Behavioral health Medicaid rates by code
188 behavioral health codes with published Medicaid rates in five or more states. Each page compares every state's rate, unit and managed-care rule.
| Code | Service | States | Median rate |
|---|---|---|---|
| 90785 | Behavioral health services (fee schedule) | 14 | $11.51 |
| 90791 | Mental health assessment (non-physician) | 22 | $138.22 |
| 90792 | Mental health assessment (non-physician) | 21 | $159.14 |
| 90832 | Outpatient psychotherapy and diagnostic evaluation | 22 | $69.41 |
| 90833 | Outpatient psychotherapy and diagnostic evaluation | 20 | $62.97 |
| 90834 | Outpatient psychotherapy and diagnostic evaluation | 22 | $91.26 |
| 90836 | Outpatient psychotherapy and diagnostic evaluation | 19 | $84.55 |
| 90837 | Outpatient psychotherapy and diagnostic evaluation | 22 | $126.48 |
| 90838 | Outpatient psychotherapy and diagnostic evaluation | 18 | $105.43 |
| 90839 | Crisis intervention (behavioral health) | 16 | $130.39 |
| 90840 | Crisis intervention (behavioral health) | 14 | $67.61 |
| 90845 | Outpatient psychotherapy and diagnostic evaluation | 11 | $73.31 |
| 90846 | Outpatient psychotherapy and diagnostic evaluation | 20 | $88.81 |
| 90847 | Outpatient psychotherapy and diagnostic evaluation | 22 | $95.67 |
| 90849 | Outpatient psychotherapy and diagnostic evaluation | 17 | $33.55 |
| 90853 | Outpatient psychotherapy and diagnostic evaluation | 22 | $26.89 |
| 90863 | Outpatient psychotherapy and diagnostic evaluation | 6 | $34.94 |
| 90865 | Medication training and support | 9 | $115.98 |
| 90867 | Outpatient psychotherapy and diagnostic evaluation | 13 | $180.63 |
| 90868 | Outpatient psychotherapy and diagnostic evaluation | 13 | $117.33 |
| 90869 | Outpatient psychotherapy and diagnostic evaluation | 14 | $156.71 |
| 90870 | Outpatient psychotherapy and diagnostic evaluation | 21 | $87.85 |
| 90875 | Outpatient psychotherapy and diagnostic evaluation | 6 | $51.45 |
| 90876 | Outpatient psychotherapy and diagnostic evaluation | 6 | $85.88 |
| 90880 | Outpatient psychotherapy and diagnostic evaluation | 6 | $91.52 |
| 90887 | Behavioral health services (fee schedule) | 10 | $68.43 |
| 90889 | Outpatient psychotherapy and diagnostic evaluation | 6 | $56.32 |
| 96105 | Mental health assessment (non-physician) | 20 | $76.93 |
| 96110 | Mental health assessment (non-physician) | 22 | $10.29 |
| 96112 | Mental health assessment (non-physician) | 22 | $106.15 |
| 96113 | Mental health assessment (non-physician) | 21 | $46.10 |
| 96116 | Mental health assessment (non-physician) | 21 | $74.09 |
| 96121 | Mental health assessment (non-physician) | 19 | $64.80 |
| 96125 | Mental health assessment (non-physician) | 13 | $70.47 |
| 96127 | Mental health assessment (non-physician) | 18 | $4.71 |
| 96130 | Mental health assessment (non-physician) | 22 | $99.61 |
| 96131 | Mental health assessment (non-physician) | 22 | $71.75 |
| 96132 | Mental health assessment (non-physician) | 22 | $101.32 |
| 96133 | Mental health assessment (non-physician) | 22 | $72.48 |
| 96136 | Mental health assessment (non-physician) | 22 | $31.35 |
| 96137 | Mental health assessment (non-physician) | 22 | $27.35 |
| 96138 | Mental health assessment (non-physician) | 17 | $32.88 |
| 96139 | Mental health assessment (non-physician) | 17 | $32.88 |
| 96146 | Mental health assessment (non-physician) | 16 | $1.90 |
| 96160 | SUD case management | 18 | $2.90 |
| 96161 | Behavioral health services (fee schedule) | 17 | $2.89 |
| 96170 | Behavioral health services (fee schedule) | 12 | $57.53 |
| 96171 | Behavioral health services (fee schedule) | 13 | $21.64 |
| 96202 | Family support (behavioral health) | 5 | $17.92 |
| 96203 | Family support (behavioral health) | 5 | $5.04 |
| 96365 | Medication training and support | 21 | $53.30 |
| 96366 | Medication training and support | 21 | $17.12 |
| 96367 | Medication training and support | 21 | $24.79 |
| 96368 | Medication training and support | 21 | $16.09 |
| 96369 | Medication training and support | 21 | $116.05 |
| 96370 | Medication training and support | 21 | $12.65 |
| 96371 | Medication training and support | 21 | $48.74 |
| 96372 | Medication training and support | 22 | $12.91 |
| 96373 | Medication training and support | 20 | $15.14 |
| 96374 | Medication training and support | 21 | $31.49 |
| 96375 | Medication training and support | 21 | $13.60 |
