Good Faith Estimate (GFE)

CPT

90791
90792
90792
99205
99213
99214
99215
90833
99417
90836
90837
90838
90839
90889
90867
90868
90869
96136
96132
96138
9079D
9083D

Billed Fee

$350
$500
$600
$500
$225
$300
$450
$175
$150
$250
$350
$350
$400
up to $500
$1,500
$850
$1,250
$150
$150
$350
$300
$300

Description

Initial therapy eval
Adult psychiatry eval
Child psychiatry eval
Initial psychiatric eval
Followup psychiaty visit
Followup psychiaty visit
Followup psychiaty visit
Psychotherapy with followup visit
Extended appt time per 15 min
Psychotherapy with followup visit
Standalone psychotherapy 1 hr
Psychotherapy with followup visit
Crisis psychotherapy
Form fee varies with complexity
Initial TMS MT check & treatment
Daily TMS treatment
Recheck of MT & treatment
Psychological testing multi test
Neuropsych test eval & discussion
Neuropsych test fee by technician
Psych associate eval
Psych associate psychotherapy