| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including… | 14 | 50 | 4,480 | $150 | $2.7M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 15 | 20 | 1,650 | $180 | $2.5M |
| H2015 | Comprehensive community support services, per 15 minutes | 6 | 120 | 2,640 | $150 | $1.2M |
| Q3014 | Telehealth originating site facility fee | 12 | 180 | 620 | $160 | $546.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 740 | 930 | 910 | $80 | $521.6K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 260 | 960 | 1,010 | $90 | $490K |
| H2000 | Comprehensive multidisciplinary evaluation | 26 | 50 | 170 | $690 | $380.3K |
| 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… | 136 | 920 | 860 | $120 | $361.9K |
| H2010 | Comprehensive medication services, per 15 minutes | 9 | 10 | 920 | $60 | $298.7K |
| 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… | 253 | 380 | 400 | $80 | $213.5K |