{"procedure":{"code_type":"CPT","code":"95991","lay_name":"Drug pump refill needing a physician's skill","blurb":"Refilling and maintenance of an implanted pump delivering medication to the spinal fluid or brain when the work requires a physician or other qualified health professional.","slug":"cpt-95991-drug-pump-refill-needing-a-physician-s-skill","description":"Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"8","label":"Other non-OR or closed therapeutic nervous system procedures","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2024-01-24","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":1042,"n_usable":992,"n_not_usable":0,"n_labelled":26,"n_no_cash":24,"n_estimated":0,"n_states":50,"cash_p10":101.79,"cash_p20":163.68,"cash_p25":199.5,"cash_p50":362.05,"cash_p75":589.2,"cash_p80":736.4,"cash_p90":1211.4,"cash_mean_trimmed":375.25,"gross_p50":655.0,"cash_to_gross_p50":0.6,"medicare_rate":313.6,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.1545,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":12,"p20":117.04,"p50":196.0,"p80":648.0},{"state":"AR","n":5,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":15,"p20":158.0,"p50":962.0,"p80":962.0},{"state":"CA","n":84,"p20":462.72,"p50":825.2,"p80":1524.0},{"state":"CO","n":25,"p20":333.0,"p50":358.08,"p80":842.61},{"state":"CT","n":6,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":41,"p20":455.4,"p50":458.99,"p80":807.57},{"state":"GA","n":22,"p20":366.6,"p50":366.6,"p80":1373.0},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":230.26,"p50":246.4,"p80":538.6},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":42,"p20":119.46,"p50":296.0,"p80":538.6},{"state":"IN","n":13,"p20":95.2,"p50":167.3,"p80":338.0},{"state":"KS","n":17,"p20":100.0,"p50":202.19,"p80":289.0},{"state":"KY","n":19,"p20":95.41,"p50":319.03,"p80":1088.29},{"state":"LA","n":19,"p20":91.98,"p50":155.65,"p80":329.0},{"state":"MA","n":18,"p20":325.31,"p50":675.0,"p80":1393.5},{"state":"MD","n":7,"p20":null,"p50":null,"p80":null},{"state":"ME","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":31,"p20":124.0,"p50":224.8,"p80":422.07},{"state":"MN","n":20,"p20":287.8,"p50":444.4,"p80":444.4},{"state":"MO","n":28,"p20":145.8,"p50":210.0,"p80":427.8},{"state":"MS","n":14,"p20":97.02,"p50":125.18,"p80":264.0},{"state":"MT","n":9,"p20":null,"p50":null,"p80":null},{"state":"NC","n":33,"p20":143.1,"p50":180.08,"p80":393.0},{"state":"ND","n":9,"p20":null,"p50":null,"p80":null},{"state":"NE","n":20,"p20":91.2,"p50":201.18,"p80":278.4},{"state":"NH","n":7,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":18,"p20":326.73,"p50":347.63,"p80":946.0},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":30,"p20":313.6,"p50":349.32,"p80":451.26},{"state":"OH","n":67,"p20":330.8,"p50":561.6,"p80":1324.05},{"state":"OK","n":14,"p20":77.7,"p50":77.7,"p80":236.16},{"state":"OR","n":12,"p20":198.9,"p50":198.9,"p80":867.82},{"state":"PA","n":53,"p20":60.0,"p50":362.65,"p80":499.13},{"state":"RI","n":6,"p20":null,"p50":null,"p80":null},{"state":"SC","n":9,"p20":null,"p50":null,"p80":null},{"state":"SD","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":13,"p20":101.79,"p50":189.54,"p80":387.08},{"state":"TX","n":83,"p20":229.8,"p50":400.0,"p80":561.96},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":23,"p20":146.4,"p50":262.0