How much does Medicare pay for HCPCS G2083?

Medicare allowed an average of $1215.85 per service and paid $964.05 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2274.26, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Does G2083 pay differently in an office than a hospital?

Yes. The allowed amount averaged $1243.67 in an office setting and $34.20 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills G2083 most?

Psychiatry, with 10,219 services from 52 clinicians. Next are Family Practice, Certified Registered Nurse Anesthetist (CRNA), Emergency Medicine.

HCPCS 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,

$1215.85Medicare-allowed amount per service, averaged across 13,742 services

Providers submitted

$2274.26

Asking price, not received

Medicare allowed

$1215.85

The fee schedule figure

Medicare paid

$964.05

Balance is patient coinsurance

Providers submitted an average of $2274.26 for this code and Medicare allowed $1215.85 — 1.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $964.05 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $1243.67
Hospital / facility: $34.20

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 13,426 services were billed in an office setting and 316 in a facility.

Services: 13,742
Beneficiaries: 1,339
Providers billing it: 76
Total allowed: $16,708,211

What Medicare pays for HCPCS G2083

Across 13,742 services billed by 76 providers to 1,339 beneficiaries, Medicare allowed an average of $1215.85 per service. That is 10.3 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills G2083

Specialty	Services	Beneficiaries	Avg allowed	Providers
Psychiatry	10,219	920	$1217.13	52
Family Practice	1,390	59	$1262.09	2
Certified Registered Nurse Anesthetist (CRNA)	670	92	$1053.44	5
Emergency Medicine	669	142	$1413.87	8
Nurse Practitioner	501	87	$980.47	7
Anesthesiology	195	27	$1392.64	1
Physician Assistant	98	12	$1036.75	1

G2083 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	2,556	$1452.80	$946.39	21
Texas	1,778	$1134.44	$940.34	7
Michigan	1,625	$1174.79	$944.15	3
New Jersey	1,622	$1258.11	$946.64	4
Massachusetts	1,250	$1326.51	$941.07	8
New York	1,067	$1322.17	$946.88	10
Iowa	935	$1016.68	$910.14	8
Kansas	727	$737.62	$646.01	2
Florida	448	$1164.59	$939.43	2
Washington	299	$1218.32	$942.48	1
Pennsylvania	264	$1173.83	$896.33	2
Nevada	253	$1178.70	$945.02	1
Georgia	242	$1093.26	$946.04	1
Wisconsin	192	$1137.29	$945.88	1
Maryland	145	$1408.46	$949.95	1
Delaware	143	$1179.58	$943.18	1
Minnesota	89	$1036.28	$807.16	1
Connecticut	79	$36.16	$24.46	1
South Dakota	28	$978.36	$795.09	1

Related codes

G2067Medication assisted treatment$225.81
G2078Take-home supply of methadone; up to 7 additional day supply (provisio$39.17
G2012Brief communication technology-based service$13.77
G2077Periodic assessment; assessing periodically by qualified personnel to$121.19
G2074Medication assisted treatment$204.11
G2011Alcohol and/or substance (other than tobacco) misuse structured assess$15.58
G2087Office-based treatment for opioid use disorder$367.01
G2068Medication assisted treatment$281.73
G2080Each additional 30 minutes of counseling in a week of medication assis$35.16
G2088Office-based treatment for opioid use disorder$49.83
G2076Intake activities$195.81
G2010Remote evaluation of recorded video and/or images submitted by an esta$11.93

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.