localis

Describe a service in plain words, or type a CPT/HCPCS code.

Specialty rate rollup

Psychiatry

Psychiatric evaluation, medication-management visits, and psychotherapy delivered with or without an E/M service.

This is a curated starter set for comparison. It doesn't claim that every specialty bills every code, and it isn't a utilization-weighted average.

At a glance

Q2 2024 compared with the prior available PFS release.

Conversion factor: 0.0% no change

Payable codes

10 / 10

Changed this release

0

Largest increase

None

Largest decrease

None

See the rates where you practice

Enter a ZIP code to apply that Medicare locality’s work, practice-expense, and malpractice adjustments to every row.

Current national rates Copy link

Q2 2024 release

Office (non-facility) and facility professional amounts, GPCI 1.000, before sequestration.

Code and service Status Office (non-facility) Facility
Visits and evaluation
90791 Psychiatric Diagnostic Evaluation Active
$172.10
No price history
$147.46
No price history
90792 Psychiatric Diagnostic Evaluation With Medical Services Active
$193.73
No price history
$169.10
No price history
99213 Routine Follow-Up Office Visit Active
$90.87
No price history
$65.24
No price history
99214 Long Follow-Up Office Visit Active
$128.16
No price history
$96.20
No price history
Treatment and ongoing management
90832 Brief Therapy Session Active
$78.23
No price history
$68.24
No price history
90833 Psychotherapy With Evaluation and Management Active
$71.90
No price history
$63.91
No price history
90834 Standard Therapy Session Active
$103.19
No price history
$90.21
No price history
90836 Active
$90.87
No price history
$80.89
No price history
90837 Extended Therapy Session Active
$152.12
No price history
$133.15
No price history
90838 Active
$120.50
No price history
$107.19
No price history

Every code links to its contracted-rate (% of Medicare) table and a full RVU breakdown, plus billing-policy context and rate history.

How often these codes appear in Medicare Copy link

Across Original Medicare nationally in CY2024, the covered codes on this page accounted for the activity below. It counts use by clinicians of every specialty, not just Psychiatry, and CMS publishes it on a different cycle from the fee schedule.

Services

188.7M

Times these codes were billed

Allowed dollars

$19.6B

Across covered Medicare FFS services

Most used in this set

99214

103.7M services

Coverage: 10 of 10 displayed codes. HCPCS Level II and excluded drug codes may not appear in this utilization dataset.

What this specialty actually bills Medicare

Observed CY2024 Medicare fee-for-service billing by Psychiatry clinicians, grouped by CMS rendering-provider specialty. That grouping differs from this page's Psychiatry label, so treat it as context for the curated list above.

Top codes by allowed dollars Share of allowed Allowed
99214 24.2% $186.6M
99213 11.0% $84.7M
99232 not in the list above 10.3% $79.7M
90833 6.7% $51.5M
90868 not in the list above 5.4% $41.3M
90792 4.6% $35.2M
99233 not in the list above 4.4% $34.0M
99215 not in the list above 3.3% $25.5M
90836 2.7% $20.7M
99231 not in the list above 2.3% $17.9M
Top codes by services Share of services Services
99214 18.2% 1.5M
99232 not in the list above 12.2% 1.0M
99213 11.6% 986,128
90833 8.7% 735,300
99231 not in the list above 4.3% 366,726
99233 not in the list above 3.4% 291,344
90836 2.6% 224,764
90868 not in the list above 2.6% 222,515
90792 2.3% 197,095
99308 not in the list above 1.8% 153,525

Localis can price 88% of this cohort's observed services (93% of allowed dollars) under the Q2 2024 release. The rest is clinical lab, drugs, or services paid outside the PFS under other fee schedules, not $0.

Established patient office visits—Office (non-facility)

Visit levels as shares of the 2024 services observed in this family, across 10,706 clinicians.

99211
0%
99212
4%
99213
36%
99214
55%
99215
5%

New patient office visits—Office (non-facility)

Visit levels as shares of the 2024 services observed in this family, across 1,049 clinicians.

99202
1%
99203
9%
99204
38%
99205
52%

Also high-volume for this cohort (observed, not yet in the curated list above)

This is observed billing only. The curated table above is still this page's rate list.

CY2024 Medicare fee-for-service only. Codes billed by fewer than 30 observed clinicians in a single setting are not shown, so shares may not total 100%. CMS publishes only a facility vs non-facility split, not exact places of service. Observed use adds context to the curated table above. It doesn't weight or change any rate on this page.

Turn the list into contract math

Analyze a payer offer using these Psychiatry codes

We’ll preload the code set in Contract Check. Add your annual volumes and ZIP to see the volume-weighted percentage of Medicare and annual-dollar difference.

Open in Contract Check

Get notified when Psychiatry rates change

Medicare updates the fee schedule every quarter. We'll email you only when a release moves one of the 10 Psychiatry codes on this page.

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Source & method Copy link

Amounts are computed from the CMS Medicare Physician Fee Schedule Q2 2024 release, GPCI 1.000, before the ~2% sequestration cut. The grouping by common clinical scenario is our own, not the AMA’s code-family taxonomy, and it’s a curated starter set, not a utilization-weighted specialty mix. A code with no amount is either not separately payable under the PFS or absent from the release. It never means $0.