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A GUIDE TO PROCEDURE CODES
FOR CLAIMING MENTAL HEALTH SERVICES
| Procedure Code (Submitted through MSO) | Roll Up Code (Medi-Cal) | Inactivate Service Code | Service Code Label/Descriptor | Type Of Service (Individual or Group) | Mode of Service | Mode/SFC Code | Discipline(s) | Contract Providers (CP) |
| 90837 | H2015:HE | N | Psychotherapy 53+ Min FF | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90839 | H2015:HE | N | Psychotherapy for Crisis | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90847 | H2015:HE | N | Family Therapy with Client | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90849 | H2015:HE | N | Group Therapy – Multi Family | G | 18 | 52 | 1&2&3&4&5&6&7&8&18 | CP |
| 90853 | H2015:HE | N | Group Therapy | G | 18 | 52 | 1&2&3&4&5&6&7&8&18 | CP |
| 90885 | H0032:HE | N | Record Review | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90887 | H2015:HE | N | Collateral | I | 18 | 10 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90889 | H2017:HE | N | Report Writing | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 96101 | H2015:HE | N | Psych Test by psych or psychol | I | 18 | 34 | 1&4 | CP |
| 96102 | H2015:HE | N | Psych Test by technician | I | 18 | 34 | 1&4 | CP |
| 96103 | H2015:HE | N | Psych Test by computer | I | 18 | 34 | 1&4 | CP |
| 96105 | H2015:HE | N | Psych Test Aphasia-QHCP, Admin by Computer | I | 18 | 34 | 1&4 | CP |
| 96110 | H2015:HE | N | Psych Test Developmental, Limited | I | 18 | 34 | 1&4 | CP |
| 96111 | H2015:HE | N | Psych Test Developmental, Extended | I | 18 | 34 | 1&4 | CP |
| 96116 | H2015:HE | N | Psych Test Neurobehavioral Status | I | 18 | 34 | 1&4 | CP |
| 96118 | H2015:HE | N | Psych Test Neuropsych Licensed Psych/MD | I | 18 | 34 | 1&4 | CP |
| 96119 | H2015:HE | N | Psych Test Neuropsych-QHCP | I | 18 | 34 | 1&4 | CP |
| 96120 | H2015:HE | N | Psych Test Neuropsych-QHCP, Admin by Computer | I | 18 | 34 | 1&4 | CP |
| 96125 | H2015:HE | N | Psych Test Standardized Cognitive Performance | I | 18 | 34 | 1&4 | CP |
| 96372 | H2010:HE | N | Injection – Intramuscular | I | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| 99201 | H2010:HE | N | E&M New Client Minor Sev | I | 18 | 62 | 1&2&3 | CP |
| 99202 | H2010:HE | N | E&M New Client Low/Mod Sev | I | 18 | 62 | 1&2&3 | CP |
| 99203 | H2010:HE | N | E&M New Client Mod Sev | I | 18 | 62 | 1&2&3 | CP |
| 99204 | H2010:HE | N | E&M New Client Mod/High Sev | I | 18 | 62 | 1&2&3 | CP |
| 99205 | H2010:HE | N | E&M New Client Mod/High Sev/Complex | I | 18 | 62 | 1&2&3 | CP |
| 99212 | H2010:HE | N | E&M Estab Client Low/Mod Sev | I | 18 | 62 | 1&2&3 | CP |
| 99213 | H2010:HE | N | E&M Estab Client Mod Sev | I | 18 | 62 | 1&2&3 | CP |
| 99214 | H2010:HE | N | E&M Estab Client Mod/High Sev | I | 18 | 62 | 1&2&3 | CP |
| 99215 | H2010:HE | N | E&M Estab Client Mod/High Sev/Complex | I | 18 | 62 | 1&2&3 | CP |
| 99341 | H2010:HE | N | E&M New Client Home Low Sev | I | 18 | 62 | 1&2&3 | CP |
| 99342 | H2010:HE | N | E&M New Client Home Mod Sev | I | 18 | 62 | 1&2&3 | CP |
| 99343 | H2010:HE | N | E&M New Client Home Mod/High Sev | I | 18 | 62 | 1&2&3 | CP |
| 99344 | H2010:HE | N | E&M New Client Home High Sev | I | 18 | 62 | 1&2&3 | CP |
| 99345 | H2010:HE | N | E&M New Client Home Unstable/Complex | I | 18 | 62 | 1&2&3 | CP |
| 99347 | H2010:HE | N | E&M Estab Client Home Low Sev | I | 18 | 62 | 1&2&3 | CP |
| 99348 | H2010:HE | N | E&M Estab Client Home Mod Sev | I | 18 | 62 | 1&2&3 | CP |
| 99349 | H2010:HE | N | E&M Estab Client Home Mod/High Sev | I | 18 | 62 | 1&2&3 | CP |
| 99350 | H2010:HE | N | E&M Estab Client Home High Sev | I | 18 | 62 | 1&2&3 | CP |
| 200 | NA | N | COS – Mental Health Promotion | I | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&16&18 | CP | ||
| 200:SC | NA | N | COS – Promotion Phone | I | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&16&18 | CP | ||
| 231 | NA | N | COS – Community Client | I | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&16&18 | CP | ||
| 231:SC | NA | N | COS – Community Client Phone | I | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&16&18 | CP | ||
| 6000 | NA | N | Case Management Support | I | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&16&18 | CP | ||
| 9032 | H2015:HE | N | Psychotherapy 16-37 Min FF | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90791 | H2015:HE | N | Assessment – Psych Diag Int | I | 18 | 42 | 1&3&4&5&6&8&9&18 | CP |
| 90791:59 | H2015:HE:59 | N | Assessment – Psych Diag Int Dup59 | I | 18 | 42 | 1&3&4&5&6&8&9&18 | CP |
