What the Latest CMS Data Say About Remote Care: 5 Trends in RPM and CCM Adoption

The Centers for Medicare & Medicaid Services (CMS) recently released its annual update on CPT code utilization for Medicare services. The data included provider — the person billing for the service — and service data from 2024, which directly map to historic data from previous years. By focusing on a few key CPT codes, direct trends can be seen in the adoption of programs like remote patient monitoring (RPM) and chronic care management (CCM). The two CPT codes of note 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

Past analysis comparing CMS usage data from 2021 to 2023 has shown interesting insights into RPM and CCM adoption across geographies and specialties, and with the latest data from 2024 we can directly compare usage across four years to better understand the current and future state of remote care. 

Remote Patient Monitoring and Chronic Care Management Trends: Insights in the Latest Data

As remote care continues to cement its place as the standard of care for a broad spectrum of chronic conditions, the latest data from CMS reveals intriguing patterns regarding who is providing this care and where it's happening. 

Here are five trends important to the evolution of RPM and CCM.

1. RPM and CCM code volume show continued growth

The most recent CMS data showed that the growth seen in previous years has slowed slightly, but adoption has continued to increase. RPM code CPT 99454 was billed 2,027,000 times in 2024, which represents a growth rate of nearly 20% from 2023 and an increase of over 100% from our first year of direct data analysis in 2021. Compared to billing volume, the increase in providers and patients is less pronounced, with total patients increasing by over 20% to around 289,000 and providers billing RPM increasing by 12% to around 6,400. This represents a reduction in year-over-year growth from 25% and 31% respectively, which shows that the underlying trend of RPM program growth outpacing adoption has continued from 2023 onward. This suggests that RPM has continued to be a sustainable and scalable model for care delivery, allowing providers who establish proper workflows to better manage more patients remotely.

Similar to RPM’s trend from 2023 to 2024, CCM has seen steady growth at a somewhat slower pace than the year before. Usage of CPT 99490 rose to 6.7 million, climbing by almost 18%. This marks a 1 million code increase over the previous year, which falls just under the 1.1 million increase from 2022 to 2023. CCM patients and providers have grown in tandem with code volume over recent years, with 15% more providers than in 2023, totaling 18,800, and roughly 17% more patients, an increase of 1.5 million over 2023. All three measures for CCM maintained a healthy growth rate ranging from 15–17%, compared to 20–25% in 2023, indicating that CCM has continued to be implemented by new providers, and that growth has largely been driven by adoption rather than program expansion. Four years of data suggest there may be less room for CCM to grow than for RPM, as expansion to new chronic conditions and geographies shows signs of slowing.

2024’s data illustrates the ongoing trend of remote care growth, and the slowed growth from the previous year shows that these programs may be reaching a level of maturity, with remote care providers settling on key conditions and refining workflows to create sustainable programs that scale to the needs of their patient population. RPM’s code volume continuing to outpace provider and patient growth also provides some support for the possibility that outsourced care management programs are allowing providers to scale programs beyond the limits of their existing internal resources.

2. RPM providers show minor but meaningful changes 

The overwhelming majority of Medicare’s top medical specialties billing RPM CPT 99454 have remained the same since 2021, and only two of the top 10 have changed from 2023. Internal medicine providers remain the largest billers of RPM. Cardiologists are close behind, followed by family medicine and nurse practitioners. The notable changes among the top 10 were geriatric medicine and emergency medicine, with both tripling their billing of RPM from 2023 to 2024. While not as pronounced, the code volume increased for almost every specialty over the previous year, showing that RPM growth is occurring across use cases.

Although most provider types are increasingly billing for RPM, the top specialties remain far above the rest in their usage of RPM, continuing the trend seen in the 2022 to 2023 data. Along with the high level patient and provider metrics, this supports the idea that RPM is becoming a standard of care for providers in certain specialties, and that the rates of adoption in specialties with more limited applications will continue to increase but at a slower pace than in top RPM fields.

