A computer-implemented system includes a treatment apparatus configured to be manipulated by a patient while performing a treatment plan, and a server computing device configured. The server computing device receives treatment plans that, when applied to patients, cause outcomes to be achieved by the patients, receives monetary value amounts associated with the treatment plans, where a respective monetary value amount of the monetary value amounts is associated with a respective treatment plan of the treatment plans. The server computing device receives constraints including rules pertaining to billing codes associated with the treatment plans. An artificial intelligence engine generates optimal treatment plans for a patient based on the treatment plans, the monetary value amounts, and the constraints, wherein each of the optimal treatment plans complies with the constraints and represents a patient outcome and an associated monetary value amount generated.