| 90791:76 | H2015:HE:76 | N | Assessment – Psych Diag Int Dup76 | I | 18 | 42 | 1&3&4&5&6&8&9&18 | CP |
| 90791:GT | H2015:HE:GT | N | Assessment – Psych Diag Int-TelePsy | I | 18 | 42 | 1&3&4&5&6&8&9&18 | CP |
| 90791:GT:59 | H2015:GT:59 | N | Assessment – Psych Diag Int-TelePsy Dup59 | I | 18 | 42 | 1&3&4&5&6&8&9&18 | CP |
| 90791:GT:76 | H2015:GT:76 | N | Assessment – Psych Diag Int-TelePsy Dup76 | I | 18 | 42 | 1&3&4&5&6&8&9&18 | CP |
| 90791:HX | NA | N | Assessment – Psych Diag Int (Non Medi-Cal) | I | 18 | 44 | 1&3&4&5&6&8&9&18 | CP |
| 90792 | H2015:HE | N | Assessment – Psych Diag Int w/Medical | I | 18 | 42 | 1&3 | CP |
| 90792:59 | H2015:HE:59 | N | Assessment – Psych Diag Int w/Med Dup59 | I | 18 | 42 | 1&3&4&5&6&8&9&18 | CP |
| 90792:76 | H2015:HE:76 | N | Assessment – Psych Diag Int w/Medical Dup76 | I | 18 | 42 | 1&3 | CP |
| 90792:GT | H2015:HE:GT | N | Assessment – Psych Diag Int w/MedTelePsy | I | 18 | 42 | 1&3&4&5&6&8&9&18 | CP |
| 90792:GT:59 | H2015:GT:59 | N | Assessment – Psych Diag Int w/MediTele59 | I | 18 | 42 | 1&3&4&5&6&8&9&18 | CP |
| 90792:GT:76 | H2015:GT:76 | N | Assessment – Psych Diag Int w/MediTele76 | I | 18 | 42 | 1&3&4&5&6&8&9&18 | CP |
| 90792:HX | NA | N | Assessment – Psych Diag Int w/Med (Non Medi-Cal) | I | 18 | 44 | 1&3&4&5&6&8&9&18 | CP |
| 90832:59 | H2015:HE:59 | N | Psychotherapy 16-37 Min FF Dup59 | I | 18 | 57 | 1&2&3&4&5&6&7&8&18 | CP |
| 90832:76 | H2015:HE:76 | N | Psychotherapy 16-37 Min FF Dup76 | I | 18 | 07 | 1&2&3&4&5&6&7&8&18 | CP |
| 90832:GT | H2015:GT | N | Psychotherapy 16-37 Min FF TelePsy | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90832:GT:59 | H2015:GT:59 | N | Psychotherapy 16-37 Min FF TelePsy Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90832:GT:76 | H2015:GT:76 | N | Psychotherapy 16-37 Min FF TelePsy Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90832:HX | NA | Psychotherapy 16-37 Min FF (Non Medi-Cal) | I | 18 | 44 | 1&2&3&4&5&6&7&8&18 | CP | |
| 90834 | H2015:HE | N | Psychotherapy 38-52 Min FF | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90834:59 | H2015:HE:59 | N | Psychotherapy 38-52 Min FF Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90834:76 | H2015:HE:76 | N | Psychotherapy 38-52 Min FF Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90834:GT | H2015:GT | N | Psychotherapy 38-52 Min FF TelePsy | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90834:GT:59 | H2015:GT:59 | N | Psychotherapy 38-52 Min FF TelePsy Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90834:GT:76 | H2015:GT:76 | N | Psychotherapy 38-52 Min FF TelePsy Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90834:HX | NA | Psychotherapy 38-52 Min FF (Non Medi-Cal) | I | 18 | 44 | 1&2&3&4&5&6&7&8&18 | CP | |
| 90837:59 | H2015:HE:59 | N | Psychotherapy 53+ Min FF Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90837:76 | H2015:HE:76 | N | Psychotherapy 53+ Min FF Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90837:GT | H2015:GT | N | Psychotherapy 53+ Min FF TelePsy | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90837:GT:59 | H2015:GT:59 | N | Psychotherapy 53+ Min FF TelePsy Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90837:GT:76 | H2015:GT:76 | N | Psychotherapy 53+ Min FF TelePsy Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90837:HX | NA | Psychotherapy 53+ Min FF (Non Medi-Cal) | I | 18 | 44 | 1&2&3&4&5&6&7&8&18 | CP | |
| 90839:59 | H2015:HE:59 | N | Psychotherapy for Crisis Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90839:76 | H2015:HE:76 | N | Psychotherapy for Crisis Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90839:GT | H2015:GT | N | Psychotherapy for Crisis TelePsy | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90839:GT:59 | H2015:GT:59 | N | Psychotherapy for Crisis TelePsy Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90839:GT:76 | H2015:GT:76 | N | Psychotherapy for Crisis TelePsy Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90839:HX | NA | Psychotherapy for Crisis (Non Medi-Cal) | I | 18 | 44 | 1&2&3&4&5&6&7&8&18 | CP | |
| 90847:59 | H2015:HE:59 | N | Family Therapy with Client Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90847:76 | H2015:HE:76 | N | Family Therapy with Client Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| 90847:HE:HQ | H2015:HE | N | Group Family Therapy with Client | G | 18 | 52 | 1&2&3&4&5&6&7&8&18 | CP |
| 90847:HE:HQ:5 | H2015:HE:59 | N | Group Family Therapy with Client Dup59 | G | 18 | 52 | 1&2&3&4&5&6&7&8&18 | CP |
| 90847:HE:HQ:HX | NA | N | Group Family Therapy (Non Medi-Cal) | G | 18 | 44 | 1&2&3&4&5&6&7&8&18 | CP |
