{"procedure":{"code_type":"CPT","code":"98013","lay_name":"Phone visit, established patient, low complexity","blurb":"A live telephone-only telehealth visit with a clinician for a patient already seen by that practice, involving low-complexity decision-making or about 20 minutes of total time on the day of the visit.","slug":"cpt-98013-phone-visit-established-patient-low-complexity","description":"Synchronous Audio-Only Visit Est Low Mdm 20 Min","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"245","label":"Telehealth (includes telephone calls, online communication, remote monitoring and surveillance)","surgery_flag":"n/a"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2025-05-31","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:49.482858Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":553,"n_usable":499,"n_not_usable":0,"n_labelled":7,"n_no_cash":47,"n_estimated":0,"n_states":47,"cash_p10":40.75,"cash_p20":59.5,"cash_p25":64.2,"cash_p50":109.8,"cash_p75":162.5,"cash_p80":184.0,"cash_p90":215.1,"cash_mean_trimmed":111.5,"gross_p50":163.0,"cash_to_gross_p50":0.68,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":6,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":4,"p20":null,"p50":null,"p80":null},{"state":"CA","n":26,"p20":86.24,"p50":86.24,"p80":86.24},{"state":"CO","n":10,"p20":52.5,"p50":82.4,"p80":141.0},{"state":"CT","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":5,"p20":null,"p50":null,"p80":null},{"state":"GA","n":9,"p20":null,"p50":null,"p80":null},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":21,"p20":86.4,"p50":160.8,"p80":160.8},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":23,"p20":59.5,"p50":93.75,"p80":163.8},{"state":"IN","n":23,"p20":31.8,"p50":48.71,"p80":132.75},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":6,"p20":null,"p50":null,"p80":null},{"state":"LA","n":8,"p20":null,"p50":null,"p80":null},{"state":"MA","n":6,"p20":null,"p50":null,"p80":null},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":16,"p20":23.8,"p50":64.86,"p80":104.5},{"state":"MI","n":30,"p20":60.5,"p50":68.25,"p80":133.6},{"state":"MN","n":36,"p20":109.8,"p50":152.15,"p80":200.64},{"state":"MO","n":8,"p20":null,"p50":null,"p80":null},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":7,"p20":null,"p50":null,"p80":null},{"state":"NC","n":7,"p20":null,"p50":null,"p80":null},{"state":"ND","n":7,"p20":null,"p50":null,"p80":null},{"state":"NE","n":9,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":30,"p20":82.0,"p50":136.0,"p80":152.13},{"state":"OH","n":17,"p20":74.9,"p50":133.0,"p80":312.0},{"state":"OK","n":13,"p20":121.1,"p50":121.1,"p80":121.1},{"state":"OR","n":18,"p20":123.5,"p50":128.25,"p80":180.0},{"state":"PA","n":19,"p20":36.08,"p50":40.75,"p80":69.0},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":11,"p20":81.0,"p50":112.28,"p80":143.29},{"state":"WA","n":13,"p20":113.46,"p50":158.4,"p80":202.4},{"state":"WI","n":35,"p20":102.82,"p50":196.95,"p80":202.0},{"state":"WV","n":15,"p20":53.0,"p50":59.5,"p80":93.6},{"state":"WY","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":292,"p20":59.5,"p50":102.82,"p80":170.67},{"key":"childrens","n":11,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":195,"p20":60.06,"p50":111.72,"p80":192.0}],"ownership":[{"key":"for_profit","n":24,"p20":59.5,"p50":126.38,"p80":196.95},{"key":"government","n":105,"p20":60.06,"p50":121.5,"p80":181.5},{"key":"nonprofit","n":369,"p20":59.5,"p50":102.82,"p80":180.0}],"affiliation":[{"key":"affiliated","n":381,"p20":59.5,"p50":105.0,"p80":188.3},{"key":"independent","n":118,"p20":67.5,"p50":113.46,"p80":177.0}]},"histogram":[{"lo":31.2,"hi":39.28,"n":22},{"lo":39.28,"hi":49.45,"n":22},{"lo":49.45,"hi":62.25,"n":53},{"lo":62.25,"hi":78.37,"n":36},{"lo":78.37,"hi":98.66,"n":64},{"lo":98.66,"hi":124.21,"n":64},{"lo":124.21,"hi":156.37,"n":66},{"lo":156.37,"hi":196.86,"n":64},{"lo":196.86,"hi":247.83,"n":55},{"lo":247.83,"hi":312.0,"n":11}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2025-07-21","filing_date_max":"2026-09-08","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":329,"n_usable":304,"n_not_usable":0,"n_labelled":5,"n_no_cash":20,"n_estimated":0,"n_states":42,"cash_p10":59.5,"cash_p20":74.0,"cash_p25":82.25,"cash_p50":122.0,"cash_p75":170.0,"cash_p80":191.2,"cash_p90":215.1,"cash_mean_trimmed":123.51,"gross_p50":173.0,"cash_to_gross_p50":0.7,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