HCPCS · E&M G0372 Physician service required to establish and document the need for a power mobility device CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 4,218 services · est. ▼ 49.0% YoY · 2,100 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 2,104 observed fee-for-service services

See the national market for G0372 → ranked groups · states · 12-yr trend

HCPCS · E&M G0247 Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following i CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 3,802 services · est. ▼ 21.0% YoY · 1,395 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 1,920 observed fee-for-service services

See the national market for G0247 → ranked groups · states · 12-yr trend

HCPCS · E&M G0454 Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 3,669 services · est. ▲ 33.6% YoY · 1,512 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 1,681 observed fee-for-service services

See the national market for G0454 → ranked groups · states · 12-yr trend

HCPCS · E&M G0246 Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 3,623 services · est. ▼ 21.3% YoY · 1,326 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 1,826 observed fee-for-service services

See the national market for G0246 → ranked groups · states · 12-yr trend

HCPCS · E&M G0514 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code CMS descriptor · HCPCS
Medicare Part B claims

First observed 2018 — first year this code appears in Part B claims

National scale 2,989 services · est. ▼ 6.9% YoY · 1,491 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 1,491 observed fee-for-service services

See the national market for G0514 → ranked groups · states · 12-yr trend

HCPCS · E&M G9488 Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed ex CMS descriptor · HCPCS
Medicare Part B claims

First observed 2018 — first year this code appears in Part B claims

National scale 487 services · est. ▼ 83.7% YoY · 192 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 243 observed fee-for-service services

See the national market for G9488 → ranked groups · states · 12-yr trend

HCPCS · E&M G0245 Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that cons CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 428 services · est. ▼ 11.1% YoY · 218 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 218 observed fee-for-service services

See the national market for G0245 → ranked groups · states · 12-yr trend

HCPCS · E&M G9483 Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a detailed history; a detailed examination; medical decision mak CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 188 services · est. ▲ 80.3% YoY · 94 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 94 observed fee-for-service services

See the national market for G9483 → ranked groups · states · 12-yr trend

HCPCS · E&M G9486 Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a problem focused history; a prob CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 157 services · est. ▲ 230.6% YoY · 66 FFS beneficiary-episodes (CY2022, all-Medicare estimate) — 85 observed fee-for-service services

See the national market for G9486 → ranked groups · states · 12-yr trend

HCPCS · E&M G9487 Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: an expanded problem focused histo CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 94 services · est. ▼ 85.2% YoY · 40 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 47 observed fee-for-service services

See the national market for G9487 → ranked groups · states · 12-yr trend

HCPCS · E&M G9489 Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved coms innovation center demonstration project, which requires at least 2 of the following 3 key components: a comprehensive history; a compr CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 76 services · est. ▼ 90.7% YoY · 37 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 38 observed fee-for-service services

See the national market for G9489 → ranked groups · states · 12-yr trend

HCPCS · E&M D0140 Limited oral evaluation - problem focused CMS descriptor · HCPCS
Medicare Part B claims

First observed 2024 — first year this code appears in Part B claims

National scale 57 services · est. · 25 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 26 observed fee-for-service services

See the national market for D0140 → ranked groups · states · 12-yr trend

HCPCS · E&M G9484 Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical de CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 52 services · est. ▼ 20.8% YoY · 26 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 26 observed fee-for-service services

See the national market for G9484 → ranked groups · states · 12-yr trend

HCPCS · E&M G9156 Evaluation for wheelchair requiring face to face visit with physician CMS descriptor · HCPCS
Medicare Part B claims

First observed 2024 — first year this code appears in Part B claims

National scale 22 services · est. · 11 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 11 observed fee-for-service services

See the national market for G9156 → ranked groups · states · 12-yr trend

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