Pennsylvania

Pennsylvania*

wdt_ID wdt_created_by wdt_created_at wdt_last_edited_by wdt_last_edited_at ProcCode Description Allowable Amount
271 alex 07/12/2024 03:44 PM alex 07/12/2024 03:44 PM 90832 Psychotherapy, 30 minutes with patient and/or family member (minimum time = 15 min) 26.00
272 alex 07/12/2024 03:44 PM alex 07/12/2024 03:44 PM 90834 Psychotherapy 45 (38-52) min; Psychotherapy, 45 minutes with patient and/or family member 39.00
273 alex 07/12/2024 03:44 PM alex 07/12/2024 03:44 PM 90837 Psychotherapy, 60 minutes with patient and/or family member (53+) min 52.00
274 alex 07/12/2024 03:44 PM alex 07/12/2024 03:44 PM 90846 Family psychotherapy without patient, 50 minutes 13.00
275 alex 07/12/2024 03:44 PM alex 07/12/2024 03:44 PM 90853 Group psychotherapy (other than of a multiple-family group) 3.50
276 alex 07/12/2024 03:44 PM alex 07/12/2024 03:44 PM 96372 Injection for buprenorphine or naltrexone; Therapeutic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular 12.70
277 alex 07/12/2024 03:44 PM alex 07/12/2024 03:44 PM 99202 Office or other outpatient visit, new patient 35.33
278 alex 07/12/2024 03:44 PM alex 07/12/2024 03:44 PM 99202 Office or other outpatient visit, new patient 40.00
279 alex 07/12/2024 03:44 PM alex 07/12/2024 03:44 PM 99203 Office or other outpatient visit, new patient 54.25
280 alex 07/12/2024 03:44 PM alex 07/12/2024 03:44 PM 99204 Office or other outpatient visit, new patient 90.37
ProcCode Description Allowable Amount

Fee Schedule

*Physician type not specified