CWT BEHAVIORAL OUTPATIENT CLINIC
CWT BEHAVIORAL OUTPATIENT CLINIC
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Insurance Accepted

ALL INSURNACE IN OUR NETWORK

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FEE FOR SERVICE SHEET

PSYCHIATRIC

PSYCHIATRIC EVALUATIONS/PSYCHOTHERAPY

90791 Psychiatric Eval with No medical Service  $ 175.00    90832 Psychotherapy - Individual 30 min.  $ 90.00    

90834 Psychotherapy - Individual 45 min.  $ 75.00   

90837 Psychotherapy - Individual 60 min.  $ 120.00   

90847 Family Therapy With Patient  $ 140.00  

90853 Psychotherapy Group - IOP only  $ 135.00   


99212 Outpatient Visit - 10 min. Established P  $ 295.00    

99213 Outpatient Visit - 15 min. Established P  $ 295.00   

99214 Outpatient Visit - 25 min. Established P  $ 295.00    

99215 Outpatient Visit - 40 min. Established P  $ 295.00     A

99304 Initial Nursing Home Visit, Medical, 25-30   mins  $ 120.00  

99305 Initial Nursing Home Visit, Medical, 35-40 mins  $ 150.00    

99306 Initial Nursing Home Visit, Medical, 50-60 mins  $ 200.00  

99307 Follow Up, Medical, 10 mins  $ 70.00    

99308 Follow Up, Medical, 15 mins  $ 80.00    

99309 Follow Up, Medical, 25 mins  $ 110.00 

99310 Follow Up, Medical, 35 mins  $ 150.00    

99327 Comprehensive History & Physical, moderate complexity, 60 mins  $ 225.00    

99328 Comprehensive History & Physical, high complexity, 75 mins  $ 275.00    

99334 Problem Focused History & Physical, straightforward, 15 mins  $ 75.00    

99335 Expanded Problem Focused History & Physical, low complexity, 25 mins  $ 125.00    

99441 Telephone Evaluation & Management, 5-10 mins  $ 45.00    

99442 Telephone Evaluation & Management, 11-20 mins  $ 100.00    99443 Telephone Evaluation & Management


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