| 96376 | Medication training and support | 11 | $15.00 |
| 96377 | Medication training and support | 15 | $15.05 |
| 97550 | Family support (behavioral health) | 13 | $38.38 |
| 97551 | Family support (behavioral health) | 13 | $18.71 |
| 97552 | Family support (behavioral health) | 10 | $11.06 |
| 98966 | Mental health assessment (non-physician) | 9 | $9.76 |
| 98967 | Mental health assessment (non-physician) | 9 | $18.00 |
| 98968 | Mental health assessment (non-physician) | 9 | $25.46 |
| 99202 | New-patient office visit, level 1 of 4 | 22 | $48.38 |
| 99203 | New-patient office visit, level 2 of 4 | 22 | $74.91 |
| 99204 | New-patient office visit, level 3 of 4 | 22 | $120.11 |
| 99205 | New-patient office visit, level 4 of 4 | 22 | $155.58 |
| 99212 | Return-patient office visit, level 2 of 5 | 22 | $37.08 |
| 99213 | Return-patient office visit, level 3 of 5 | 22 | $60.52 |
| 99214 | Return-patient office visit, level 4 of 5 | 22 | $87.40 |
| 99215 | Return-patient office visit, level 5 of 5 | 22 | $119.26 |
| 99221 | Outpatient psychotherapy and diagnostic evaluation | 22 | $60.78 |
| 99222 | Outpatient psychotherapy and diagnostic evaluation | 22 | $95.35 |
| 99223 | Outpatient psychotherapy and diagnostic evaluation | 22 | $124.58 |
| 99231 | Outpatient psychotherapy and diagnostic evaluation | 22 | $33.30 |
| 99232 | Outpatient psychotherapy and diagnostic evaluation | 22 | $55.52 |
| 99233 | Outpatient psychotherapy and diagnostic evaluation | 22 | $82.11 |
| 99234 | Mental health assessment (non-physician) | 22 | $79.79 |
| 99235 | Mental health assessment (non-physician) | 22 | $126.69 |
| 99236 | Mental health assessment (non-physician) | 22 | $165.74 |
| 99242 | Outpatient psychotherapy and diagnostic evaluation | 19 | $50.93 |
| 99243 | Outpatient psychotherapy and diagnostic evaluation | 19 | $76.42 |
| 99244 | Outpatient psychotherapy and diagnostic evaluation | 19 | $106.40 |
| 99245 | Outpatient psychotherapy and diagnostic evaluation | 20 | $142.20 |
| 99252 | Outpatient psychotherapy and diagnostic evaluation | 19 | $54.55 |
| 99253 | Outpatient psychotherapy and diagnostic evaluation | 19 | $76.89 |
| 99254 | Outpatient psychotherapy and diagnostic evaluation | 19 | $107.03 |
| 99255 | Outpatient psychotherapy and diagnostic evaluation | 19 | $143.65 |
| 99281 | Crisis intervention (behavioral health) | 21 | $11.81 |
| 99282 | Crisis intervention (behavioral health) | 22 | $33.36 |
| 99283 | Crisis intervention (behavioral health) | 22 | $54.78 |
| 99304 | Outpatient psychotherapy and diagnostic evaluation | 22 | $62.98 |
| 99305 | Outpatient psychotherapy and diagnostic evaluation | 22 | $104.67 |
| 99306 | Outpatient psychotherapy and diagnostic evaluation | 22 | $139.33 |
| 99307 | Outpatient psychotherapy and diagnostic evaluation | 22 | $31.78 |
| 99308 | Outpatient psychotherapy and diagnostic evaluation | 22 | $56.58 |
| 99309 | Outpatient psychotherapy and diagnostic evaluation | 22 | $80.79 |
| 99310 | Outpatient psychotherapy and diagnostic evaluation | 22 | $114.89 |
| 99341 | Medication training and support | 22 | $44.13 |
| 99342 | Medication training and support | 22 | $66.05 |
| 99344 | Medication training and support | 22 | $126.78 |
| 99345 | Medication training and support | 22 | $163.56 |
| 99347 | Medication training and support | 22 | $40.29 |
| 99348 | Medication training and support | 22 | $66.44 |
| 99349 | Medication training and support | 22 | $103.00 |
| 99350 | Medication training and support | 22 | $148.96 |
| 99366 | Mental health service plan development | 9 | $31.24 |
| 99367 | SUD case management | 8 | $44.47 |
| 99368 | Mental health service plan development | 7 | $25.93 |
| 99408 | Addiction (substance use) counseling | 15 | $27.00 |
| 99409 | Addiction (substance use) counseling | 13 | $56.68 |
| 99415 | Outpatient psychotherapy and diagnostic evaluation | 12 | $14.82 |
| 99416 | Outpatient psychotherapy and diagnostic evaluation | 12 | $7.72 |
| 99417 | Outpatient psychotherapy and diagnostic evaluation | 15 | $28.69 |
| 99418 | Outpatient psychotherapy and diagnostic evaluation | 14 | $31.49 |
| 99424 | SUD case management | 9 | $61.69 |
| 99425 | SUD case management | 8 | $44.21 |
| 99437 | SUD case management | 8 | $38.36 |
| 99451 | SUD case management | 18 | $28.35 |
| 99484 | Mental health service plan development | 11 | $36.64 |
| 99491 | SUD case management | 7 | $65.65 |