| 90847:HE:HQ7 | H2015:HE:76 | N | Group Family Therapy with Client Dup76 | G | 18 | 52 | 1&2&3&4&5&6&7&8&18 | CP |
| 90847:HX | NA | N | Family Therapy (Non Medi-Cal) | I | 18 | 44 | 1&2&3&4&5&6&7&8&18 | CP |
| 90849:59 | H2015:HE:59 | N | Group Therapy – Multi Family Dup59 | G | 18 | 52 | 1&2&3&4&5&6&7&8&18 | CP |
| 90849:76 | H2015:HE:76 | N | Group Therapy – Multi Family Dup76 | G | 18 | 52 | 1&2&3&4&5&6&7&8&18 | CP |
| 90849:HX | NA | N | Group Therapy – Multi Family (Non Medi-Cal) | G | 18 | 44 | 1&2&3&4&5&6&7&8&18 | CP |
| 90853:59 | H2015:HE:59 | N | Group Therapy Dup59 | G | 18 | 52 | 1&2&3&4&5&6&7&8&18 | CP |
| 90853:76 | H2015:HE:76 | N | Group Therapy Dup76 | G | 18 | 52 | 1&2&3&4&5&6&7&8&18 | CP |
| 90853:HX | NA | N | Group Therapy (Non Medi-Cal) | G | 18 | 44 | 1&2&3&4&5&6&7&8&18 | CP |
| 90885:59 | H0032:HE:59 | N | Record Review Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90885:76 | H0032:HE:76 | N | Record Review Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90885:HX | NA | Record Review (Non Medi-Cal) | I | 18 | 44 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP | |
| 90887:59 | H2015:HE:59 | N | Collateral Dup59 | I | 18 | 10 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90887:76 | H2015:HE:76 | N | Collateral Dup76 Dup76 | I | 18 | 10 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90887:HE:HQ | H2015:HE | N | Group Collateral | G | 18 | 10 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90887:HE:HQ:59 | H2015:HE:59 | N | Group Collateral Dup59 | G | 18 | 10 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90887:HE:HQ:76 | H2015:HE:76 | N | Group Collateral Dup76 | G | 18 | 10 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90887:HX | NA | Collateral (Non Medi-Cal) | I | 18 | 44 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP | |
| 90887:SC | H2015:HE:SC | N | Collateral Phone | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90887:SC:59 | H2015:HE:SC:59 | N | Collateral Phone Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90887:SC:76 | H2015:HE:SC:76 | N | Collateral Phone Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90889:59 | H2017:HE:59 | N | No Contact – Report Writing Duplicate (Procedural Service) | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90889:76 | H2017:HE:76 | N | No Contact – Report Writing Duplicate (Repeat Procedure) Duplicate (Repeat Procedure) | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| 90889:HX | NA | Report Writing (Non Medi-Cal) | I | 18 | 44 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP | |
| 96101:59 | H2015:HE:59 | N | Psych Test by psych or psychol Dup59 | I | 18 | 34 | 1&4 | CP |
| 96101:76 | H2015:HE:76 | N | Psych Test by psych or psychol Dup76 | I | 18 | 34 | 1&4 | CP |
| 96101:HX | NA | Psych Test by MD or PhD (Non Medi-Cal) | I | 18 | 44 | 1&4 | CP | |
| 96102:59 | H2015:HE:59 | N | Psych Test by technician Dup59 | I | 18 | 34 | 1&4 | CP |
| 96102:76 | H2015:HE:76 | N | Psych Test by technician Dup76 | I | 18 | 34 | 1&4 | CP |
| 96102:HX | NA | Psych Test by technician (Non Medi-Cal) | I | 18 | 44 | 1&4 | CP | |
| 96103:59 | H2015:HE:59 | N | Psych Test by computer Dup59 | I | 18 | 34 | 1&4 | CP |
| 96103:76 | H2015:HE:76 | N | Psych Test by computer Dup76 | I | 18 | 34 | 1&4 | CP |
| 96103:HX | NA | Psych Test by computer (Non Medi-Cal) | I | 18 | 44 | 1&4 | CP | |
| 96105:59 | H2015:HE:59 | N | Psych Test Aphasia-QHCP, Admin by Computer Dup59 | I | 18 | 34 | 1&4 | CP |
| 96105:76 | H2015:HE:76 | N | Psych Test Aphasia-QHCP, Admin by Computer Dup76 | I | 18 | 34 | 1&4 | CP |
| 96105:HX | NA | Psych Test Asses Aphasia-QHCP,Cmptr Admn (Non Medi-Cal) | I | 18 | 44 | 1&4 | CP | |
| 96110:59 | H2015:HE:59 | N | Psych Test Developmental, Limited Dup59 | I | 18 | 34 | 1&4 | CP |
| 96110:76 | H2015:HE:76 | N | Psych Test Developmental, Limited Dup76 | I | 18 | 34 | 1&4 | CP |
| 96110:HX | NA | Psych Test Develmental, Limited (Non Medi-Cal) | I | 18 | 44 | 1&4 | CP | |
| 96111:59 | H2015:HE:59 | N | Psych Test Developmental, Extended Dup59 | I | 18 | 34 | 1&4 | CP |
| 96111:76 | H2015:HE:76 | N | Psych Test Developmental, Extended Dup76 | I | 18 | 34 | 1&4 | CP |
| 96111:HX | NA | Psych Test Developmental, Extended (Non Medi-Cal) | I | 18 | 44 | 1&4 | CP | |
| 96116:59 | H2015:HE:59 | N | Psych Test Neurobehavioral Status Dup59 | I | 18 | 34 | 1&4 | CP |
| 96116:76 | H2015:HE:76 | N | Psych Test Neurobehavioral Status Dup76 | I | 18 | 34 | 1&4 | CP |
| 96116:HX | NA | Psych Test Neurobehavioral Status (Non Medi-Cal) | I | 18 | 44 | 1&4 | CP | |
| 96118:59 | H2015:HE:59 | N | Psych Test Neuropsych Licensed Psych/MD Dup59 | I | 18 | 34 | 1&4 | CP |
