Oregon
Oregon
| wdt_ID | wdt_created_by | wdt_created_at | wdt_last_edited_by | wdt_last_edited_at | CPT Code | Description | Facility rate | Non-facility rate | Effective Date | Additional Information |
|---|---|---|---|---|---|---|---|---|---|---|
| 246 | alex | 09/20/2024 02:56 PM | alex | 09/20/2024 02:56 PM | 90791 | Psych diagnostic evaluation (not time dependent) | 112.23 | 129.88 | 2023-01-01 | |
| 247 | alex | 09/20/2024 02:56 PM | alex | 09/20/2024 02:56 PM | 96372 | Injection for buprenorphine or naltrexone; Therapeutic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular | 10.46 | 10.46 | 2023-01-01 | |
| 248 | alex | 09/20/2024 02:56 PM | alex | 09/20/2024 02:56 PM | 99202 | Office or other outpatient visit, new patient | 35.14 | 53.30 | 2023-01-01 | |
| 249 | alex | 09/20/2024 02:56 PM | alex | 09/20/2024 02:56 PM | 99202 | Office or other outpatient visit, new patient | 38.37 | 58.19 | 2023-01-01 | Primary care rate |
| 250 | alex | 09/20/2024 02:56 PM | alex | 09/20/2024 02:56 PM | 99203 | Office or other outpatient visit, new patient | 60.32 | 82.20 | 2023-01-01 | |
| 251 | alex | 09/20/2024 02:56 PM | alex | 09/20/2024 02:56 PM | 99203 | Office or other outpatient visit, new patient | 65.86 | 89.75 | 2023-01-01 | Primary care rate |
| 252 | alex | 09/20/2024 02:56 PM | alex | 09/20/2024 02:56 PM | 99204 | Office or other outpatient visit, new patient | 97.45 | 122.32 | 2023-01-01 | |
| 253 | alex | 09/20/2024 02:56 PM | alex | 09/20/2024 02:56 PM | 99204 | Office or other outpatient visit, new patient | 106.40 | 133.55 | 2023-01-01 | Primary care rate |
| 254 | alex | 09/20/2024 02:56 PM | alex | 09/20/2024 02:56 PM | 99205 | Office or other outpatient visit, new patient | 132.32 | 161.42 | 2023-01-01 | |
| 255 | alex | 09/20/2024 02:56 PM | alex | 09/20/2024 02:56 PM | 99205 | Office or other outpatient visit, new patient | 144.48 | 176.24 | 2023-01-01 | Primary care rate |