Idaho
Idaho
| wdt_ID | wdt_created_by | wdt_created_at | wdt_last_edited_by | wdt_last_edited_at | CPT Code | Description | Allowable Amount |
|---|---|---|---|---|---|---|---|
| 1 | alex | 06/17/2024 01:39 PM | alex | 06/17/2024 01:39 PM | 99202 | Office or other outpatient visit, new patient | 67.20 |
| 2 | alex | 06/17/2024 01:39 PM | alex | 06/17/2024 01:39 PM | 99203 | Office or other outpatient visit, new patient | 103.96 |
| 3 | alex | 06/17/2024 01:39 PM | alex | 06/17/2024 01:39 PM | 99204 | Office or other outpatient visit, new patient | 155.38 |
| 4 | alex | 06/17/2024 01:39 PM | alex | 06/17/2024 01:39 PM | 99205 | Office or other outpatient visit, new patient | 205.22 |
| 5 | alex | 06/17/2024 01:39 PM | alex | 06/17/2024 01:39 PM | 90853 | Group psychotherapy (other than of a multiple-family group) | 23.17 |
| 6 | alex | 06/17/2024 01:39 PM | alex | 06/17/2024 01:39 PM | 90791 | Psych diagnostic evaluation (not time dependent) | 151.68 |
| 7 | alex | 06/17/2024 01:39 PM | alex | 06/17/2024 01:39 PM | 90832 | Psychotherapy, 30 minutes with patient and/or family member (minimum time = 15 min) | 65.73 |
| 8 | alex | 06/17/2024 01:39 PM | alex | 06/17/2024 01:39 PM | 90834 | Psychotherapy 45 (38-52) min; Psychotherapy, 45 minutes with patient and/or family member | 86.86 |
| 9 | alex | 06/17/2024 01:39 PM | alex | 06/17/2024 01:39 PM | 90837 | Psychotherapy, 60 minutes with patient and/or family member (53+) min | 127.89 |
| 10 | alex | 06/17/2024 01:39 PM | alex | 06/17/2024 01:39 PM | 90846 | Family psychotherapy without patient, 50 minutes | 83.66 |
| CPT Code | Description | Allowable Amount |