Table 1.
Approximate Medicare reimbursement rate in dollars by health and behavior code and service duration
| Code | Service | Service duration
|
|
|---|---|---|---|
| 15 min (1 unit) | 60 min (4 units) | ||
| 96150 | Assessment: initial | $ 22 | $ 88 |
| 96151 | Re-assessment | $ 21 | $ 85 |
| 96152 | Intervention: individual | $ 20 | $ 81 |
| 96153 | Intervention: group (per patient) | $ 5 | $ 19 |
| 96154 | Intervention: family with patient | $ 20 | $ 80 |
| 96155 | Intervention: family without patient | $ 22 | $ 88 |
Rates are for Medicare and thus for adult patients. Medicaid and private insurance reimbursement is state dependent and variable