,"p80":424.0},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":26,"p20":246.47,"p50":331.6,"p80":457.47},{"state":"WI","n":51,"p20":362.05,"p50":420.85,"p80":488.4},{"state":"WV","n":20,"p20":280.0,"p50":306.5,"p80":353.0},{"state":"WY","n":4,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":801,"p20":180.08,"p50":364.35,"p80":735.2},{"key":"childrens","n":44,"p20":153.12,"p50":487.38,"p80":1346.09},{"key":"critical_access","n":141,"p20":107.1,"p50":294.0,"p80":444.4}],"ownership":[{"key":"for_profit","n":115,"p20":202.63,"p50":436.49,"p80":1038.0},{"key":"government","n":108,"p20":137.4,"p50":242.0,"p80":422.4},{"key":"nonprofit","n":763,"p20":163.68,"p50":362.05,"p80":735.2}],"affiliation":[{"key":"affiliated","n":872,"p20":180.08,"p50":366.6,"p80":749.0},{"key":"independent","n":120,"p20":99.75,"p50":239.4,"p80":600.75}]},"histogram":[{"lo":77.7,"hi":104.64,"n":64},{"lo":104.64,"hi":140.91,"n":54},{"lo":140.91,"hi":189.75,"n":65},{"lo":189.75,"hi":255.53,"n":97},{"lo":255.53,"hi":344.11,"n":109},{"lo":344.11,"hi":463.4,"n":244},{"lo":463.4,"hi":624.04,"n":75},{"lo":624.04,"hi":840.37,"n":61},{"lo":840.37,"hi":1131.69,"n":72},{"lo":1131.69,"hi":1524.0,"n":58}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":761,"n_usable":724,"n_not_usable":0,"n_labelled":15,"n_no_cash":22,"n_estimated":0,"n_states":48,"cash_p10":112.0,"cash_p20":196.94,"cash_p25":226.2,"cash_p50":386.29,"cash_p75":643.76,"cash_p80":819.4,"cash_p90":1288.0,"cash_mean_trimmed":408.18,"gross_p50":709.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":10,"p20":195.47,"p50":288.75,"p80":648.0},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":14,"p20":158.0,"p50":962.0,"p80":962.0},{"state":"CA","n":76,"p20":573.75,"p50":772.2,"p80":1288.0},{"state":"CO","n":23,"p20":333.0,"p50":358.08,"p80":842.61},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":32,"p20":455.4,"p50":458.99,"p80":807.57},{"state":"GA","n":18,"p20":366.6,"p50":366.6,"p80":1373.0},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":17,"p20":246.4,"p50":257.68,"p80":538.6},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":39,"p20":150.0,"p50":382.0,"p80":735.0},{"state":"IN","n":8,"p20":null,"p50":null,"p80":null},{"state":"KS","n":9,"p20":null,"p50":null,"p80":null},{"state":"KY","n":9,"p20":null,"p50":null,"p80":null},{"state":"LA","n":7,"p20":null,"p50":null,"p80":null},{"state":"MA","n":16,"p20":371.57,"p50":675.0,"p80":920.1},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":18,"p20":146.45,"p50":309.0,"p80":424.0},{"state":"MN","n":10,"p20":285.41,"p50":314.98,"p80":476.52},{"state":"MO","n":14,"p20":176.8,"p50":210.0,"p80":387.0},{"state":"MS","n":5,"p20":null,"p50":null,"p80":null},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":27,"p20":113.12,"p50":180.08,"p80":331.5},{"state":"ND","n":7,"p20":null,"p50":null,"p80":null},{"state":"NE","n":11,"p20":96.75,"p50":201.18,"p80":241.5},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":8,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":12,"p20":110.0,"p50":449.22,"p80":972.0},{"state":"OH","n":61,"p20":330.8,"p50":561.6,"p80":1324.05},{"state":"OK","n":12,"p20":77.7,"p50":77.7,"p80":77.7},{"state":"OR","n":10,"p20":89.64,"p50":198.9,"p80":867.82},{"state":"PA","n":37,"p20":348.98,"p50":407.4,"p80":662.76},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