{"procedure":{"code_type":"CPT","code":"99214","lay_name":"Office visit, established patient, moderate complexity","blurb":"An office or outpatient visit for a patient already seen by the practice, at a moderate level of complexity, typically about 30 to 39 minutes of the clinician's time on that day.","slug":"cpt-99214-office-visit-established-patient-moderate-complexity","description":"Office/Outpatient Established Mod Mdm 30 Min","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"227","label":"Consultation, evaluation, and preventative care","surgery_flag":"n/a"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":2970,"n_usable":2758,"n_not_usable":2,"n_labelled":45,"n_no_cash":162,"n_estimated":3,"n_states":50,"cash_p10":58.6,"cash_p20":83.7,"cash_p25":95.0,"cash_p50":156.56,"cash_p75":258.88,"cash_p80":295.86,"cash_p90":449.55,"cash_mean_trimmed":166.07,"gross_p50":253.0,"cash_to_gross_p50":0.66,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":16,"p20":178.75,"p50":250.69,"p80":398.0},{"state":"AL","n":34,"p20":71.04,"p50":141.22,"p80":513.0},{"state":"AR","n":30,"p20":71.07,"p50":124.8,"p80":133.2},{"state":"AZ","n":42,"p20":94.36,"p50":178.75,"p80":239.92},{"state":"CA","n":112,"p20":95.85,"p50":201.6,"p80":352.5},{"state":"CO","n":42,"p20":118.72,"p50":180.6,"p80":529.82},{"state":"CT","n":19,"p20":91.65,"p50":184.36,"p80":334.0},{"state":"DE","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":126,"p20":135.1,"p50":447.12,"p80":1030.0},{"state":"GA","n":92,"p20":94.2,"p50":168.09,"p80":293.0},{"state":"HI","n":15,"p20":96.6,"p50":244.3,"p80":324.35},{"state":"IA","n":93,"p20":55.0,"p50":151.2,"p80":192.0},{"state":"ID","n":22,"p20":102.55,"p50":216.0,"p80":354.0},{"state":"IL","n":121,"p20":112.5,"p50":164.5,"p80":292.6},{"state":"IN","n":82,"p20":49.39,"p50":75.33,"p80":192.0},{"state":"KS","n":86,"p20":78.4,"p50":111.66,"p80":199.0},{"state":"KY","n":49,"p20":67.44,"p50":122.85,"p80":266.17},{"state":"LA","n":38,"p20":39.0,"p50":67.95,"p80":169.0},{"state":"MA","n":50,"p20":163.2,"p50":220.1,"p80":322.1},{"state":"MD","n":41,"p20":146.4,"p50":214.23,"p80":306.99},{"state":"ME","n":26,"p20":48.26,"p50":74.58,"p80":204.25},{"state":"MI","n":79,"p20":69.0,"p50":115.56,"p80":206.09},{"state":"MN","n":106,"p20":85.39,"p50":115.28,"p80":218.39},{"state":"MO","n":62,"p20":80.6,"p50":132.0,"p80":229.39},{"state":"MS","n":44,"p20":65.04,"p50":97.5,"p80":140.36},{"state":"MT","n":26,"p20":75.0,"p50":135.6,"p80":244.0},{"state":"NC","n":56,"p20":90.45,"p50":178.2,"p80":341.6},{"state":"ND","n":25,"p20":108.0,"p50":258.3,"p80":332.0},{"state":"NE","n":78,"p20":96.0,"p50":171.12,"p80":241.2},{"state":"NH","n":24,"p20":54.5,"p50":89.32,"p80":468.6},{"state":"NJ","n":37,"p20":112.17,"p50":119.0,"p80":570.0},{"state":"NM","n":12,"p20":160.0,"p50":195.6,"p80":277.0},{"state":"NV","n":17,"p20":149.0,"p50":226.