{"procedure":{"code_type":"CPT","code":"98015","lay_name":"Phone visit, established patient, high complexity","blurb":"A live telephone-only telehealth visit with a clinician for a patient already seen by that practice, involving highly complex decision-making or about 40 minutes of total time on the day of the visit.","slug":"cpt-98015-phone-visit-established-patient-high-complexity","description":"Synchronous Audio-Only Visit Est High Mdm 40 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":"2026-09-05T02:22:56.397158Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":507,"n_usable":462,"n_not_usable":0,"n_labelled":7,"n_no_cash":38,"n_estimated":0,"n_states":46,"cash_p10":87.15,"cash_p20":119.5,"cash_p25":130.5,"cash_p50":212.73,"cash_p75":317.0,"cash_p80":350.0,"cash_p90":408.96,"cash_mean_trimmed":216.54,"gross_p50":323.0,"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":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":4,"p20":null,"p50":null,"p80":null},{"state":"CA","n":25,"p20":166.32,"p50":166.32,"p80":166.32},{"state":"CO","n":9,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"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":19,"p20":144.0,"p50":265.6,"p80":265.6},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":22,"p20":87.15,"p50":175.0,"p80":317.0},{"state":"IN","n":21,"p20":68.42,"p50":87.15,"p80":107.82},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":6,"p20":null,"p50":null,"p80":null},{"state":"LA","n":7,"p20":null,"p50":null,"p80":null},{"state":"MA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":14,"p20":85.25,"p50":132.46,"p80":241.75},{"state":"MI","n":30,"p20":119.5,"p50":121.8,"p80":292.8},{"state":"MN","n":33,"p20":234.0,"p50":304.5,"p80":425.04},{"state":"MO","n":6,"p20":null,"p50":null,"p80":null},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":6,"p20":null,"p50":null,"p80":null},{"state":"NC","n":7,"p20":null,"p50":null,"p80":null},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":8,"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":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":30,"p20":160.0,"p50":190.77,"p80":292.5},{"state":"OH","n":15,"p20":113.4,"p50":180.6,"p80":676.0},{"state":"OK","n":13,"p20":240.1,"p50":240.1,"p80":240.1},{"state":"OR","n":14,"p20":223.5,"p50":262.6,"p80":381.0},{"state":"PA","n":19,"p20":78.76,"p50":84.78,"p80":146.0},{"state":"RI","n":1,"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":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":11,"p20":171.75,"p50":222.22,"p80":312.32},{"state":"WA","n":14,"p20":256.06,"p50":267.75,"p80":388.45},{"state":"WI","n":35,"p20":223.5,"p50":351.0,"p80":399.0},{"state":"WV","n":14,"p20":116.16,"p50":127.0,"p80":153.6},{"state":"WY","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":279,"p20":115.5,"p50":197.76,"p80":332.59},{"key":"childrens","n":11,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":172,"p20":127.0,"p50":223.5,"p80":351.0}],"ownership":[{"key":"for_profit","n":21,"p20":87.15,"p50":195.5,"p80":350.0},{"key":"government","n":96,"p20":142.5,"p50":226.1,"p80":342.0},{"key":"nonprofit","n":345,"p20":119.5,"p50":200.29,"p80":351.0}],"affiliation":[{"key":"affiliated","n":360,"p20":118.14,"p50":203.2,"p80":351.0},{"key":"independent","n":102,"p20":138.45,"p50":222.0,"p80":340.0}]},"histogram":[{"lo":73.2,"hi":88.19,"n":32},{"lo":88.19,"hi":106.25,"n":18},{"lo":106.25,"hi":128.01,"n":39},{"lo":128.01,"hi":154.22,"n":33},{"lo":154.22,"hi":185.8,"n":55},{"lo":185.8,"hi":223.85,"n":49},{"lo":223.85,"hi":269.68,"n":57},{"lo":269.68,"hi":324.91,"n":45},{"lo":324.91,"hi":391.44,"n":60},{"lo":391.44,"hi":471.6,"n":28}],"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":"2025-08-01","filing_date_max":"2026-09-01","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":300,"n_usable":282,"n_not_usable":0,"n_labelled":3,"n_no_cash":15,"n_estimated":0,"n_states":37,"cash_p10":98.19,"cash_p20":152.0,"cash_p25":166.32,"cash_p50":239.4,"cash_p75":350.0,"cash_p80":351.0,"cash_p90":415.0,"cash_mean_trimmed":239.17,"gross_p50":332.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":4,"p20":null,"p50":null,"p80":null},{"state":"CA","n":20,"p20":166.32,"p50":166.32,"p80":166.32},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"CT","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":15,"p20":265.6,"p50":265.6,"p80":265.6},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":22,"p20":87.15,"p50":160.2,"p80":200.29},{"state":"IN","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"MA","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":14,"p20":85.25,"p50":132.46,"p80":241.75},{"state":"MI","n":15,"p20":113.6,"p50":289.0,"p80":292.8},{"state":"MN","n":26,"p20":242.25,"p50":323.61,"p80":425.04},{"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":4,"p20":null,"p50":null,"p80":null},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"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":23,"p20":181.0,"p50":197.76,"p80":292.5},{"state":"OH","n":8,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":240.1,"p50":240.1,"p80":240.1},{"state":"OR","n":7,"p20":null,"p50":null,"p80":null},{"state":"PA","n":9,"p20":null,"p50":null,"p80":null},{"state":"RI","n":1,"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":351.0,"p50":351.0,"p80":462.6},{"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":194,"p20":155.4,"p50":231.66,"p80":350.0},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":83,"p20":149.4,"p50":282.75,"p80":386.0}],"ownership":[{"key":"for_profit","n":17,"p20":null,"p50":null,"p80":null},{"key":"government","n":37,"p20":150.0,"p50":231.75,"p80":353.0},{"key":"nonprofit","n":228,"p20":160.2,"p50":240.1,"p80":351.0}],"affiliation":[{"key":"affiliated","n":241,"p20":160.2,"p50":240.1,"p80":351.0},{"key":"independent","n":41,"p20":124.0,"p50":179.34,"p80":314.82}]},"histogram":[{"lo":85.25,"hi":100.96,"n":15},{"lo":100.96,"hi":119.56,"n":5},{"lo":119.56,"hi":141.59,"n":13},{"lo":141.59,"hi":167.69,"n":42},{"lo":167.69,"hi":198.59,"n":33},{"lo":198.59,"hi":235.18,"n":17},{"lo":235.18,"hi":278.52,"n":39},{"lo":278.52,"hi":329.84,"n":32},{"lo":329.84,"hi":390.62,"n":39},{"lo":390.62,"hi":462.6,"n":20}],"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"}]}