3. Top CCM providers show shift in care providers

CCM providers have remained largely the same since our first analysis of 2021 CCM data, but the small changes in this established program reflect an interesting shift in how remote care is being delivered. The most recent list of top providers contains all the same specialties as 2023, with internal medicine, family practice, and nurse practitioner billing far more than any other specialties.

While each of the top 3 specialties saw a large increase in code volume, the specialties in the middle saw a decline in CCM, with geriatric medicine and urology decreasing in code volume. While other specialties lower on the list saw meaningful growth, the top use cases for CCM have only become more entrenched. Since only one provider can enroll a patient in CCM, primary care providers have continued to be the biggest adopters of CCM and may even represent a barrier for specialists with CCM programs in areas of high CCM enrollment.

4. Key RPM and CCM geographies see continued growth

 Several key states remain primary drivers of remote care’s ongoing growth, but outside of the top five states, usage has remained largely the same as previous years. California, Texas, Florida, and New York have been among the top states for RPM and CCM since 2021, and they have experienced faster adoption than many other states.

Outside of the top four states for each program, code volumes have marginal growth and some states are decreasing in volume; Georgia billed slightly less RPM and fell two places to 7th, Connecticut decreased its billing of CCM but remained in 5th, and Illinois dropped CCM volume slightly to move it out of the top 10. However, code volume in states like Virginia and Arizona has grown substantially and the states have risen multiple spots from 2023 to 2024. Compared to previous years, changes between the two programs are more uniform, which could point to more providers using CCM and RPM together to create comprehensive care management programs that dual-enroll patients in both programs.  

5. Remote care is scaling sustainably beyond the top states

The states billing RPM and CCM the least in 2024 are almost identical to the previous two years of historical data, but with some major changes in overall volumes. From 2023 to 2024, the bottom 10 states and regions saw an increase of 56% in RPM and a massive 125% increase in CCM. Prior to 2024 these geographies were behind the rest of the country in remote care adoption, but future data will help to clarify if this marks a turning point in remote care’s adoption in hesitant geographies, or if this merely represents a temporary swell in RPM and CCM’s usage. Similar to 2023, some states and territories like Vermont, Puerto Rico, and the Virgin Islands experienced a decline in CCM. However, unlike in 2023, each of these regions saw an increase in RPM usage. 

Other low volume geographies saw major increases in CCM and RPM volume, and the variance between the lowest billing regions and the top has shrunk far more than in previous years. While the changes in absolute numbers may seem small, these increases represent thriving remote care programs spread among a small number of providers. Remote care’s growth among the lowest billing states is a strong signal for providers hesitant to launch a program, illustrating remote care’s ability to sustainably scale outside of the most common geographies and applications. 

Data Shows that RPM and CCM Are Reaching Maturity

With four years of historical data showing the continued adoption of CPT 99454 and CPT 99490, there is ample evidence demonstrating the strength of Medicare’s remote care programs. 2024 has shown the continuation of previous years’ trends, but with a slower rate of growth among the top adopters and a rapidly increasing rate of growth among those at the bottom.

All of the data included in this analysis fits with the continued support CMS has provided these programs in recent years, including new RPM codes 99445 and 99470, increases in reimbursement, and the introduction of advanced primary care management (APCM) as a more population-health-focused remote care management program. Remote care management is reaching maturity and becoming part of the standard of care for providers across the country, regardless of specialty.

Remote care management solutions that support RPM and CCM have evolved along with these programs to integrate more closely with existing clinical workflows and better support programs at scale. Modern remote care management solutions not only need to support connected device transmissions, care planning, and documentation, they also need to surface clinically relevant data points and help automate patient outreach. Providers interested in the clinical and financial benefits of remote care programs can partner with Prevounce to launch and scale impactful, compliant, remote care programs. Schedule a consultation to see how our AI-powered remote care platform, cellular connected devices, and expert services can support sustainable remote care management success.

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