| 96118:76 | H2015:HE:76 | N | Psych Test Neuropsych Licensed Psych/MD Dup76 | I | 18 | 34 | 1&4 | CP |
| 96118:HX | NA | Psych Test Neuropsych Licensed Psych/MD (Non Medi-Cal) | I | 18 | 44 | 1&4 | CP | |
| 96119:59 | H2015:HE:59 | N | Psych Test Neuropsych-QHCPDup59 | I | 18 | 34 | 1&4 | CP |
| 96119:76 | H2015:HE:76 | N | Psych Test Neuropsych-QHCPDup76 | I | 18 | 34 | 1&4 | CP |
| 96119:HX | NA | Psych Test Neuropsych-QHCP (Non Medi-Cal) | I | 18 | 44 | 1&4 | CP | |
| 96120:59 | H2015:HE:59 | N | Psych Test Neuropsych-QHCP, Admin by ComputerDup59 | I | 18 | 34 | 1&4 | CP |
| 96120:76 | H2015:HE:76 | N | Psych Test Neuropsych-QHCP, Admin by ComputerDup76 | I | 18 | 34 | 1&4 | CP |
| 96120:HX | NA | Psych Test Neuropsych-QHCP, Admin by Computer (Non Medi-Cal) | I | 18 | 44 | 1&4 | CP | |
| 96125:HX | NA | Psych Test Standardized Cog Performance Test (Non Medi-Cal) | I | 18 | 44 | 1&4 | CP | |
| 96372:59 | H2010:HE:59 | N | Injection – Intramuscular Dup59 | I | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| 96372:76 | H2010:HE:76 | N | Injection – Intramuscular Dup76 | I | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| 99201:59 | H2010:HE:59 | N | E&M New Client Minor Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99201:76 | H2010:HE:76 | N | E&M New Client Minor Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99201:GT | H2010:HE:GT | N | E&M New Client Minor Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99201:GT:59 | H2010:HE:GT:59 | N | E&M New Client Minor Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99201:HX | NA | N | E&M New Client Minor Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP |
| 99201GT:76 | H2010:HE:GT:76 | N | E&M New Client Minor Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99202:59 | H2010:HE:59 | N | E&M New Client Low/Mod Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99202:76 | H2010:HE:76 | N | E&M New Client Low/Mod Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99202:GT | H2010:HE:GT | N | E&M New Client Low/Mod Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99202:GT:59 | H2010:HE:GT:59 | N | E&M New Client Low/Mod Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99202:GT:76 | H2010:HE:GT:76 | N | E&M New Client Low/Mod Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99202:HX | NA | N | E&M New Client Low/Mod Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP |
| 99203:59 | H2010:HE:59 | N | E&M New Client Mod Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99203:76 | H2010:HE:76 | N | E&M New Client Mod Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99203:GT | H2010:HE:GT | N | E&M New Client Mod Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99203:GT:59 | H2010:HE:GT:59 | N | E&M New Client Mod Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99203:GT:76 | H2010:HE:GT:76 | N | E&M New Client Mod Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99203:HX | NA | N | E&M New Client Mod Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP |
| 99204:59 | H2010:HE:59 | N | E&M New Client Mod/High Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99204:76 | H2010:HE:76 | N | E&M New Client Mod/High Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99204:GT | H2010:HE:GT | N | E&M New Client Mod/High Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99204:GT:59 | H2010:HE:GT:59 | N | E&M New Client Mod/High Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99204:GT:76 | H2010:HE:GT:76 | N | E&M New Client Mod/High Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99204:HX | NA | N | E&M New Client Mod/High Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP |
| 99205:59 | H2010:HE:59 | N | E&M New Client Mod/High Sev/Complex Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99205:76 | H2010:HE:76 | N | E&M New Client Mod/High Sev/Complex Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99205:GT | H2010:HE:GT | N | E&M New Client Mod/High Sev/Complex TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99205:GT:59 | H2010:HE:GT:59 | N | E&M New Client Mod/High Sev/Complex TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99205:GT:76 | H2010:HE:GT:76 | N | E&M New Client Mod/High Sev/Complex TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99205:HX | NA | N | E&M New Client Mod/High Sev/Complex (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP |
