Arizona

Arizona

wdt_ID wdt_created_by wdt_created_at wdt_last_edited_by wdt_last_edited_at CPT Code Description Non-Facility Rate** Facility Rate**
1 alex 17/06/2024 12:52 PM alex 17/06/2024 12:52 PM 99203 Office or other outpatient visit, new patient 78.07 56.75
2 alex 17/06/2024 12:52 PM alex 17/06/2024 12:52 PM 90791 Psych diagnostic evaluation (not time dependent) 185.24 160.49
3 alex 17/06/2024 12:52 PM alex 17/06/2024 12:52 PM 90832 Psychotherapy, 30 minutes with patient and/or family member (minimum time = 15 min) 80.79 71.69
4 alex 17/06/2024 12:52 PM alex 17/06/2024 12:52 PM 90833 Add-on Psychotherapy 30 min (16-37); Psychotherapy, 30 minutes with patient and/or family when performed with an evaluation and management service 74.75 68.37
5 alex 17/06/2024 12:52 PM alex 17/06/2024 12:52 PM 90834 Psychotherapy 45 (38-52) min; Psychotherapy, 45 minutes with patient and/or family member 106.63 94.26
6 alex 17/06/2024 12:52 PM alex 17/06/2024 12:52 PM 90836 Add-on Psychotherapy 45 min (38-52); Psychotherapy, 45 minutes with patient and/or family when performed with an evaluation and management service 95.04 86.40
7 alex 17/06/2024 12:52 PM alex 17/06/2024 12:52 PM 90837 Psychotherapy, 60 minutes with patient and/or family member (53+) min 156.49 138.29
8 alex 17/06/2024 12:52 PM alex 17/06/2024 12:52 PM 90838 Add-on Psychotherapy 60 min (53+); Psychotherapy, 60 minutes with patient and/or family when performed with an evaluation and management service 124.71 113.82
9 alex 17/06/2024 12:52 PM alex 17/06/2024 12:52 PM 90846 Family psychotherapy without patient, 50 minutes 106.68 105.93
10 alex 17/06/2024 12:52 PM alex 17/06/2024 12:52 PM 90853 Group psychotherapy (other than of a multiple-family group) 28.92 25.92
CPT Code Description Non-Facility Rate** Facility Rate**

**$0.00 amounts indicate unavailable fee information.