Revenue Code | Description | Adult Max Fee Allowance | Children's Max Fee Allowance |
OP912 | PARTIAL HOSP LESS INTENSE | 18.82 | 0.00 |
OP913 | PARTIAL HOSPITAL INTENSIVE | 68.25 | 73.00 |
OP914 | PSYCHI/PSYCHOLO SERV,INDIV THE | 75.03 | 50.00 |
OP915 | PSYCHI/PSYCHOLO SERV,GROUP THE | 27.50 | 30.00 |
OP918 | PSYCHI/PSYCHOLO SERV,TESTING,O | 81.25 | 65.61 |
OP919 | PSYCHI/PSYCHOLO SERV,OTHER,OUT | 89.76 | 42.00 |