Fee Schedule

CPT Code (if applicable)

Service Description

Fee

90791

Counseling Intake

$200 per session

90837

Therapy Session: 53-60 minutes

$160 per session

90834

Therapy Session: 38-52 minutes

$110 per session

90832

Therapy Session: 16-37 minutes

$80 per session

90846

Family Therapy without Patiet

$160 per session

90847

Family Therapy with Patient

$160 per session

90785

Interactive Complexity

$20 per session

90839

Crisis Counseling (first hour)

$150 per session

90840

Crisis Counseling (additional 30 minutes)

$80 per 30 minutes

H0031

CANS Assessment

$50 per 15 minutes

99492

Care Coordination (Initial)

$125 first 70 minutes

99493

Care Coordination (Subsequent)

$110 first 60 minutes

99494

Care Coordination (additional 30 minutes)

$65 per 30 minutes

H2011

Crisis Intervention (each 15 minutes)

$50 per 15 minutes

90853

Group Counseling

$50 per session

Intern Counseling Session

$30 per session

T1013

Language Interpretation Services

$15 per 15 minutes

Late Cancellation Fee

$50

Legal Fees 

$50 per 15 minutes

Records Request (per page)

$0.15

Return Check Fee

$39

H1011

$50 per assessment instrument

Q3014

Telehealth Origination Site Fee

$25 per session

96127

Emotional/Behavioral Assessment

$50 per assessment instrument

99202

Office Outpatient New Patient: 15 Minutes

$60

99203

Office Outpatient New Patient: 30 Minutes

$80

99204

Office Outpatient New Patient: 45 Minutes

$125

99205

Office Outpatient New Patient: 60 Minutes

$160

99211

Office Outpatient Established Patient: 5 Minutes

$20

99212

Office Outpatient Established Patient: 10 Minutes

$35

99213

Office Outpatient Established Patient: 20 Minutes

$55

99214

Office Outpatient Established Patient: 30 Minutes

$80

99215

Office Outpatient Established Patient: 40 Minutes

$110

96372

Therapeutic Injection

$25 per injection

90792

Psychiatric Diagnostic Evaluation with E&M

$200