RPM and CCM Usage Stats Update: 5 Insights From Latest CMS Data

The Centers for Medicare & Medicaid Services (CMS) recently released its annual update on Medicare service utilization by CPT code. This data includes the volume of codes used to bill for remote care services such as remote patient monitoring (RPM) and chronic care management (CCM), offering new insights into the broader evolution of these programs.

Tracking RPM and CCM Growth Through CPT Codes 99454 and 99490: Medicare Utilization Trends From 2021–2023

The two key CPT codes that offer the most meaningful insight for analyzing RPM and CCM trends are:

• For RPM, CPT 99454, used for remote monitoring and management of device readings 
• For CCM, CPT 99490, used for the initial 20 minutes of clinical staff time providing care management services

The most recent CMS data update includes submissions for these CPT codes from Medicare providers throughout 2023. With comparable data available for 2021 and 2022, we can examine trends over the past three years and make direct comparisons. Analyzing 2023 utilization of CPT codes 99454 and 99490 against prior years offers a clearer view of how RPM and CCM usage is continuing to evolve and expand.

Remote Patient Monitoring and Chronic Care Management Evolution: What the Data Shows

Remote care has evolved significantly since 2021, yet several key statistics highlight consistent adoption of services like remote patient monitoring and chronic care management across different geographies and medical specialties. Below are five key takeaways on the progression of RPM and CCM, based on the most notable trends and patterns observed in the historical data

1. RPM and CCM CPT code volume show continued momentum

The most recent CMS data shows that CPT 99454 for remote patient monitoring was billed more than 1.64 million times in 2023 — a 29% increase over 2022 and nearly double the 903,000 claims submitted in 2021. This growth in volume was accompanied by proportional increases in both providers and patients. The number of patients rose by 25%, from approximately 258,000 in 2022 to 322,500 in 2023, while the number of providers billing for RPM grew by 31%, from about 4,300 to over 5,600. Although these year-over-year gains are smaller than those seen between 2021 and 2022, the data points to continued nationwide adoption of RPM, driven more by the launch of new programs than the scaling of existing ones.

While not as steep as RPM's growth, usage of chronic care management CPT code 99490 also saw significant gains, with billable services rising from roughly 4.6 million in 2022 to 5.7 million in 2023. This 23% increase far outpaces the 5% growth seen from 2021 to 2022. The expansion of CCM is further reflected in the rise in patients and providers: approximately 1.3 million patients received CCM services in 2023, supported by 16,000 providers, which is up from 1 million patients and 13,500 providers in 2022. This represents a nearly 25% increase in patients and a 20% increase in providers, with the patient growth rate more than doubling compared to the previous year.

With three years of historical data, the consistent momentum in RPM and CCM usage suggests continued growth beyond 2023. As remote care becomes more accessible and tools for providers and administrators improve, both programs appear to be expanding steadily. In the case of CCM, the patient population has grown more rapidly than the number of providers delivering services — an imbalance that may eventually emerge for RPM as well, given its relatively newer adoption. This trend may also reflect increased reliance on outsourced care programs, which enable providers to scale care management services while reducing the administrative burden of delivering comprehensive remote care.

2. Top RPM provider specialties remain the same

The top medical specialties billing RPM CPT 99454 have remained largely consistent since 2021, with 2023 data closely mirroring 2022. Cardiologists (across subspecialties) and internal medicine providers continue to be among the most frequent users of remote patient monitoring, along with family medicine physicians and nurse practitioners. While overall growth in code volume (total number of codes billed) was broad, nephrology and sleep medicine saw especially notable increases, with sleep medicine usage rising tenfold, bringing it into the top 10, and nephrology nearly doubling its RPM billing volume.

Although specialty-level variation changed significantly from 2021 to 2022, it remained relatively stable in 2023, with the top specialties maintaining a clear lead. Lower-utilization specialties did not match the growth rates seen in the top 10, indicating that certain specialties are particularly well-suited to RPM and continue to drive its adoption.

3. Top CCM provider specialties suggest critical use case

While CMS chronic care management data showed little change from 2021 to 2022, one of the most notable developments was the rise of geriatric medicine, from 14th to 7th in volume. That upward trend continued in 2023, with geriatric medicine climbing to 4th place during a year of significant overall growth in the use of CPT 99490. Although the rest of the top specialties remained stable, this shift underscores the growing role of CCM in managing care for aging patients, most of whom are living with chronic conditions.

Interestingly, this pattern is not reflected in the RPM data for 2023. Geriatric medicine actually saw a slight decline in RPM usage compared to 2022, suggesting a potential gap in adoption. This may point to an opportunity for geriatric care providers to leverage remote monitoring technologies to enhance care planning and deliver more comprehensive, data-informed chronic care.

4. RPM and CCM volume remains concentrated by geography

Nationally, geographic variance in remote patient monitoring volume widened slightly from 2022 to 2023. High-utilization states continued to increase their RPM activity, while lower-utilization states experienced more modest growth. California remains the clear leader in RPM volume, with Texas and Florida also showing consistent increases. However, beyond these top states, RPM growth was less pronounced.

In contrast, chronic care management saw more dramatic geographic shifts. While the top CCM states in 2023 largely mirrored those from 2022, several states experienced significant spikes in usage. California, Florida, New York, and Virginia all saw above-average growth, and Connecticut surged by 225%, rising to become the fifth highest state by CCM volume. Although CCM and RPM usage have historically followed similar geographic patterns, the data suggests this alignment may be shifting. CCM adoption is becoming more broadly distributed, while RPM remains more concentrated among the top-performing states.

5. Lowest-volume states show modest but consistent RPM and CCM growth

Although the lowest-volume states and territories remained largely unchanged from 2022 to 2023, most still saw increases in the use of both RPM and CCM. Exceptions included areas like Vermont, Puerto Rico, Alaska, and the U.S. Virgin Islands, which experienced slight declines in one or both services. Among the lowest-tier states overall, CPT 99490 (CCM) grew by an average of 28%, while CPT 99454 (RPM) grew by about 15% — rates that generally track national averages.

These figures indicate that even in regions where adoption has been slower, RPM and CCM continue to gain traction. The current lag in a few outlier areas may be temporary, with future growth likely to follow trends seen in higher-volume states.

RPM and CCM Claims Data Confirm: Remote Care Is Here to Stay

The steady growth in billing for CPT 99454 and CPT 99490, as shown in CMS data from 2022 and 2023, reflects the continued nationwide adoption of remote care management programs. The sustained momentum of this trend beyond the COVID-19 pandemic suggests that remote care has secured a lasting role in supporting patients with chronic conditions — enhancing, rather than replacing, in-person care by offering added value to both patients and providers.

The number of providers offering RPM and CCM services continues to rise year over year, with existing programs enrolling more patients nationwide. Utilization of remote care is expanding across the country, particularly in states with populations well-suited for these services. Since 2023, the long-term shift toward remote care has become increasingly clear, underscored by CMS' introduction of advanced primary care management (APCM) and the planned expansion of RPM CPT codes in 2026, both of which signal growing systemic support to match the increasing adoption by providers.

As the long-term shift to remote care is still in its early stages, organizations that embrace it now stand to gain significant clinical and financial advantages. Providers looking to improve patient outcomes and strengthen their bottom line can partner with Prevounce to launch successful, compliant remote care programs or optimize existing RPM and CCM efforts. Schedule a consultation with us to explore how we can help you navigate the complexities of remote care and position your organization for lasting success.

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