Oklahoma
Oklahoma
| wdt_ID | wdt_created_by | wdt_created_at | wdt_last_edited_by | wdt_last_edited_at | CPT Code | Description | Allowable Amount | Facility Rate | Effective Date |
|---|---|---|---|---|---|---|---|---|---|
| 26 | alex | 09/20/2024 02:35 PM | alex | 09/20/2024 02:35 PM | 90791 | Psych diagnostic evaluation (not time dependent) | 158.67 | 138.71 | 2023-07-01 |
| 27 | alex | 09/20/2024 02:35 PM | alex | 09/20/2024 02:35 PM | 90832 | Psychotherapy, 30 minutes with patient and/or family member (minimum time = 15 min) | 68.73 | 61.14 | 2023-07-01 |
| 28 | alex | 09/20/2024 02:35 PM | alex | 09/20/2024 02:35 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 | 62.89 | 56.70 | 2023-07-01 |
| 29 | alex | 09/20/2024 02:35 PM | alex | 09/20/2024 02:35 PM | 90834 | Psychotherapy 45 (38-52) min; Psychotherapy, 45 minutes with patient and/or family member | 90.86 | 81.02 | 2023-07-01 |
| 30 | alex | 09/20/2024 02:35 PM | alex | 09/20/2024 02:35 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 | 79.74 | 71.87 | 2023-07-01 |
| 31 | alex | 09/20/2024 02:35 PM | alex | 09/20/2024 02:35 PM | 90837 | Psychotherapy, 60 minutes with patient and/or family member (53+) min | 133.75 | 119.14 | 2023-07-01 |
| 32 | alex | 09/20/2024 02:35 PM | alex | 09/20/2024 02:35 PM | 90838 | Add-on Psychotherapy 60 min (53+); Psychotherapy, 60 minutes with patient and/or family when performed with an evaluation and management service | 105.44 | 95.32 | 2023-07-01 |
| 33 | alex | 09/20/2024 02:35 PM | alex | 09/20/2024 02:35 PM | 90846 | Family psychotherapy without patient, 50 minutes | 87.76 | 87.48 | 2023-07-01 |
| 34 | alex | 09/20/2024 02:35 PM | alex | 09/20/2024 02:35 PM | 90853 | Group psychotherapy (other than of a multiple-family group) | 24.29 | 21.48 | 2023-07-01 |
| 35 | alex | 09/20/2024 02:35 PM | alex | 09/20/2024 02:35 PM | 96372 | Injection for buprenorphine or naltrexone; Therapeutic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular | 12.39 | 2023-07-01 | |
| CPT Code | Description | Allowable Amount | Facility Rate | Effective Date |