{"procedure":{"code_type":"CPT","code":"98967","lay_name":"Phone visit with a non-physician clinician, 11-20 minutes","blurb":"A telephone discussion about a health concern with a non-physician clinician such as a therapist or dietitian, lasting 11 to 20 minutes of talk time.","slug":"cpt-98967-phone-visit-with-a-non-physician-clinician-11-20-minutes","description":"Telephone Assmt&Mgmt Svc Nqhp Est Pt 11-20 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":"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":"2026-09-05T02:22:56.397158Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":876,"n_usable":813,"n_not_usable":1,"n_labelled":35,"n_no_cash":27,"n_estimated":0,"n_states":50,"cash_p10":22.5,"cash_p20":28.17,"cash_p25":31.2,"cash_p50":51.1,"cash_p75":74.1,"cash_p80":82.5,"cash_p90":114.0,"cash_mean_trimmed":52.06,"gross_p50":72.0,"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":7,"p20":null,"p50":null,"p80":null},{"state":"AL","n":6,"p20":null,"p50":null,"p80":null},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":48,"p20":36.96,"p50":70.0,"p80":123.2},{"state":"CO","n":12,"p20":33.6,"p50":60.35,"p80":77.25},{"state":"CT","n":8,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":10,"p20":24.5,"p50":30.24,"p80":132.54},{"state":"GA","n":2,"p20":null,"p50":null,"p80":null},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":25,"p20":37.2,"p50":60.8,"p80":60.8},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":35,"p20":26.25,"p50":82.5,"p80":106.15},{"state":"IN","n":26,"p20":27.08,"p50":37.73,"p80":54.14},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":14,"p20":21.0,"p50":26.16,"p80":49.05},{"state":"LA","n":6,"p20":null,"p50":null,"p80":null},{"state":"MA","n":13,"p20":36.04,"p50":57.0,"p80":258.0},{"state":"MD","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":13,"p20":45.54,"p50":57.25,"p80":71.6},{"state":"MI","n":53,"p20":22.5,"p50":39.9,"p80":73.0},{"state":"MN","n":30,"p20":42.34,"p50":72.24,"p80":101.2},{"state":"MO","n":14,"p20":35.46,"p50":38.4,"p80":47.6},{"state":"MS","n":8,"p20":null,"p50":null,"p80":null},{"state":"MT","n":11,"p20":39.9,"p50":63.0,"p80":88.88},{"state":"NC","n":28,"p20":16.43,"p50":26.0,"p80":39.0},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":6,"p20":null,"p50":null,"p80":null},{"state":"NH","n":9,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":15,"p20":7.1,"p50":30.24,"p80":30.24},{"state":"NM","n":6,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":45,"p20":24.67,"p50":44.0,"p80":126.26},{"state":"OH","n":56,"p20":26.8,"p50":52.8,"p80":135.2},{"state":"OK","n":12,"p20":40.6,"p50":40.6,"p80":40.6},{"state":"OR","n":37,"p20":42.4,"p50":45.0,"p80":65.25},{"state":"PA","n":36,"p20":14.72,"p50":31.8,"p80":50.4},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":13,"p20":36.4,"p50":36.4,"p80":36.4},{"state":"SD","n":4,"p20":null,"p50":null,"p80":null},{"state":"TN","n":9,"p20":null,"p50":null,"p80":null},{"state":"TX","n":41,"p20":53.4,"p50":53.4,"p80":54.47},{"state":"UT","n":21,"p20":53.02,"p50":53.02,"p80":53.02},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":6,"p20":null,"p50":null,"p80":null},{"state":"WA","n":29,"p20":44.85,"p50":54.6,"p80":75.2},{"state":"WI","n":52,"p20":60.42,"p50":74.1,"p80":82.5},{"state":"WV","n":9,"p20":null,"p50":null,"p80":null},{"state":"WY","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":576,"p20":26.25,"p50":50.4,"p80":82.5},{"key":"childrens","n":20,"p20":32.16,"p50":51.0,"p80":75.2},{"key":"critical_access","n":215,"p20":33.55,"p50":53.4,"p80":77.6}],"ownership":[{"key":"for_profit","n":42,"p20":34.35,"p50":53.02,"p80":82.5},{"key":"government","n":126,"p20":24.67,"p50":48.3,"p80":76.0},{"key":"nonprofit","n":643,"p20":28.42,"p50":52.0,"p80":82.5}],"affiliation":[{"key":"affiliated","n":661,"p20":26.62,"p50":51.1,"p80":82.5},{"key":"independent","n":152,"p20":