HCPCS G2212

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)

Current codeOffice E&M - Established7 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS G2212 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$51.39 – $76.917 plans	$73.60	$92.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	—	—
PeaceHealth United General Medical CenterSedro Woolley	—	Doctor’s fee: $65.00	Doctor’s fee: $100
Seattle Children's HospitalSeattle	—	—	$96.00
Three Rivers HospitalBrewster	—	Doctor’s fee: $31.00	Doctor’s fee: $31.00
Virginia Mason Medical CenterSeattle	$32.34 – $1,40911 plans	—	—
WhidbeyHealth Medical CenterCoupeville	—	$75.00	$75.00

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County): $37.51 in an office; $29.31 in a hospital or surgery center
Doctor's fee, rest of Washington: $34.57 in an office; $27.54 in a hospital or surgery center