| 99212:59 | H2010:HE:59 | N | E&M Estab Client Low/Mod Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99212:76 | H2010:HE:76 | N | E&M Estab Client Low/Mod Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99212:GT | H2010:HE:GT | N | E&M Estab Client Low/Mod Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99212:GT:59 | H2010:HE:GT:59 | N | E&M Estab Client Low/Mod Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99212:GT:76 | H2010:HE:GT:76 | N | E&M Estab Client Low/Mod Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99212:HX | NA | E&M Estab Client Low/Mod Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP | |
| 99213:59 | H2010:HE:59 | N | E&M Estab Client Mod Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99213:76 | H2010:HE:76 | N | E&M Estab Client Mod Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99213:GT | H2010:HE:GT | N | E&M Estab Client Mod Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99213:GT:59 | H2010:HE:GT:59 | N | E&M Estab Client Mod Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99213:GT:76 | H2010:HE:GT:76 | N | E&M Estab Client Mod Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99213:HX | NA | E&M Estab Client Mod Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP | |
| 99214:59 | H2010:HE:59 | N | E&M Estab Client Mod/High Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99214:76 | H2010:HE:76 | N | E&M Estab Client Mod/High Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99214:GT | H2010:HE:GT | N | E&M Estab Client Mod/High Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99214:GT:59 | H2010:HE:GT:59 | N | E&M Estab Client Mod/High Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99214:GT:76 | H2010:HE:GT:76 | N | E&M Estab Client Mod/High Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99214:HX | NA | E&M Estab Client Mod/High Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP | |
| 99215:59 | H2010:HE:59 | N | E&M Estab Client Mod/High Sev/Complex Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99215:76 | H2010:HE:76 | N | E&M Estab Client Mod/High Sev/Complex Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99215:GT | H2010:HE:GT | N | E&M Estab Client Mod/High Sev/Complex TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99215:GT:59 | H2010:HE:GT:59 | N | E&M Estab Client Mod/High Sev/Complex TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99215:GT:76 | H2010:HE:GT:76 | N | E&M Estab Client Mod/High Sev/Complex TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99215:HX | NA | E&M Estab Client Mod/High Sev/Complex (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP | |
| 99341:59 | H2010:HE:59 | N | E&M New Client Home Low Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99341:76 | H2010:HE:76 | N | E&M New Client Home Low Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99341:GT | H2010:HE:GT | N | E&M New Client Home Low Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99341:GT:59 | H2010:HE:GT:59 | N | E&M New Client Home Low Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99341:GT:76 | H2010:HE:GT:76 | N | E&M New Client Home Low Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99341:HX | NA | E&M New Client Home Low Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP | |
| 99342:59 | H2010:HE:59 | N | E&M New Client Home Mod Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99342:76 | H2010:HE:76 | N | E&M New Client Home Mod Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99342:GT | H2010:HE:GT | N | E&M New Client Home Mod Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99342:GT:59 | H2010:HE:GT:59 | N | E&M New Client Home Mod Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99342:GT:76 | H2010:HE:GT:76 | N | E&M New Client Home Mod Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99342:HX | NA | E&M New Client Home Mod Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP | |
| 99343:59 | H2010:HE:59 | N | E&M New Client Home Mod/High Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99343:76 | H2010:HE:76 | N | E&M New Client Home Mod/High Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99343:GT | H2010:HE:GT | N | E&M New Client Home Mod/High Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99343:GT:59 | H2010:HE:GT:59 | N | E&M New Client Home Mod/High Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99343:GT:76 | H2010:HE:GT:76 | N | E&M New Client Home Mod/High Sev TelePsyDup76 | I | 18 | 62 | 1&2&3 | CP |
| 99343:HX | NA | N | E&M New Client Home Mod/High Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP |
| 99344:59 | H2010:HE:59 | N | E&M New Client Home High Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99344:76 | H2010:HE:76 | N | E&M New Client Home High Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99344:GT | H2010:HE:GT | N | E&M New Client Home High Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99344:GT:59 | H2010:HE:GT:59 | N | E&M New Client Home High Sev TelePsyDup59 | I | 18 | 62 | 1&2&3 | CP |