30.75,"p50":50.55,"p80":84.6}]},"histogram":[{"lo":15.84,"hi":19.63,"n":26},{"lo":19.63,"hi":24.32,"n":41},{"lo":24.32,"hi":30.14,"n":78},{"lo":30.14,"hi":37.35,"n":85},{"lo":37.35,"hi":46.28,"n":87},{"lo":46.28,"hi":57.34,"n":146},{"lo":57.34,"hi":71.06,"n":75},{"lo":71.06,"hi":88.05,"n":93},{"lo":88.05,"hi":109.11,"n":48},{"lo":109.11,"hi":135.2,"n":60}],"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":"2026-09-05T02:27:04.345090Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":603,"n_usable":558,"n_not_usable":1,"n_labelled":24,"n_no_cash":20,"n_estimated":0,"n_states":48,"cash_p10":26.25,"cash_p20":36.4,"cash_p25":39.63,"cash_p50":53.4,"cash_p75":82.5,"cash_p80":91.34,"cash_p90":123.2,"cash_mean_trimmed":57.89,"gross_p50":78.0,"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":6,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":39,"p20":52.0,"p50":123.2,"p80":123.2},{"state":"CO","n":7,"p20":null,"p50":null,"p80":null},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":5,"p20":null,"p50":null,"p80":null},{"state":"GA","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":60.8,"p50":60.8,"p80":60.8},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":35,"p20":43.15,"p50":82.5,"p80":106.15},{"state":"IN","n":8,"p20":null,"p50":null,"p80":null},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":11,"p20":24.11,"p50":26.25,"p80":49.05},{"state":"LA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MA","n":13,"p20":36.04,"p50":57.0,"p80":258.0},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":12,"p20":45.54,"p50":52.75,"p80":71.6},{"state":"MI","n":32,"p20":43.35,"p50":72.0,"p80":73.0},{"state":"MN","n":22,"p20":42.34,"p50":72.24,"p80":101.2},{"state":"MO","n":10,"p20":34.44,"p50":38.4,"p80":47.6},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":16,"p20":8.74,"p50":36.96,"p80":50.4},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":3,"p20":null,"p50":null,"p80":null},{"state":"NM","n":5,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":25,"p20":29.0,"p50":57.5,"p80":126.26},{"state":"OH","n":46,"p20":29.2,"p50":54.6,"p80":135.2},{"state":"OK","n":10,"p20":40.6,"p50":40.6,"p80":40.6},{"state":"OR","n":20,"p20":42.4,"p50":45.0,"p80":65.25},{"state":"PA","n":25,"p20":31.3,"p50":46.48,"p80":106.0},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":13,"p20":36.4,"p50":36.4,"p80":36.4},{"state":"SD","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":40,"p20":53.4,"p50":53.4,"p80":54.47},{"state":"UT","n":20,"p20":53.02,"p50":53.02,"p80":53.02},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":20,"p20":44.85,"p50":62.4,"p80":75.2},{"state":"WI","n":44,"p20":62.13,"p50":74.1,"p80":82.5},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":421,"p20":36.0,"p50":53.4,"p80":94.64},{"key":"childrens","n":17,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":118,"p20":38.35,"p50":54.75,"p80":77.25}],"ownership":[{"key":"for_profit","n":35,"p20":26.25,"p50":53.02,"p80":73.0},{"key":"government","n":60,"p20":24.5,"p50":48.85,"p80":77.25},{"key":"nonprofit","n":461,"p20":36.4,"p50":54.47,"p80":94.2}],"affiliation":[{"key":"affiliated","n":486,"p20":36.4,"p50":54.47,"p80":91.85},{"key":"independent","n":72,"p20":30.4,"p50":48.85,"p80":81.0}]},"histogram":[{"lo":21.15,"hi":25.46,"n":21},{"lo":25.46,"hi":30.65,"n":42},{"lo":30.65,"hi":36.9,"n":33},{"lo":36.9,"hi":44.42,"n":52},{"lo":44.42,"hi":53.47,"n":108},{"lo":53.47,"hi":64.37,"n":60},{"lo":64.37,"hi":77.5,"n":69},{"lo":77.5,"hi":93.29,"n":39},{"lo":93.29,"hi":112.31,"n":38},{"lo":112.31,"hi":135.2,"n":46}],"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":"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"},{"code_type":"CPT","code":"99453","lay_name":"Setup and training for home monitoring of body measurements","slug":"cpt-99453-setup-and-training-for-home-monitoring-of-body-measurements"}]}