$157.09
Both involve psychiatric collaborative care. G2214 is the shorter-duration option; 99492 applies to an initial month meeting its 70-minute threshold.
On this page
CMS RVU26D · Effective 2026-10-01
G2214 Psychiatric collaborative care Medicare reimbursement rates in Vermont
Reports a shorter month of psychiatric collaborative care when a treating clinician, behavioral health care manager, and psychiatric consultant coordinate care. Compare G2214 office and facility rates across CMS payment localities in Vermont.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for G2214 in Vermont?
Vermont has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$59.47
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$32.68
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Behavioral health care management
About G2214: Psychiatric collaborative care, first 30 minutes
Reports a shorter month of psychiatric collaborative care when a treating clinician, behavioral health care manager, and psychiatric consultant coordinate care.
G2214 covers the first 30 minutes of psychiatric collaborative care management in a calendar month. A behavioral health care manager works under the direction of the treating physician or other qualified health care professional and in consultation with a psychiatric consultant. Typical work includes outreach to the patient, tracking symptoms and treatment response, maintaining a care plan, and reviewing cases with the consultant. Primary care and other outpatient medical practices commonly furnish this team-based service for patients with behavioral health conditions.
Select G2214 using the documented CoCM work and time for the month, including whether it is the initial or a subsequent month of care. It is the shorter-duration option when 30 minutes are furnished but the applicable threshold for 99492 or 99493 is not met; those codes require 70 minutes for an initial month and 60 minutes for a subsequent month. Documentation should identify the care team’s activities, time, patient care plan, and psychiatric consultant involvement. Report the service for the month in which those activities occur.
Where the value comes from
- Work RVU0.77 · 42%
- Practice expense (office) RVU0.99 · 54%
- Malpractice RVU0.06 · 3%
27.2K
Medicare services in 2024 · #1011 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
G2214 compared with similar codes
Office rates for Vermont, from the same CMS release.
$141.93
Both involve psychiatric collaborative care. G2214 is the shorter-duration option; 99493 applies to a subsequent month meeting its 60-minute threshold.
$56.22
99484 covers general behavioral health integration. G2214 identifies psychiatric collaborative care with a behavioral health care manager and psychiatric consultant.
$60.15
99494 is an additional-time code used with 99492 or 99493. G2214 is a shorter-duration monthly code, not an additional-time unit.
Compare G2214 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Vermont →
Office / nonfacility
$59.47
Facility
$32.68
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G2214 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
15,529
- Code
- G2214
- Physician work
- 0.77
- Practice expense
- 0.99
- Malpractice
- 0.06
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.77 | × 1.000 | 0.7700 |
| Practice expense | 0.99 | × 0.990 | 0.9801 |
| Malpractice | 0.06 | × 0.506 | 0.0304 |
| Total RVUs | 1.7805 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$59.47
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.77 | 1 |
| Practice expense | 0.99 | 0.99 |
| Malpractice | 0.06 | 0.506 |
(0.77 × 1 + 0.99 × 0.99 + 0.06 × 0.506) × $33.4009 = $59.47
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.77 | 1 |
| Practice expense | 0.18 | 0.99 |
| Malpractice | 0.06 | 0.506 |
(0.77 × 1 + 0.18 × 0.99 + 0.06 × 0.506) × $33.4009 = $32.68
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
G2214 billing questions
When should G2214 be selected instead of 99492 or 99493?
Use G2214 when at least 30 minutes of psychiatric collaborative care management are furnished in the month, but the time threshold for 99492 or 99493 is not met. The initial-month threshold for 99492 is 70 minutes; the subsequent-month threshold for 99493 is 60 minutes.
Is G2214 reported by the minute or by the month?
It represents the first 30 minutes of psychiatric collaborative care management in a calendar month. Document the qualifying team activities and time for that month.
What documentation supports G2214?
Document the care manager’s work, monthly time, patient care plan, and involvement of the treating clinician and psychiatric consultant. Records should support that the activities were part of psychiatric collaborative care management.
How does G2214 differ from general behavioral health integration?
G2214 is for psychiatric collaborative care involving a behavioral health care manager and psychiatric consultant. Code 99484 describes a broader behavioral health integration service rather than this specific collaborative-care model.
Can the same care-management work be counted toward another code?
Choose the code that matches the service and time furnished for the month. Do not count the same activities twice when selecting among G2214 and the monthly psychiatric collaborative care codes.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
15,526G2211,,Complex e/m visit add on,A,,0.33,0.17,,0.08,,0.02,0.52,0.43,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,527G2212,,Prolong outpt/office vis,A,,0.61,0.36,,0.16,,0.05,1.02,0.82,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,528G2213,,Initiat med assist tx in er,A,,1.27,0.58,,0.22,,0.14,1.99,1.63,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,529G2214,,Init/sub psych care m 1st 30,A,,0.77,0.99,,0.18,,0.06,1.82,1.01,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,530G2215,,Home supply nasal naloxone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,531G2216,,Home supply inject naloxon,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,532G2250,,"Remot img sub by pt, non e/m",A,,0.18,0.20,,0.05,,0.01,0.39,0.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817