NEVVI Medicare utilization intelligence

CMS RBCS · Evaluation & management · Office/Outpatient Services

Office E&M - Established codes

11 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 G2212 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 CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 1.27M services · est. ▲ 28.8% YoY · 291,723 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 640,930 observed fee-for-service services

See the national market for G2212 → ranked groups · states · 12-yr trend

HCPCS · E&M G2083 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, CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 27,190 services · est. ▲ 61.4% YoY · 1,339 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 13,742 observed fee-for-service services

See the national market for G2083 → ranked groups · states · 12-yr trend

HCPCS · E&M G2087 Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 18,644 services · est. ▼ 11.9% YoY · 2,808 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 9,468 observed fee-for-service services

See the national market for G2087 → ranked groups · states · 12-yr trend

HCPCS · E&M G2088 Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure) CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 6,262 services · est. ▲ 50.0% YoY · 380 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 3,129 observed fee-for-service services

See the national market for G2088 → ranked groups · states · 12-yr trend

HCPCS · E&M G2082 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 up to 56 mg of esketamine nasal self-administration, incl CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 1,091 services · est. ▲ 3.0% YoY · 211 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 604 observed fee-for-service services

See the national market for G2082 → ranked groups · states · 12-yr trend

HCPCS · E&M G2086 Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month CMS descriptor · HCPCS
Medicare Part B claims

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

National scale 665 services · est. ▼ 54.6% YoY · 281 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 379 observed fee-for-service services

See the national market for G2086 → ranked groups · states · 12-yr trend

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