{"procedure":{"code_type":"CPT","code":"97169","lay_name":"Athletic training evaluation, low complexity","blurb":"An initial assessment by an athletic trainer for a straightforward problem, typically about 15 minutes of face-to-face time; billed once per evaluation.","slug":"cpt-97169-athletic-training-evaluation-low-complexity","description":"ATHLETIC TRN EVAL LOW CMPLX","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"212","label":"Diagnostic physical, occupational, and speech therapy","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2025-07-01","filing_date_max":"2026-09-18","checked_from":"2026-09-05T02:25:18.011110Z","checked_through":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":192,"n_usable":178,"n_not_usable":1,"n_labelled":9,"n_no_cash":4,"n_estimated":0,"n_states":27,"cash_p10":57.0,"cash_p20":80.8,"cash_p25":85.41,"cash_p50":153.15,"cash_p75":213.92,"cash_p80":213.92,"cash_p90":238.0,"cash_mean_trimmed":150.79,"gross_p50":224.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":20,"p20":213.92,"p50":213.92,"p80":213.92},{"state":"GA","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":11,"p20":80.8,"p50":80.8,"p80":80.8},{"state":"ID","n":5,"p20":null,"p50":null,"p80":null},{"state":"IL","n":5,"p20":null,"p50":null,"p80":null},{"state":"IN","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MI","n":5,"p20":null,"p50":null,"p80":null},{"state":"MN","n":4,"p20":null,"p50":null,"p80":null},{"state":"MO","n":5,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":4,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":4,"p20":null,"p50":null,"p80":null},{"state":"OH","n":17,"p20":187.63,"p50":207.0,"p80":234.28},{"state":"OK","n":4,"p20":null,"p50":null,"p80":null},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"TN","n":2,"p20":null,"p50":null,"p80":null},{"state":"TX","n":6,"p20":null,"p50":null,"p80":null},{"state":"VA","n":10,"p20":164.0,"p50":216.0,"p80":216.0},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":43,"p20":101.64,"p50":111.15,"p80":171.9},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":125,"p20":80.8,"p50":167.2,"p80":213.92},{"key":"childrens","n":3,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":50,"p20":65.1,"p50":111.15,"p80":186.4}],"ownership":[{"key":"for_profit","n":12,"p20":null,"p50":null,"p80":null},{"key":"government","n":21,"p20":36.0,"p50":98.7,"p80":234.28},{"key":"nonprofit","n":145,"p20":80.8,"p50":167.2,"p80":213.92}],"affiliation":[{"key":"affiliated","n":158,"p20":80.8,"p50":158.8,"p80":213.92},{"key":"independent","n":20,"p20":44.4,"p50":127.5,"p80":244.0}]},"histogram":[{"lo":36.0,"hi":44.59,"n":5},{"lo":44.59,"hi":55.23,"n":2},{"lo":55.23,"hi":68.41,"n":13},{"lo":68.41,"hi":84.74,"n":16},{"lo":84.74,"hi":104.96,"n":11},{"lo":104.96,"hi":130.0,"n":28},{"lo":130.0,"hi":161.03,"n":9},{"lo":161.03,"hi":199.45,"n":27},{"lo":199.45,"hi":247.05,"n":44},{"lo":247.05,"hi":306.0,"n":7}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2025-07-01","filing_date_max":"2026-08-19","checked_from":"2026-09-05T19:43:09.506842Z","checked_through":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":144,"n_usable":132,"n_not_usable":1,"n_labelled":7,"n_no_cash":4,"n_estimated":0,"n_states":20,"cash_p10":57.0,"cash_p20":80.8,"cash_p25":80.8,"cash_p50":153.95,"cash_p75":213.92,"cash_p80":213.92,"cash_p90":234.28,"cash_mean_trimmed":152.88,"gross_p50":239.