Chronic Care Management (CCM)

Medicare billing codes, adoption data & revenue calculator

CCM enables providers to bill Medicare for non-face-to-face care coordination for patients with two or more chronic conditions. With national adoption still under 15%, CCM represents one of the largest untapped revenue streams in primary care.

Eligibility Criteria

Patient has 2+ chronic conditions expected to last 12+ months
Conditions place patient at significant risk of death, decompensation, or functional decline
Written or verbal consent from the patient (documented in chart)
Minimum 20 minutes of clinical staff time per calendar month

CCM Billing Codes

Code	Description	Medicare Rate
99490	CCM — first 20 minutes per month	$66.00
99491	CCM — complex, first 30 minutes (physician-led)	$87.46
99437	CCM — each additional 30 minutes	$63.62
99439	CCM — each additional 20 minutes	$47.44

Top States for CCM Adoption

Rank	State	Adoption Rate	CCM Billers	Total Providers
#1	Guam	3.9%	8	207
#2	Virgin Islands	3.5%	6	172
#3	Mississippi	3.5%	331	10K
#4	South Carolina	3.4%	647	19K
#5	Iowa	2.7%	325	12K
#6	Nevada	2.5%	220	9K
#7	Louisiana	2.4%	385	16K
#8	New Mexico	2.2%	142	6K
#9	Nebraska	2.2%	184	8K
#10	Alabama	2.1%	352	17K

Top Specialties for CCM Adoption

Rank	Specialty	Adoption Rate	CCM Billers	Total Providers
#1	Urology	10.3%	918	9K
#2	Family Practice	5.2%	4K	79K
#3	Nephrology	5.2%	477	9K
#4	Internal Medicine	4.5%	4K	89K
#5	General Practice	4.4%	148	3K
#6	Geriatric Medicine	4.2%	77	2K
#7	Gastroenterology	3.9%	551	14K
#8	Peripheral Vascular Disease	3.6%	2	56
#9	Interventional Pain Management	3.2%	48	1K
#10	Interventional Cardiology	3.1%	136	4K