Maryland

Maryland*

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 01:56 PM alex 17/06/2024 01:56 PM 90838 Add-on Psychotherapy 60 min (53+); Psychotherapy, 60 minutes with patient and/or family when performed with an evaluation and management service 115.06 111.31
2 alex 17/06/2024 01:56 PM alex 17/06/2024 01:56 PM 90853 Group psychotherapy (other than of a multiple-family group) 23.93 23.93
3 alex 17/06/2024 01:56 PM alex 17/06/2024 01:56 PM 99202 Office or other outpatient visit, new patient 79.65 52.72
4 alex 17/06/2024 01:56 PM alex 17/06/2024 01:56 PM 99203 Office or other outpatient visit, new patient 122.30 90.06
5 alex 17/06/2024 01:56 PM alex 17/06/2024 01:56 PM 99204 Office or other outpatient visit, new patient 181.53 145.50
6 alex 17/06/2024 01:56 PM alex 17/06/2024 01:56 PM 99205 Office or other outpatient visit, new patient 239.94 197.47
7 alex 17/06/2024 01:56 PM alex 17/06/2024 01:56 PM 99212 Follow-up Outpatient E/M (10 min ATT) Problem focused/straightforward; Office or other outpatient visit, established patient 61.84 39.08
8 alex 17/06/2024 01:56 PM alex 17/06/2024 01:56 PM 99213 Follow-up Outpatient E/M (15 min ATT) Expanded problem /low complexity; Office or other outpatient visit, established patient 98.58 71.65
9 alex 17/06/2024 01:56 PM alex 17/06/2024 01:56 PM 99214 Follow-up Outpatient E/M (30 min ATT) Detailed/moderate complexity; Office or other outpatient visit, established patient 138.61 104.86
10 alex 17/06/2024 01:56 PM alex 17/06/2024 01:56 PM 99215 Follow-up Outpatient E/M (40 min ATT) Comprehensive/High complexity; Office or other outpatient visit, established patient 195.63 156.18
CPT Code Description Non-facility Rate Facility Rate

*Physician type not specified
**$0.00 amounts indicate unavailable fee information.