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"CA","n":19,"p20":213.92,"p50":213.92,"p80":213.92},{"state":"GA","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":11,"p20":80.8,"p50":80.8,"p80":80.8},{"state":"ID","n":5,"p20":null,"p50":null,"p80":null},{"state":"IL","n":5,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":4,"p20":null,"p50":null,"p80":null},{"state":"MN","n":3,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":2,"p20":null,"p50":null,"p80":null},{"state":"OH","n":16,"p20":198.0,"p50":207.0,"p80":234.28},{"state":"OK","n":4,"p20":null,"p50":null,"p80":null},{"state":"TN","n":2,"p20":null,"p50":null,"p80":null},{"state":"TX","n":4,"p20":null,"p50":null,"p80":null},{"state":"VA","n":10,"p20":164.0,"p50":216.0,"p80":216.0},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":28,"p20":111.15,"p50":117.5,"p80":168.85}],"by_segment":{"hospital_type":[{"key":"acute","n":99,"p20":80.8,"p50":169.5,"p80":213.92},{"key":"childrens","n":1,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":32,"p20":65.1,"p50":111.15,"p80":169.69}],"ownership":[{"key":"for_profit","n":9,"p20":null,"p50":null,"p80":null},{"key":"government","n":15,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":108,"p20":80.8,"p50":168.85,"p80":213.92}],"affiliation":[{"key":"affiliated","n":123,"p20":80.8,"p50":164.0,"p80":213.92},{"key":"independent","n":9,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":42.0,"hi":50.45,"n":3},{"lo":50.45,"hi":60.59,"n":6},{"lo":60.59,"hi":72.77,"n":3},{"lo":72.77,"hi":87.4,"n":16},{"lo":87.4,"hi":104.98,"n":0},{"lo":104.98,"hi":126.09,"n":24},{"lo":126.09,"hi":151.44,"n":6},{"lo":151.44,"hi":181.9,"n":14},{"lo":181.9,"hi":218.47,"n":39},{"lo":218.47,"hi":262.4,"n":9}],"previous":null}},"related":[{"code_type":"CPT","code":"97162","lay_name":"Physical therapy evaluation, moderate complexity","slug":"cpt-97162-physical-therapy-evaluation-moderate-complexity"},{"code_type":"CPT","code":"97161","lay_name":"Physical therapy evaluation, low complexity","slug":"cpt-97161-physical-therapy-evaluation-low-complexity"},{"code_type":"CPT","code":"97163","lay_name":"Physical therapy evaluation, high complexity","slug":"cpt-97163-physical-therapy-evaluation-high-complexity"},{"code_type":"CPT","code":"97164","lay_name":"Physical therapy re-evaluation","slug":"cpt-97164-physical-therapy-re-evaluation"},{"code_type":"CPT","code":"97165","lay_name":"Occupational therapy evaluation, low complexity","slug":"cpt-97165-occupational-therapy-evaluation-low-complexity"},{"code_type":"CPT","code":"97166","lay_name":"Occupational therapy evaluation, moderate complexity","slug":"cpt-97166-occupational-therapy-evaluation-moderate-complexity"},{"code_type":"CPT","code":"92523","lay_name":"Speech sound and language evaluation","slug":"cpt-92523-speech-sound-and-language-evaluation"},{"code_type":"CPT","code":"97167","lay_name":"Occupational therapy evaluation, high complexity","slug":"cpt-97167-occupational-therapy-evaluation-high-complexity"},{"code_type":"CPT","code":"97168","lay_name":"Occupational therapy re-evaluation","slug":"cpt-97168-occupational-therapy-re-evaluation"},{"code_type":"CPT","code":"92522","lay_name":"Evaluation of speech sound production","slug":"cpt-92522-evaluation-of-speech-sound-production"},{"code_type":"CPT","code":"92521","lay_name":"Evaluation of speech fluency, such as stuttering","slug":"cpt-92521-evaluation-of-speech-fluency-such-as-stuttering"},{"code_type":"CPT","code":"97750","lay_name":"Physical performance testing, each 15 minutes","slug":"cpt-97750-physical-performance-testing-each-15-minutes"}]}