":5,"p20":null,"p50":null,"p80":null},{"state":"SD","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":11,"p20":101.79,"p50":133.06,"p80":387.08},{"state":"TX","n":67,"p20":229.8,"p50":400.0,"p80":442.28},{"state":"VA","n":22,"p20":262.0,"p50":262.0,"p80":424.0},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":23,"p20":260.08,"p50":377.39,"p80":457.47},{"state":"WI","n":43,"p20":362.05,"p50":420.85,"p80":497.1},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":610,"p20":198.9,"p50":390.91,"p80":807.57},{"key":"childrens","n":23,"p20":153.12,"p50":352.5,"p80":1001.25},{"key":"critical_access","n":85,"p20":192.08,"p50":362.05,"p80":522.73}],"ownership":[{"key":"for_profit","n":75,"p20":165.25,"p50":371.57,"p80":807.57},{"key":"government","n":65,"p20":137.25,"p50":228.0,"p80":436.45},{"key":"nonprofit","n":578,"p20":204.0,"p50":399.84,"p80":842.61}],"affiliation":[{"key":"affiliated","n":652,"p20":201.18,"p50":397.5,"p80":842.61},{"key":"independent","n":72,"p20":107.1,"p50":245.4,"p80":548.8}]},"histogram":[{"lo":91.2,"hi":120.86,"n":44},{"lo":120.86,"hi":160.17,"n":33},{"lo":160.17,"hi":212.27,"n":52},{"lo":212.27,"hi":281.31,"n":67},{"lo":281.31,"hi":372.81,"n":115},{"lo":372.81,"hi":494.07,"n":134},{"lo":494.07,"hi":654.77,"n":69},{"lo":654.77,"hi":867.73,"n":43},{"lo":867.73,"hi":1149.97,"n":53},{"lo":1149.97,"hi":1524.0,"n":42}],"previous":null}},"related":[{"code_type":"CPT","code":"64450","lay_name":"Nerve block injection of another peripheral nerve","slug":"cpt-64450-nerve-block-injection-of-another-peripheral-nerve"},{"code_type":"CPT","code":"95992","lay_name":"Repositioning maneuver for vertigo from inner ear crystals","slug":"cpt-95992-repositioning-maneuver-for-vertigo-from-inner-ear-crystals"},{"code_type":"CPT","code":"62273","lay_name":"Epidural blood patch injection","slug":"cpt-62273-epidural-blood-patch-injection"},{"code_type":"CPT","code":"64400","lay_name":"Nerve block injection into a facial sensation nerve branch","slug":"cpt-64400-nerve-block-injection-into-a-facial-sensation-nerve-branch"},{"code_type":"CPT","code":"64405","lay_name":"Nerve block injection at the back of the head","slug":"cpt-64405-nerve-block-injection-at-the-back-of-the-head"},{"code_type":"CPT","code":"64493","lay_name":"Low back facet joint nerve injection, first level","slug":"cpt-64493-low-back-facet-joint-nerve-injection-first-level"},{"code_type":"CPT","code":"64447","lay_name":"Femoral nerve block, single injection","slug":"cpt-64447-femoral-nerve-block-single-injection"},{"code_type":"CPT","code":"64420","lay_name":"Nerve block injection at one rib nerve level","slug":"cpt-64420-nerve-block-injection-at-one-rib-nerve-level"},{"code_type":"CPT","code":"64490","lay_name":"Neck or upper back facet joint nerve injection, first level","slug":"cpt-64490-neck-or-upper-back-facet-joint-nerve-injection-first-level"},{"code_type":"CPT","code":"64494","lay_name":"Low back facet joint nerve injection, second level","slug":"cpt-64494-low-back-facet-joint-nerve-injection-second-level"},{"code_type":"CPT","code":"64999","lay_name":"Unlisted procedure on the nervous system","slug":"cpt-64999-unlisted-procedure-on-the-nervous-system"},{"code_type":"CPT","code":"64445","lay_name":"Sciatic nerve block, single injection","slug":"cpt-64445-sciatic-nerve-block-single-injection"}]}