{"procedure":{"code_type":"CPT","code":"96159","lay_name":"One-on-one health behavior counseling, each extra 15 minutes","blurb":"Billed once for each additional 15 minutes of individual health behavior counseling beyond the first 30 minutes.","slug":"cpt-96159-one-on-one-health-behavior-counseling-each-extra-15-minutes","description":"Health Behavior Ivntj Indiv F2f Ea Addl 15 Min","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"218","label":"Psychological and psychiatric evaluation and therapy","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":"2024-10-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":791,"n_usable":727,"n_not_usable":0,"n_labelled":14,"n_no_cash":50,"n_estimated":0,"n_states":48,"cash_p10":23.7,"cash_p20":34.08,"cash_p25":38.35,"cash_p50":61.12,"cash_p75":109.59,"cash_p80":117.5,"cash_p90":171.0,"cash_mean_trimmed":66.58,"gross_p50":104.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":75,"p20":61.93,"p50":123.76,"p80":253.12},{"state":"CO","n":13,"p20":46.2,"p50":53.9,"p80":79.35},{"state":"CT","n":7,"p20":null,"p50":null,"p80":null},{"state":"FL","n":32,"p20":36.4,"p50":76.45,"p80":143.0},{"state":"GA","n":19,"p20":59.67,"p50":59.67,"p80":105.0},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":52.8,"p50":52.8,"p80":55.2},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":23,"p20":29.75,"p50":40.2,"p80":117.5},{"state":"IN","n":32,"p20":47.4,"p50":64.31,"p80":73.91},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":7,"p20":null,"p50":null,"p80":null},{"state":"LA","n":9,"p20":null,"p50":null,"p80":null},{"state":"MA","n":15,"p20":49.0,"p50":66.0,"p80":182.7},{"state":"MD","n":8,"p20":null,"p50":null,"p80":null},{"state":"ME","n":4,"p20":null,"p50":null,"p80":null},{"state":"MI","n":45,"p20":23.7,"p50":41.0,"p80":62.4},{"state":"MN","n":15,"p20":57.69,"p50":74.8,"p80":74.8},{"state":"MO","n":6,"p20":null,"p50":null,"p80":null},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":29,"p20":40.28,"p50":72.5,"p80":111.72},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":26,"p20":17.0,"p50":63.0,"p80":134.88},{"state":"OH","n":45,"p20":70.5,"p50":115.5,"p80":124.8},{"state":"OK","n":12,"p20":39.9,"p50":39.9,"p80":39.9},{"state":"OR","n":27,"p20":35.04,"p50":40.43,"p80":90.75},{"state":"PA","n":30,"p20":13.8,"p50":33.0,"p80":55.61},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":4,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":61,"p20":76.64,"p50":102.71,"p80":112.87},{"state":"UT","n":3,"p20":null,"p50":null,"p80":null},{"state":"VA","n":24,"p20":15.18,"p50":50.5,"p80":74.0},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":17,"p20":37.44,"p50":47.2,"p80":73.05},{"state":"WI","n":38,"p20":34.2,"p50":40.3,"p80":106.23},{"state":"WV","n":9,"p20":null,"p50":null,"p80":null},{"state":"WY","n":4,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":589,"p20":34.2,"p50":64.31,"p80":123.76},{"key":"childrens","n":32,"p20":47.4,"p50":74.7,"p80":157.5},{"key":"critical_access","n":103,"p20":31.85,"p50":50.09,"p80":88.8}],"ownership":[{"key":"for_profit","n":46,"p20":29.75,"p50":76.06,"p80":115.5},{"key":"government","n":104,"p20":31.85,"p50":55.2,"p80":76.64},{"key":"nonprofit","n":574,"p20":34.2,"p50":61.93,"p80":123.76}],"affiliation":[{"key":"affiliated","n":621,"p20":34.2,"p50":64.0,"p80":122.23},{"key":"independent","n":106,"p20":31.85,"p50":53.0,"p80":98.8}]},"histogram":[{"lo":15.34,"hi":20.03,"n":17},{"lo":20.03,"hi":26.15,"n":43},{"lo":26.15,"hi":34.15,"n":50},{"lo":34.15,"hi":44.59,"n":109},{"lo":44.59,"hi":58.22,"n":86},{"lo":58.22,"hi":76.03,"n":105},{"lo":76.03,"hi":99.27,"n":61},{"lo":99.27,"hi":129.62,"n":112},{"lo":129.62,"hi":169.25,"n":31},{"lo":169.25,"hi":221.0,"n":41}],"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":"2024-10-01","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":636,"n_usable":598,"n_not_usable":0,"n_labelled":13,"n_no_cash":25,"n_estimated":0,"n_states":46,"cash_p10":27.16,"cash_p20":37.44,"cash_p25":40.3,"cash_p50":67.22,"cash_p75":112.87,"cash_p80":123.76,"cash_p90":175.7,"cash_mean_trimmed":72.75,"gross_p50":110.0,"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":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":73,"p20":61.93,"p50":123.76,"p80":253.12},{"state":"CO","n":11,"p20":46.2,"p50":53.9,"p80":79.35},{"state":"CT","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