| 99605 | Medication training and support | 8 | $51.34 |
| 99606 | Medication training and support | 8 | $33.12 |
| 99607 | Medication training and support | 6 | $26.75 |
| G0316 | Prolonged hospital inpatient or observation care evaluation... | 6 | $23.43 |
| G0396 | Alcohol and/or substance | 7 | $23.64 |
| G0397 | Alcohol and/or substance | 7 | $43.03 |
| G2011 | Alcohol and/or substance | 8 | $12.12 |
| G2073 | Medication assisted treatment, naltrexone | 5 | $1,705.20 |
| G2078 | Take-home supply of methadone | 5 | $44.41 |
| G9012 | Other specified case management service not elsewhere... | 12 | $34.38 |
| H0001 | Alcohol and/or drug assessment | 16 | $90.48 |
| H0002 | Behavioral health screening to determine eligibility for... | 8 | $31.68 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 15 | $23.51 |
| H0010 | Alcohol and/or drug services; sub-acute detoxification | 10 | $465.67 |
| H0011 | Alcohol and/or drug services; acute detoxification | 6 | $400.49 |
| H0012 | Alcohol and/or drug services; sub-acute detoxification | 6 | $307.21 |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 8 | $155.39 |
| H0015 | Alcohol and/or drug services; intensive outpatient | 12 | $161.49 |
| H0018 | Behavioral health; short-term residential | 11 | $263.77 |
| H0019 | Behavioral health; long-term residential (non-medical | 14 | $185.05 |
| H0020 | Alcohol and/or drug services | 15 | $16.07 |
| H0025 | Behavioral health prevention education service | 8 | $10.85 |
| H0031 | Mental health assessment, by non-physician | 18 | $75.99 |
| H0032 | Mental health service plan development by non-physician | 10 | $47.07 |
| H0033 | Oral medication administration, direct observation | 7 | $31.65 |
| H0034 | Medication training and support, per 15 minutes | 8 | $10.05 |
| H0035 | Mental health partial hospitalization, treatment | 9 | $228.05 |
| H0036 | Community psychiatric supportive treatment, face-to-face | 11 | $15.93 |
| H0038 | Self-help/peer services, per 15 minutes | 18 | $15.02 |
| H0040 | Assertive community treatment program, per diem | 11 | $235.22 |
| H0047 | Alcohol and/or other drug abuse services | 12 | $27.78 |
| H0049 | Alcohol and/or drug screening | 9 | $19.40 |
| H0050 | Alcohol and/or drug services, brief intervention | 8 | $23.28 |
| H1000 | Prenatal care, at-risk assessment | 11 | $45.00 |
| H1002 | Prenatal care, at risk enhanced service; care coordination | 7 | $89.58 |
| H1003 | Prenatal care, at-risk enhanced service; education | 7 | $15.61 |
| H2000 | Comprehensive multidisciplinary evaluation | 11 | $192.16 |
| H2011 | Crisis intervention service, per 15 minutes | 17 | $42.82 |
| H2012 | Behavioral health day treatment, per hour | 14 | $38.40 |
| H2013 | Psychiatric health facility service, per diem | 5 | $235.73 |
| H2014 | Skills training and development, per 15 minutes | 16 | $12.96 |
| H2015 | Comprehensive community support services, per 15 minutes | 17 | $25.02 |
| H2016 | Comprehensive community support services, per diem | 7 | $45.21 |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 16 | $15.15 |
| H2018 | Psychosocial rehabilitation services, per diem | 5 | $314.93 |
| H2019 | Therapeutic behavioral services, per 15 minutes | 17 | $20.79 |
| H2020 | Therapeutic behavioral services, per diem | 10 | $154.52 |
| H2021 | Community-based wrap-around services, per 15 minutes | 9 | $13.13 |
| H2027 | Psychoeducational service, per 15 minutes | 9 | $20.48 |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | 7 | $45.84 |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 6 | $174.09 |
| H2035 | Alcohol and/or other drug treatment program, per hour | 5 | $60.69 |
| H2036 | Alcohol and/or other drug treatment program, per diem | 8 | $241.24 |
| S5145 | Foster care, therapeutic, child; per diem | 8 | $144.87 |
| S9445 | Patient education, not otherwise classified | 13 | $38.05 |
| S9482 | Family stabilization services, per 15 minutes | 7 | $35.00 |
| S9484 | Crisis intervention mental health services, per hour | 12 | $60.70 |
| T1006 | Alcohol and/or substance abuse services | 6 | $39.39 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 9 | $13.45 |
| T1023 | Screening to determine the appropriateness of consideration... | 16 | $37.48 |
| T1502 | Administration of oral | 5 | $42.33 |
Behavioral health rates in your statesRates, managed-care rules, Medicare comparison and changes, for the codes you bill.