Behavioral health Medicaid rates by code
110 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 | Outpatient psychotherapy and diagnostic evaluation | 39 | $11.64 |
| 90791 | Mental health assessment (non-physician) | 50 | $141.74 |
| 90792 | Mental health assessment (non-physician) | 49 | $164.22 |
| 90832 | Outpatient psychotherapy and diagnostic evaluation | 50 | $66.73 |
| 90833 | Outpatient psychotherapy and diagnostic evaluation | 48 | $65.79 |
| 90834 | Outpatient psychotherapy and diagnostic evaluation | 50 | $92.10 |
| 90836 | Outpatient psychotherapy and diagnostic evaluation | 47 | $86.26 |
| 90837 | Outpatient psychotherapy and diagnostic evaluation | 50 | $132.38 |
| 90838 | Outpatient psychotherapy and diagnostic evaluation | 45 | $112.68 |
| 90839 | Crisis intervention (behavioral health) | 41 | $135.32 |
| 90840 | Crisis intervention (behavioral health) | 38 | $65.16 |
| 90845 | Outpatient psychotherapy and diagnostic evaluation | 25 | $88.12 |
| 90846 | Outpatient psychotherapy and diagnostic evaluation | 48 | $89.89 |
| 90847 | Outpatient psychotherapy and diagnostic evaluation | 50 | $93.11 |
| 90849 | Outpatient psychotherapy and diagnostic evaluation | 43 | $33.34 |
| 90853 | Outpatient psychotherapy and diagnostic evaluation | 50 | $25.20 |
| 90863 | Outpatient psychotherapy and diagnostic evaluation | 22 | $37.59 |
| 90865 | Medication training and support | 25 | $131.97 |
| 90867 | Outpatient psychotherapy and diagnostic evaluation | 28 | $208.46 |
| 90868 | Outpatient psychotherapy and diagnostic evaluation | 29 | $130.24 |
| 90869 | Outpatient psychotherapy and diagnostic evaluation | 32 | $189.62 |
| 90870 | Outpatient psychotherapy and diagnostic evaluation | 48 | $119.90 |
| 90875 | Outpatient psychotherapy and diagnostic evaluation | 17 | $50.05 |
| 90876 | Outpatient psychotherapy and diagnostic evaluation | 15 | $84.98 |
| 90880 | Outpatient psychotherapy and diagnostic evaluation | 15 | $83.23 |
| 90882 | SUD case management | 10 | $32.00 |
| 90885 | Mental health assessment (non-physician) | 12 | $46.62 |
| 90887 | Behavioral health services (fee schedule) | 22 | $68.43 |
| 90889 | Outpatient psychotherapy and diagnostic evaluation | 11 | $52.29 |
| 90899 | Outpatient psychotherapy and diagnostic evaluation | 8 | $91.56 |
| 96152 | Health behavior counseling, one person (retired code) | 6 | $20.17 |
| 96376 | Medication training and support | 20 | $14.34 |
| 97550 | Family support (behavioral health) | 23 | $40.65 |
| 97551 | Family support (behavioral health) | 22 | $20.15 |
| 97552 | Family support (behavioral health) | 20 | $16.77 |
| G0316 | Prolonged hospital inpatient or observation care evaluation... | 16 | $25.88 |
| G0444 | Annual depression screening, 5 to 15 minutes | 14 | $14.68 |
| G0539 | Caregiver training in behavior management/modification for... | 7 | $45.90 |
| G0540 | Caregiver training in behavior management/modification for... | 7 | $24.71 |
| G0541 | Caregiver training in direct care strategies and techniques... | 6 | $48.21 |
| G0542 | Caregiver training in direct care strategies and techniques... | 6 | $24.81 |
| G0543 | Group caregiver training in direct care strategies and... | 6 | $19.29 |
| G2069 | Medication assisted treatment, buprenorphine | 9 | $1,940.86 |
| G2073 | Medication assisted treatment, naltrexone | 10 | $1,556.02 |
| G9007 | Coordinated care fee, scheduled team conference | 5 | $12.17 |
| H0002 | Behavioral health screening to determine eligibility for... | 23 | $71.18 |
| H0003 | Alcohol and/or drug screening | 7 | $22.16 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 36 | $23.20 |
| H0005 | Alcohol and/or drug services | 27 | $22.98 |
| H0007 | Alcohol and/or drug services; crisis intervention | 10 | $48.25 |
| H0010 | Alcohol and/or drug services; sub-acute detoxification | 22 | $348.74 |
| H0011 | Alcohol and/or drug services; acute detoxification | 19 | $425.61 |
| H0012 | Alcohol and/or drug services; sub-acute detoxification | 13 | $305.44 |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 18 | $132.16 |
| H0015 | Alcohol and/or drug services; intensive outpatient | 31 | $148.76 |
