Provider Central Search
Use the search function below to search Provider Central
Medicaid B: Evaluation and Management (E and M) and Medication Assisted Treatment (MAT)
About
Coverage
Medicaid Direct (Medicaid B)
Diagnosis Group(s)
Developmental Disability, Mental Health, Substance Use
Age Group(s)
18, 18-20, Adults 18+, Ages 16-18, Ages 16+, All, Child, Child 12-17, MCD 0-55
Service Codes & Descriptions
- 99205 - E & M High, New Patient
- Add on code for E&M
- 99202 - E & M Expanded, New Patient
- 99202 GT - E & M Expanded, New Patient
- 99203 - E & M Detailed, New Patient
- 99203 GT - E & M Detailed, New Patient
- 99204 - E & M Moderate, New Patient
- 99204 GT - E & M Moderate, New Patient
- 99205 GT - E & M High, New Patient
- 99211 - E&M Minimum, Estab Patient
- 99211 25E&M established patient
- 99211 GT - E&M Minimum, Estab Patient
- 99212 - E & M Expanded, Estab Patient
- 99212 GT - E & M Expanded, Estab Patient
- 99213 - E & M Detailed, Estab Patient
- 99213 25 E&M
- 99213 GT - E & M Detailed, Estab Patient
- 99214 - E & M Moderate, Estab Patient
- 99214 25 E&M
- 99214 GT - E & M Moderate, Estab Patient
- 99215 - E & M High Estab Patient
- 99215 25 E&M
- 99215 GT - E & M High Estab Patient
- 99282 25 ed visit
- 99283 25 ER moderate
- 99283 GT - er moderate
- 99284 25 er visit, high severity
- 99285 25 - emergency department visit for the evaluation and management of a patient,
- 99305 - initial nursing facility care, per day, for the evaluation and management of
- 99306 - initial nursing facility care, per day, for the evaluation and management of a
- 99307 - subsequent nursing facility care, per day, for the evaluation and management of
- 99308 - subsequent nursing facility care, per day, for the evaluation and management of
- 99309 - subsequent nursing facility care, per day, for the evaluation and management of
- 99310 - subsequent nursing facility care, per day, for the evaluation and management of
- 99315 - nursing facility discharge day management; 30 minutes or less
- 99316 - nursing facility discharge day management; 30 minutes or less more than 30
- 99341 - home visit for the evaluation and management of a new patient, which requires
- 99342 - home visit for the evaluation and management of a new patient, which requires
- 99344 - home visit for the evaluation and management of a new patient, which requires
- 99345 - home visit for the evaluation and management of a new patient, which requires
- 99347 GT - home visit for the evaluation and management of an established patient, typically 15 minutes
- 99348 - home visit for the evaluation and management of an established patient, which
- 99348 GT - home visit for the evaluation and management of an established patient, typically 25 minutes
- 99349 - home visit for the evaluation and management of an established patient, which
- 99349 GT - home visit for the evaluation and management of an established patient, typically 40 minutes
- 99350 - home visit for the evaluation and management of an established patient, which
- 99291 - critical care, evaluation and management of the critically ill or critically
- 99347 - home visit for the evaluation and management of an established patient, which
Full Service Definition
Alliance Statement of Work
Was this page helpful?