":25,"p20":30.0,"p50":76.45,"p80":80.0},{"state":"GA","n":19,"p20":59.67,"p50":59.67,"p80":105.0},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":40.6,"p50":52.8,"p80":52.8},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":19,"p20":29.75,"p50":52.8,"p80":122.4},{"state":"IN","n":31,"p20":50.08,"p50":67.0,"p80":73.91},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":7,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":15,"p20":49.0,"p50":66.0,"p80":182.7},{"state":"MD","n":6,"p20":null,"p50":null,"p80":null},{"state":"ME","n":4,"p20":null,"p50":null,"p80":null},{"state":"MI","n":29,"p20":40.3,"p50":41.0,"p80":171.0},{"state":"MN","n":16,"p20":57.69,"p50":74.8,"p80":74.8},{"state":"MO","n":4,"p20":null,"p50":null,"p80":null},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":22,"p20":40.28,"p50":72.5,"p80":72.5},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":17,"p20":21.0,"p50":109.59,"p80":134.88},{"state":"OH","n":41,"p20":76.95,"p50":115.5,"p80":124.8},{"state":"OK","n":11,"p20":39.9,"p50":39.9,"p80":39.9},{"state":"OR","n":17,"p20":38.35,"p50":59.8,"p80":90.75},{"state":"PA","n":28,"p20":33.0,"p50":55.61,"p80":125.58},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":4,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":51,"p20":76.64,"p50":102.71,"p80":112.87},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":25,"p20":15.18,"p50":50.5,"p80":72.8},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":14,"p20":37.44,"p50":47.2,"p80":76.0},{"state":"WI","n":36,"p20":34.2,"p50":40.3,"p80":100.0},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":497,"p20":38.35,"p50":71.0,"p80":123.76},{"key":"childrens","n":23,"p20":47.4,"p50":97.0,"p80":185.0},{"key":"critical_access","n":75,"p20":33.75,"p50":46.5,"p80":90.55}],"ownership":[{"key":"for_profit","n":41,"p20":29.75,"p50":66.0,"p80":112.87},{"key":"government","n":78,"p20":31.85,"p50":59.67,"p80":76.64},{"key":"nonprofit","n":476,"p20":39.9,"p50":70.5,"p80":124.8}],"affiliation":[{"key":"affiliated","n":528,"p20":38.35,"p50":72.5,"p80":123.76},{"key":"independent","n":70,"p20":30.69,"p50":52.5,"p80":102.15}]},"histogram":[{"lo":18.9,"hi":24.3,"n":23},{"lo":24.3,"hi":31.23,"n":34},{"lo":31.23,"hi":40.15,"n":56},{"lo":40.15,"hi":51.62,"n":79},{"lo":51.62,"hi":66.36,"n":72},{"lo":66.36,"hi":85.31,"n":82},{"lo":85.31,"hi":109.67,"n":59},{"lo":109.67,"hi":140.99,"n":82},{"lo":140.99,"hi":181.25,"n":27},{"lo":181.25,"hi":233.0,"n":29}],"previous":null}},"related":[{"code_type":"CPT","code":"96125","lay_name":"Standardized cognitive testing by a clinician, per hour","slug":"cpt-96125-standardized-cognitive-testing-by-a-clinician-per-hour"},{"code_type":"CPT","code":"90832","lay_name":"Psychotherapy session, about 30 minutes","slug":"cpt-90832-psychotherapy-session-about-30-minutes"},{"code_type":"CPT","code":"90834","lay_name":"Psychotherapy session, about 45 minutes","slug":"cpt-90834-psychotherapy-session-about-45-minutes"},{"code_type":"CPT","code":"90837","lay_name":"Psychotherapy session, 60 minutes","slug":"cpt-90837-psychotherapy-session-60-minutes"},{"code_type":"CPT","code":"90791","lay_name":"Psychiatric diagnostic evaluation","slug":"cpt-90791-psychiatric-diagnostic-evaluation"},{"code_type":"CPT","code":"90853","lay_name":"Group therapy session","slug":"cpt-90853-group-therapy-session"},{"code_type":"CPT","code":"90847","lay_name":"Family therapy with the patient present, 50 minutes","slug":"cpt-90847-family-therapy-with-the-patient-present-50-minutes"},{"code_type":"CPT","code":"90846","lay_name":"Family therapy without the patient present, 50 minutes","slug":"cpt-90846-family-therapy-without-the-patient-present-50-minutes"},{"code_type":"CPT","code":"90792","lay_name":"Psychiatric diagnostic evaluation with medical services","slug":"cpt-90792-psychiatric-diagnostic-evaluation-with-medical-services"},{"code_type":"CPT","code":"90839","lay_name":"Crisis psychotherapy, first 60 minutes","slug":"cpt-90839-crisis-psychotherapy-first-60-minutes"},{"code_type":"CPT","code":"96127","lay_name":"Brief screening for emotional or behavioral problems","slug":"cpt-96127-brief-screening-for-emotional-or-behavioral-problems"},{"code_type":"CPT","code":"96116","lay_name":"Exam of thinking and behavior by a clinician, first hour","slug":"cpt-96116-exam-of-thinking-and-behavior-by-a-clinician-first-hour"}]}