| H0016 | Alcohol and/or drug services; medical/somatic | 9 | $150.59 |
| H0018 | Behavioral health; short-term residential | 27 | $259.00 |
| H0019 | Behavioral health; long-term residential (non-medical | 30 | $200.46 |
| H0020 | Alcohol and/or drug services | 32 | $16.34 |
| H0022 | Alcohol and/or drug intervention service | 6 | $20.73 |
| H0024 | Behavioral health prevention information dissemination... | 5 | $14.30 |
| H0025 | Behavioral health prevention education service | 15 | $15.84 |
| H0030 | Behavioral health hotline service | 7 | $19.50 |
| H0031 | Mental health assessment, by non-physician | 40 | $123.96 |
| H0032 | Mental health service plan development by non-physician | 28 | $34.38 |
| H0033 | Oral medication administration, direct observation | 19 | $19.68 |
| H0034 | Medication training and support, per 15 minutes | 19 | $20.00 |
| H0035 | Mental health partial hospitalization, treatment | 24 | $221.05 |
| H0036 | Community psychiatric supportive treatment, face-to-face | 23 | $20.64 |
| H0037 | Community psychiatric supportive treatment program, per diem | 11 | $166.75 |
| H0038 | Self-help/peer services, per 15 minutes | 42 | $12.84 |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 15 | $33.45 |
| H0040 | Assertive community treatment program, per diem | 24 | $209.31 |
| H0047 | Alcohol and/or other drug abuse services | 20 | $39.61 |
| H0048 | Alcohol and/or other drug testing: collection and handling... | 7 | $10.09 |
| H0049 | Alcohol and/or drug screening | 19 | $22.63 |
| H0050 | Alcohol and/or drug services, brief intervention | 18 | $26.30 |
| H1000 | Prenatal care, at-risk assessment | 21 | $40.00 |
| H1002 | Prenatal care, at risk enhanced service; care coordination | 12 | $56.62 |
| H1003 | Prenatal care, at-risk enhanced service; education | 10 | $16.06 |
| H1005 | Prenatal care, at-risk enhanced service package | 5 | $130.21 |
| H2000 | Comprehensive multidisciplinary evaluation | 21 | $192.16 |
| H2011 | Crisis intervention service, per 15 minutes | 43 | $37.19 |
| H2012 | Behavioral health day treatment, per hour | 29 | $24.32 |
| H2013 | Psychiatric health facility service, per diem | 10 | $365.96 |
| H2014 | Skills training and development, per 15 minutes | 38 | $12.96 |
| H2015 | Comprehensive community support services, per 15 minutes | 35 | $18.11 |
| H2016 | Comprehensive community support services, per diem | 16 | $107.09 |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 35 | $10.00 |
| H2018 | Psychosocial rehabilitation services, per diem | 10 | $261.40 |
| H2019 | Therapeutic behavioral services, per 15 minutes | 38 | $21.96 |
| H2020 | Therapeutic behavioral services, per diem | 19 | $155.79 |
| H2021 | Community-based wrap-around services, per 15 minutes | 23 | $20.51 |
| H2022 | Community-based wrap-around services, per diem | 12 | $102.08 |
| H2027 | Psychoeducational service, per 15 minutes | 16 | $25.56 |
| H2030 | Mental health clubhouse services, per 15 minutes | 7 | $5.04 |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | 16 | $46.11 |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 14 | $159.91 |
| H2035 | Alcohol and/or other drug treatment program, per hour | 9 | $58.32 |
| H2036 | Alcohol and/or other drug treatment program, per diem | 21 | $241.53 |
| J2315 | Injection, naltrexone, depot form, 1 mg | 39 | $4.53 |
| S0201 | Partial hospitalization services, less than 24 hours | 6 | $503.81 |
| S5102 | Day care services, adult; per diem | 25 | $80.00 |
| S9445 | Patient education, not otherwise classified | 24 | $37.81 |
| S9482 | Family stabilization services, per 15 minutes | 13 | $35.00 |
| S9484 | Crisis intervention mental health services, per hour | 25 | $78.06 |
| S9485 | Crisis intervention mental health services, per diem | 25 | $487.79 |
| T1007 | Alcohol and/or substance abuse services | 10 | $44.69 |
| T1029 | Comprehensive environmental lead investigation | 18 | $285.00 |
| T2011 | Preadmission screening and resident review | 8 | $268.69 |
Behavioral health rates in your statesRates, managed-care rules, Medicare comparison and changes, for the codes you bill.