| 99344:GT:76 | H2010:HE:GT:76 | N | E&M New Client Home High Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99344:HX | NA | E&M New Client Home High Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP | |
| 99345:59 | H2010:HE:59 | N | E&M New Client Home Unstable/Complex Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99345:76 | H2010:HE:76 | N | E&M New Client Home Unstable/Complex Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99345:GT | H2010:HE:GT | N | E&M New Client Home Unstable/Complex TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99345:GT:59 | H2010:HE:GT:59 | N | E&M New Client Home Unstable/Complex TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99345:GT:76 | H2010:HE:GT:76 | N | E&M New Client Home Unstable/Complex TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99345:HX | NA | N | E&M New Client Home Unstable/Complex (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP |
| 99347:59 | H2010:HE:59 | N | E&M Estab Client Home Low Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99347:76 | H2010:HE:76 | N | E&M Estab Client Home Low Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99347:GT | H2010:HE:GT | N | E&M Estab Client Home Low Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99347:GT:59 | H2010:HE:GT:59 | N | E&M Estab Client Home Low Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99347:GT:76 | H2010:HE:GT:76 | N | E&M Estab Client Home Low Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99347:HX | NA | E&M Estab Client Home Low Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP | |
| 99348:59 | H2010:HE:59 | N | E&M Estab Client Home Mod Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99348:76 | H2010:HE:76 | N | E&M Estab Client Home Mod Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99348:GT | H2010:HE:GT | N | E&M Estab Client Home Mod Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99348:GT:59 | H2010:HE:GT:59 | N | E&M Estab Client Home Mod Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99348:GT:76 | H2010:HE:GT:76 | N | E&M Estab Client Home Mod Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99348:HX | NA | E&M Estab Client Home Mod Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP | |
| 99349:59 | H2010:HE:59 | N | E&M Estab Client Home Mod/High Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99349:76 | H2010:HE:76 | N | E&M Estab Client Home Mod/High Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99349:GT | H2010:HE:GT | N | E&M Estab Client Home Mod/High Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99349:GT:59 | H2010:HE:GT:59 | N | E&M Estab Client Home Mod/High Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99349:GT:76 | H2010:HE:GT:76 | N | E&M Estab Client Home Mod/High Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99349:HX | NA | E&M Estab Client Home Mod/High Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP | |
| 99350:59 | H2010:HE:59 | N | E&M Estab Client Home High Sev Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99350:76 | H2010:HE:76 | N | E&M Estab Client Home High Sev Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99350:GT | H2010:HE:GT | N | E&M Estab Client Home HIgh Sev TelePsy | I | 18 | 62 | 1&2&3 | CP |
| 99350:GT:59 | H2010:HE:GT:59 | N | E&M Estab Client Home HIgh Sev TelePsy Dup59 | I | 18 | 62 | 1&2&3 | CP |
| 99350:GT:76 | H2010:HE:GT:76 | N | E&M Estab Client Home HIgh Sev TelePsy Dup76 | I | 18 | 62 | 1&2&3 | CP |
| 99350:HX | NA | E&M Estab Client Home HIgh Sev (Non Medi-Cal) | I | 18 | 63 | 1&2&3 | CP | |
| G9007 | NA | N | Case Conference Attendance | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP |
| G9007:SC | NA | N | Case Conference Attendance Phone | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP |
| H0002 | H2015:HE | N | Behavioral Health Screening | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H0002:59 | H2015:HE:59 | N | Behavioral Health Screening Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H0002:76 | H2015:HE:76 | N | Behavioral Health Screening Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H0002:HX | NA | N | Behavioral Health Screening (Non Medi-Cal) | I | 18 | 44 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP |
