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See a sample rate comparisonHCPCS G2015 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Comprehensive (60 mins) home care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility.)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Evaluation and Management Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G2015 |
National average reimbursement for HCPCS G2015 by major payers:
$142.81
$135.21
$101.35
$110.92
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HCPCS G2015
5 of 25 sample ratesHigher to lower in this preview
David Epstein
Brevard Physician Associates, PLLC
$321.79Published rateEmory Crawford Long Hospital
Emory University
$218.16Published rateAlicia Encinas
Miguel A Arenas Md PC
$146.39Published rateJulie Webster
Musc Community Physicians
$137.77Published rateAlicia Encinas
Miguel A Arenas Md PC
$88.44Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2015 vs. Other Other Evaluation and Management Services Codes
The HCPCS G2015 code is part of the Procedures / Professional Services services used for Other Evaluation and Management Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS G2015 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| G2014-HCPCS | Low | Limited (30 minutes) care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.) |
| G2015-HCPCS | Low | Comprehensive (60 mins) home care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility.) |
| G2020-HCPCS | Low | Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the sip component of the pcf model (do not bill with chronic care management codes) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2015. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2015 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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