Fee Schedule – Kelly Slama-McManus - Axon Health Associates

CODE	SERVICE DESCRIPTION	FEE
99205 & 96127 or 96110	Primary Assessment: 90 Minute Visit Includes Scoring of Behavioral/Mood Scales and Review of all Records	$350
99214	Behavior or Medication Management: up to 30 Minute Follow Up Visit	$150
99215 and 99417	Therapeutic Counseling/Parenting/Child Therapy: 60 Minute Visit	$240
99214 and 90833	Medication Management and Therapeutic Counseling/Parent and Child Therapy: 60 Minute Visit	$250
96127	Completion of Forms or Scoring of Behavioral or Mood Surveys, Not at Initial Visit	$15
Non-Billable	School Conference	$50
Records Request	Record Retrieval	$25 + $.25/page over 10 pages
Records Request	Record Retrieval 1-2 day Service	$35 + $.25/page over 10 pages

**50% of estimated court fees must be paid prior to testifying; this is used as a retainer.

Please note that the fee schedule above is by no means a comprehensive list. The majority of appointments utilize the codes and fee structure above, though changes may occur depending on the complexity or type of appointment. We will do our best to discuss such changes with you ahead of time.

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