All Services, CPT Codes, & Fees
99422, 11-20 minutes Online digital evaluation and manage $31.00
90875, 20-30 min psychophysiological therapy w biofeedback $85.00
99423, 21+ MIN Online digital evaluation and management $50.00
90836, 38-52 MIN PSYCHO WITH MED SERV $125.00
90834, 45 Mins Psychotherapy $125.00
90837, 60 Min psychotherapy $125.00
90837, 60 MIN TELETHERAPy $125.00
90838, 60+ min Psych Eval with Med serv $125.00
99396, Annual physical/exam 40-64 $120.00
99394, Annual PX 12-15 $120.00
99395, Annual PX for 18-39 $120.00
97171, Athletic Training Evaluation, 45 mins, $150.00
97172, Athletic training, reevaluation, $65.00
90901, Biofeedback Session $125.00
123, Bounced Check Fee $12.50
96127, Brief emot/behav assmt, w/scor/ instru w/ med serv $30.00
00001, Business Consultation, $125.00
00002, Business Coaching, $300
00003, 2 Hour Intensive Trauma Resolution Session with Dean & Jessica, $ 1500
90792, Complete Psych Eval with Med Serv, $225.00
99215, Comprehensive medical follow up visit, $200.00
55555, Consultation $125.00
44444, Court Appearance $125.00
96110, Develop screening, per instrument, doc, and scoring $200.00
99404, EAP code $125.00
99213, Est Pat Office Visit- Intermediate $175.00
90847, Family therapy (patient present) $150.00
90846, Family therapy (without client present) $150.00
90853, Group Therapy $55.00
99202, Initial Medical Evaluation, $275.00
99205, Initial outpt encounter level 5, $225.00
90785, Interactive complexity (add on) $30.00
LENS70, LENS Follow Up Session $70.00
LENS12, LENS Session $125.00
222222, MEDICAL RECORDS REQUEST $25.00
00000, no show/late cancel $65.00
111111, No Show/Late Cancel Group $25.00
99214, Office Visit-- Moderate complexity $200.00
99421, Online digital evaluation and management service, $15.00
90837, OPTUM ONLY EAP $125.00
99417, Prolong office E&M serv -up 15min over 74min $50.00
90791, Psychiatric Diagnostic Interview, $150.00
90833, Psychotherapy 16-37 min with med serv, $75.00
90840, Psychotherapy for crisis (each adtl 30 mins) $100.00
90839, Psychotherapy for crisis first 60 mins, $225.00
90832, psychotherapy services rendered for 30 minutes $75.00
99457, Remote Patient Monitoring $85.00
90889, Report Writing for Client, per hour $125.00
SP100, Self Pay $100 $100.00
SP125, Self Pay $125 $125.00
SP150, Self Pay $150 $150.00
SP85, Self Pay $85 $85.00
99453, Setting up the client on remote patient monitoring $60.00
92508, SLP Group Session $55.00
92507, SLP Indiv Session $125.00
99080, Special Report info greater than stand med commun $25.00
90836, TELE 38-52 MIN PSYCHO WITH MED SERV $125.00
99215, Tele- Est Pat High Complexity $225.00
96127, TELEMED brief emo/bev assmt, w/ score, per inst $200.00
90792, Telemed Comp Psych Eval with med serv $225.00
99205, Telemed Initial oupt encoun level 5, $75.00
99354, Telemed Prolonged encounter up to 1 hr, $85.00
90833, Telemed Psychotherapy 16-37 min with med serv $75.00
96127 Telemed-Brief emot/behav assmt, w/ scoring /instr $30.00
99213, Telemedicine - Est Patient- Intermediate $175.00
99214, Telemedicine - Est Patient- Moderate $200.00
In an exclusive Q&A spotlight, Forward Counseling introduces Ranise M. Jacobs, MS, AMFT, an Associate Marriage and Family Therapist, Personal Growth Coach, and Arts Facilitator dedicated to helping clients navigate anxiety, trauma, and major life changes. Blending evidence-based modalities like CBT and SFBT with somatic grounding, nature-based ecotherapy, and creative expression, Ranise provides a compassionate, holistic space where every client is honored as the expert of their own healing journey. Whether you are a woman rebuilding self-worth after divorce or incarceration, a couple seeking deeper connection through EFT, or an individual looking to manage everyday stress, Ranise offers practical tools and expert guidance to help you reclaim your inner peace.