| Office E/M New DA |
99205 |
$400.00 |
| Office E/M |
99204 |
$345.00 |
| Psychiatric Diagnostic Interview |
90792 |
$400.00 |
| Office Med Management 40-54 minutes |
99215 |
$338.00 |
| Office Med Management 30-39 minutes |
99214 |
$255.00 |
| Office Med Management 20-29 minutes |
99213 |
$195.00 |
| Interactive Complexity add-on code |
90785 |
$40.00 |
| Prolonged 15 minutes of time - only to be used with 99205 and 99215 |
99417 |
$60.00 |
| Psychotherapy 53-57 minutes with E/M |
90838 |
$260.00 |
| Psychotherapy 38-52 minutes with E/M |
90836 |
$210.00 |
| Psychotherapy 16-37 minutes with E/M |
90833 |
$200.00 |