| H0002:SC | H2015:HE:SC | N | Behavioral Health Screening Phone | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H0002:SC:59 | H2015:HE:SC:59 | N | Behavioral Health Screening Phone Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H0002:SC:76 | H2015:HE:SC:76 | N | Behavioral Health Screening Phone Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H0032 | H0032 | N | Plan Development | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H0032:59 | H0032:59 | N | Plan Development Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H0032:76 | H0032:76 | N | Plan Development Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H0032:HX | NA | Plan Development (Non Medi-Cal) | I | 18 | 44 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP | |
| H0032:SC | H0032:SC | N | Plan Development Phone | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H0032:SC:76 | H0032:SC:76 | N | Plan Development Phone Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H0033 | H2010:HE | N | Oral Medication Administration | I | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| H0033:59 | H2010:HE:59 | N | Oral Medication Administration Dup59 | I | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| H0033:76 | H2010:HE:76 | N | Oral Medication Administration Dup76 | I | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| H0046 | H2015:HE | N | Psychotherapy 0-15 Min FF | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| H0046:59 | H2015:HE:59 | N | Psychotherapy 0-15 Min FF Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| H0046:76 | H2015:HE:76 | N | Psychotherapy 0-15 Min FF Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| H0046:HX | NA | Psychotherapy 0-15 Min FF (Non Medi-Cal) | I | 18 | 44 | 1&2&3&4&5&6&7&8&18 | CP | |
| H0046:SC | H2015:HE:SC | N | Psychotherapy Phone | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| H0046:SC:59 | H2015:HE:SC:59 | N | Psychotherapy Phone Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| H0046:SC:76 | H2015:HE:SC:76 | N | Psychotherapy Phone Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&18 | CP |
| H2010:GT | H2010:HE:GT | N | Medication Support TelePsy | I | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| H2010:GT:76 | H2010:HE:GT:76 | N | Medication Support TelePsy Dup76 | I | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| H2010:HE | H2010:HE | N | Medication Support | I | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| H2010:HE:HQ | H2010:HE | N | Group Medication | G | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| H2010:HE:HQ:HX | NA | N | Group Medication (Non Medi-Cal) | I | 18 | 63 | 1&2&3&7&8&9&10&14&15 | CP |
| H2010:HE:HQ5 | H2010:HE:59 | N | Group Medication Dup59 | G | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| H2010:HE:HQ7 | H2010:HE:76 | N | Group Medication Dup76 | G | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| H2010:HE:HX | NA | Medication Support (Non Medi-Cal) | I | 18 | 63 | 1&2&3&7&8&9&10&14&15 | CP | |
| H2010:SC | H2010:HE:SC | N | Medication Support Phone | I | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| H2010:SC:76 | H2010:HE:SC:76 | N | Medication Support Phone Dup76 | I | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| H2010HE:59 | H2010:HE:59 | N | Medication Support Dup59 | I | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| H2010HE:76 | H2010:HE:76 | N | Medication Support Dup76 | I | 18 | 62 | 1&2&3&7&8&9&10&14&15 | CP |
| H2011:GT | H2011:HE:GT | N | Crisis Intervention TelePsy | I | 18 | 77 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2011:GT:76 | H2011:HE:GT:76 | N | Crisis Intervention TelePsy Dup76 | I | 18 | 77 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2011:HE | H2011:HE | N | Crisis Intervention | I | 18 | 77 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2011:HE:76 | H2011:HE:76 | N | Crisis Intervention Dup76 | I | 18 | 77 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2011:HE:HX | NA | Crisis Intervention (Non Medi-Cal) | I | 18 | 78 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP | |
| H2011:SC | H2011:HE:SC | N | Crisis Intervention Phone | I | 18 | 77 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2011:SC:76 | H2011:HE:SC:76 | N | Crisis Intervention Phone Dup76 | I | 18 | 77 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015 | H2017:HE | N | Rehab | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:59 | H2017:HE:59 | N | Rehab Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:76 | H2017:HE:76 | N | Rehab Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:HE:HQ | H2015:HE | N | Group Rehab | G | 18 | 52 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:HE:HQ:59 | H2017:HE:59 | N | Group Rehab Dup59 | G | 18 | 52 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:HE:HQ:76 | H2017:HE:76 | N | Group Rehab Dup76 | G | 18 | 52 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:HE:HQ:HX | NA | N | Group Rehab (Non Medi-Cal) | G | 18 | 44 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP |
