| T2024 | Service assessment/plan of care development, waiver | 35 | 40 | 1,280 | $40 | $502.3K |
| H2019 | Therapeutic behavioral services, per 15 minutes | 54 | 170 | 840 | $80 | $192.2K |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 23 | 140 | 350 | $70 | $81.5K |
| 96130 | The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a… | 3 | 10 | 320 | $90 | $38.5K |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 6 | 40 | 360 | $50 | $34.6K |
| 96101 | N/A | 3 | 10 | 140 | $170 | $28.5K |
| 96131 | The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a… | 4 | 10 | 140 | $150 | $20.2K |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 12 | 30 | 30 | $100 | $10.4K |
| Q3014 | Telehealth originating site facility fee | 9 | 20 | 220 | $20 | $10K |
| 96137 | Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List… | 2 | 10 | 80 | $80 | $7.5K |