":20,"p20":86.24,"p50":86.24,"p80":86.24},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"CT","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"GA","n":9,"p20":null,"p50":null,"p80":null},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":160.8,"p50":160.8,"p80":160.8},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":23,"p20":59.5,"p50":73.2,"p80":93.75},{"state":"IN","n":5,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"MA","n":6,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":15,"p20":23.1,"p50":64.86,"p80":89.91},{"state":"MI","n":15,"p20":67.0,"p50":133.6,"p80":196.95},{"state":"MN","n":28,"p20":125.4,"p50":156.0,"p80":200.64},{"state":"MO","n":4,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":5,"p20":null,"p50":null,"p80":null},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":25,"p20":86.0,"p50":140.0,"p80":187.24},{"state":"OH","n":10,"p20":41.6,"p50":122.0,"p80":136.0},{"state":"OK","n":10,"p20":121.1,"p50":121.1,"p80":121.1},{"state":"OR","n":11,"p20":76.0,"p50":123.5,"p80":136.0},{"state":"PA","n":9,"p20":null,"p50":null,"p80":null},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":1,"p20":null,"p50":null,"p80":null},{"state":"VT","n":6,"p20":null,"p50":null,"p80":null},{"state":"WA","n":5,"p20":null,"p50":null,"p80":null},{"state":"WI","n":24,"p20":191.2,"p50":196.95,"p80":215.1},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":205,"p20":74.9,"p50":121.1,"p80":177.0},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":93,"p20":71.4,"p50":138.14,"p80":200.64}],"ownership":[{"key":"for_profit","n":19,"p20":null,"p50":null,"p80":null},{"key":"government","n":40,"p20":71.4,"p50":125.4,"p80":188.3},{"key":"nonprofit","n":244,"p20":75.6,"p50":121.1,"p80":196.95}],"affiliation":[{"key":"affiliated","n":253,"p20":74.8,"p50":123.5,"p80":196.95},{"key":"independent","n":51,"p20":67.0,"p50":99.23,"p80":165.0}]},"histogram":[{"lo":38.88,"hi":48.03,"n":12},{"lo":48.03,"hi":59.34,"n":2},{"lo":59.34,"hi":73.31,"n":32},{"lo":73.31,"hi":90.57,"n":46},{"lo":90.57,"hi":111.89,"n":27},{"lo":111.89,"hi":138.23,"n":49},{"lo":138.23,"hi":170.77,"n":48},{"lo":170.77,"hi":210.97,"n":43},{"lo":210.97,"hi":260.64,"n":15},{"lo":260.64,"hi":322.0,"n":5}],"previous":null}},"related":[{"code_type":"CPT","code":"93270","lay_name":"Hookup of a patient-activated heart event monitor, 30 days","slug":"cpt-93270-hookup-of-a-patient-activated-heart-event-monitor-30-days"},{"code_type":"CPT","code":"99495","lay_name":"Care handoff after hospital discharge, visit within 14 days","slug":"cpt-99495-care-handoff-after-hospital-discharge-visit-within-14-days"},{"code_type":"CPT","code":"93296","lay_name":"Remote pacemaker or defibrillator check, technical part","slug":"cpt-93296-remote-pacemaker-or-defibrillator-check-technical-part"},{"code_type":"CPT","code":"99496","lay_name":"Care handoff after hospital discharge, visit within 7 days","slug":"cpt-99496-care-handoff-after-hospital-discharge-visit-within-7-days"},{"code_type":"CPT","code":"93271","lay_name":"Download and analysis from a heart event monitor, 30 days","slug":"cpt-93271-download-and-analysis-from-a-heart-event-monitor-30-days"},{"code_type":"CPT","code":"93298","lay_name":"Remote implanted rhythm monitor check, doctor review","slug":"cpt-93298-remote-implanted-rhythm-monitor-check-doctor-review"},{"code_type":"CPT","code":"93293","lay_name":"Pacemaker check by telephone rhythm recording, up to 90 days","slug":"cpt-93293-pacemaker-check-by-telephone-rhythm-recording-up-to-90-days"},{"code_type":"CPT","code":"98967","lay_name":"Phone visit with a non-physician clinician, 11-20 minutes","slug":"cpt-98967-phone-visit-with-a-non-physician-clinician-11-20-minutes"},{"code_type":"CPT","code":"98968","lay_name":"Phone visit with a non-physician clinician, 21-30 minutes","slug":"cpt-98968-phone-visit-with-a-non-physician-clinician-21-30-minutes"},{"code_type":"CPT","code":"98966","lay_name":"Phone visit with a non-physician clinician, 5-10 minutes","slug":"cpt-98966-phone-visit-with-a-non-physician-clinician-5-10-minutes"},{"code_type":"CPT","code":"93297","lay_name":"Remote check of an implanted heart monitor, up to 30 days","slug":"cpt-93297-remote-check-of-an-implanted-heart-monitor-up-to-30-days"},{"code_type":"CPT","code":"93229","lay_name":"Mobile heart telemetry up to 30 days — technical service","slug":"cpt-93229-mobile-heart-telemetry-up-to-30-days-technical-service"}]}