| H2015:HK | H2015:HK | N | IHBS | I | 18 | 57 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:HK:76 | H2015:HK:76 | N | IHBS Dup76 | I | 18 | 57 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:HK:GT | H2015:HK:GT | N | IHBS TelePsy | I | 18 | 57 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:HK:GT:76 | H2015:HK:GT:76 | N | IHBS TelePsy Dup76 | I | 18 | 57 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:HK:HX | NA | N | IHBS (Non Medi-Cal) | I | 18 | 44 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP |
| H2015:HK:SC | H2015:HK:SC | N | IHBS Phone | I | 18 | 57 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:HK:SC:76 | H2015:HK:SC:76 | N | IHBS Phone Dup76 | I | 18 | 57 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:HX | NA | Rehab (Non Medi-Cal) | I | 18 | 44 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP | |
| H2015:SC | H2017:HE:SC | N | Rehab Phone | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:SC:59 | H2017:HE:SC:59 | N | Rehab Phone Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2015:SC:76 | H2017:HE:SC:76 | N | Rehab Phone Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2019:HE | H2019:HE | N | TBS | I | 18 | 58 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2019:HE:76 | H2019:HE:76 | N | TBS Dup76 | I | 18 | 58 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2019:HE:HX | NA | TBS (Non Medi-Cal) | I | 18 | 59 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP | |
| H2019:SC | H2019:HE:SC | N | TBS Phone | I | 18 | 58 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2019:SC:76 | H2019:HE:SC:76 | N | TBS Phone Dup76 | I | 18 | 58 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2025 | H2017:HE | N | Employment Maintenance | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2025:59 | H2017:HE:59 | N | Employment Maintenance Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2025:76 | H2017:HE:76 | N | Employment Maintenance Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2025:HX | NA | N | Employment Maintenance (NonMedi-Cal) | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP |
| H2025:SC | H2017:HE:SC | N | Employment Maintenance Phone | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2025:SC:59 | H2017:HE:SC:59 | N | Employment Maintenance Phone Dup59 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| H2025:SC:76 | H2017:HE:SC:76 | N | Employment Maintenance Phone Dup76 | I | 18 | 42 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| M0064 | H2010:HE | Yes: 9/15/15 | Brief Med Visit | I | 18 | 62 | 1&2&3&14 | CP |
| M0064:59 | H2010:HE:59 | Yes: 9/15/15 | Brief Med Visit Dup59 | I | 18 | 62 | 1&2&3&14 | CP |
| M0064:76 | H2010:HE:76 | Yes: 9/15/15 | Brief Med Visit Dup76 | I | 18 | 62 | 1&2&3&14 | CP |
| M0064:GT | H2010:HE:GT | Yes: 9/15/15 | Brief Med Visit TelePsy | I | 18 | 62 | 1&2&3&14 | CP |
| M0064:GT:76 | H2010:HE:GT:76 | Yes: 9/15/15 | Brief Med Visit TelePsy Dup76 | I | 18 | 62 | 1&2&3&14 | CP |
| M0064:HX | NA | Yes: 9/15/15 | Brief Med Visit (Non Medi-Cal) | I | 18 | 63 | 1&2&3&14 | CP |
| T1017:HE:HS | T1017:HE | N | Targeted Case Management | I | 18 | 4 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| T1017:HE:HS:76 | T1017:HE:76 | N | Targeted Case Management Dup76 | I | 18 | 4 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| T1017:HE:HS:HX | NA | Targeted Case Management (Non Medi-Cal) | I | 18 | 5 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP | |
| T1017:HK | T1017:HK | N | ICC | I | 18 | 57 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| T1017:HK:76 | T1017:HK:76 | N | ICC Dup76 | I | 18 | 07 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| T1017:HK:GT | T1017:HK:GT | N | ICC TelePsy | I | 18 | 07 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| T1017:HK:GT:76 | T1017:HK:GT:76 | N | ICC TelePsy Dup76 | I | 18 | 07 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| T1017:HK:HX | T1017:HK:HX | N | ICC (Non Medi-Cal) | I | 18 | 5 | 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 | CP |
| T1017:HK:SC | T1017:HK:SC | N | ICC Phone | I | 18 | 07 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| T1017:HK:SC:76 | T1017:HK:SC:76 | N | ICC Phone Dup76 | I | 18 | 07 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| T1017:SC | T1017:HE:SC | N | Targeted Case Management Phone | I | 18 | 4 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |
| T1017:SC:76 | T1017:HE:SC:76 | N | Targeted Case Management Phone Dup76 | I | 18 | 4 | 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 | CP |