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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 elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities
Medicaid paid $5K on code G2065 from 2018 through 2024, to 34 providers — the #8,188 code in the file by dollars. 48% of it was billed in Maryland.
28Total paid$5K
24GClaims12,824
Paid per claim line$0.39
33Providers billing it34
Box 32 · Location
Where G2065 is billed
The largest of 12 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
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