How much does Medicare pay for HCPCS G2087?

Medicare allowed an average of $367.01 per service and paid $288.30 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $586.18, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Which specialty bills G2087 most?

Nurse Practitioner, with 3,744 services from 67 clinicians. Next are Family Practice, Internal Medicine, Emergency Medicine.

HCPCS 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

$367.01Medicare-allowed amount per service, averaged across 9,468 services

Providers submitted

$586.18

Asking price, not received

Medicare allowed

$367.01

The fee schedule figure

Medicare paid

$288.30

Balance is patient coinsurance

Providers submitted an average of $586.18 for this code and Medicare allowed $367.01 — 1.6× 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 $288.30 (79%); the rest is the patient’s coinsurance and deductible.

Services: 9,468
Beneficiaries: 2,808
Providers billing it: 136
Total allowed: $3,474,851

What Medicare pays for HCPCS G2087

Across 9,468 services billed by 136 providers to 2,808 beneficiaries, Medicare allowed an average of $367.01 per service. That is 3.4 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 G2087

Specialty	Services	Beneficiaries	Avg allowed	Providers
Nurse Practitioner	3,744	1,224	$338.78	67
Family Practice	1,264	335	$390.75	13
Internal Medicine	1,029	309	$392.07	11
Emergency Medicine	738	194	$402.50	6
Physician Assistant	508	124	$362.47	8
Psychiatry	461	117	$396.06	6
Addiction Medicine	422	107	$389.93	7
Licensed Clinical Social Worker	259	71	$312.48	2
General Practice	243	32	$325.17	2
Interventional Pain Management	206	75	$390.78	2
Hospitalist	132	40	$399.77	2
Pathology	106	26	$396.44	1
Pain Management	98	44	$455.13	2
Anesthesiology	97	41	$381.39	3
Obstetrics & Gynecology	96	29	$396.61	2

G2087 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
Tennessee	2,048	$372.59	$320.54	26
Virginia	918	$327.81	$276.73	13
Indiana	832	$356.02	$292.14	15
New Hampshire	698	$366.88	$287.13	14
Kentucky	597	$359.48	$310.61	9
Arkansas	582	$360.61	$298.59	5
Ohio	546	$391.24	$328.03	2
Massachusetts	407	$384.61	$298.21	7
Pennsylvania	269	$372.95	$304.26	8
California	268	$410.26	$315.52	2
Mississippi	255	$374.08	$316.76	4
Alabama	248	$360.67	$302.92	5
Michigan	246	$364.72	$276.83	3
New Jersey	170	$398.15	$288.11	3
Arizona	165	$321.09	$282.12	2
Colorado	150	$387.37	$296.89	2
Delaware	143	$408.11	$332.78	1
Texas	132	$363.15	$333.21	3
Oregon	121	$331.80	$284.11	1
Washington	105	$368.68	$281.63	1
Minnesota	97	$365.15	$276.45	1
Idaho	80	$399.23	$334.63	1
North Carolina	74	$398.08	$320.90	1
Georgia	62	$393.23	$324.65	1
West Virginia	55	$274.17	$205.49	1
Vermont	53	$355.92	$280.59	1
Louisiana	47	$464.85	$336.28	1
Rhode Island	46	$371.03	$289.02	1
Florida	31	$411.36	$334.74	1
Maine	23	$364.54	$284.83	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
G2083Office or other outpatient visit for the evaluation and management of$1215.85
G2011Alcohol and/or substance (other than tobacco) misuse structured assess$15.58
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.