0,"p80":580.3},{"state":"NY","n":105,"p20":84.0,"p50":192.0,"p80":354.12},{"state":"OH","n":100,"p20":96.0,"p50":127.5,"p80":193.6},{"state":"OK","n":58,"p20":77.51,"p50":102.0,"p80":213.21},{"state":"OR","n":55,"p20":112.41,"p50":180.44,"p80":278.25},{"state":"PA","n":100,"p20":83.16,"p50":168.0,"p80":272.0},{"state":"RI","n":9,"p20":null,"p50":null,"p80":null},{"state":"SC","n":50,"p20":66.89,"p50":145.87,"p80":391.92},{"state":"SD","n":39,"p20":116.1,"p50":183.2,"p80":317.0},{"state":"TN","n":61,"p20":41.7,"p50":67.5,"p80":276.0},{"state":"TX","n":155,"p20":116.55,"p50":176.88,"p80":351.0},{"state":"UT","n":36,"p20":193.5,"p50":294.54,"p80":456.21},{"state":"VA","n":46,"p20":105.0,"p50":143.4,"p80":248.05},{"state":"VT","n":13,"p20":84.8,"p50":164.71,"p80":285.0},{"state":"WA","n":63,"p20":120.0,"p50":176.28,"p80":245.6},{"state":"WI","n":107,"p20":95.0,"p50":176.96,"p80":267.3},{"state":"WV","n":39,"p20":63.0,"p50":96.5,"p80":162.0},{"state":"WY","n":14,"p20":68.97,"p50":169.15,"p80":240.0}],"by_segment":{"hospital_type":[{"key":"acute","n":1800,"p20":88.58,"p50":165.06,"p80":340.0},{"key":"childrens","n":60,"p20":121.55,"p50":222.0,"p80":319.2},{"key":"critical_access","n":893,"p20":76.0,"p50":137.4,"p80":230.0}],"ownership":[{"key":"for_profit","n":299,"p20":118.98,"p50":305.62,"p80":896.52},{"key":"government","n":574,"p20":75.0,"p50":134.42,"p80":237.0},{"key":"nonprofit","n":1880,"p20":83.2,"p50":156.0,"p80":280.0}],"affiliation":[{"key":"affiliated","n":2202,"p20":86.0,"p50":162.6,"p80":315.0},{"key":"independent","n":556,"p20":80.0,"p50":140.0,"p80":245.7}]},"histogram":[{"lo":41.7,"hi":55.08,"n":106},{"lo":55.08,"hi":72.74,"n":186},{"lo":72.74,"hi":96.08,"n":291},{"lo":96.08,"hi":126.9,"n":344},{"lo":126.9,"hi":167.61,"n":416},{"lo":167.61,"hi":221.37,"n":406},{"lo":221.37,"hi":292.38,"n":312},{"lo":292.38,"hi":386.18,"n":234},{"lo":386.18,"hi":510.05,"n":100},{"lo":510.05,"hi":673.67,"n":94}],"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":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":1899,"n_usable":1777,"n_not_usable":2,"n_labelled":21,"n_no_cash":99,"n_estimated":0,"n_states":50,"cash_p10":60.67,"cash_p20":87.36,"cash_p25":96.6,"cash_p50":162.95,"cash_p75":262.89,"cash_p80":289.0,"cash_p90":398.39,"cash_mean_trimmed":170.41,"gross_p50":268.0,"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":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":20,"p20":90.0,"p50":227.24,"p80":745.43},{"state":"AR","n":14,"p20":56.13,"p50":94.93,"p80":166.0},{"state":"AZ","n":38,"p20":94.36,"p50":175.35,"p80":239.52},{"state":"CA","n":79,"p20":116.73,"p50":238.44,"p80":352.5},{"state":"CO","n":23,"p20":131.4,"p50":195.0,"p80":529.82},{"state":"CT","n":12,"p20":33.12,"p50":184.36,"p80":334.0},{"state":"DE","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":67,"p20":121.6,"p50":361.9,"p80":759.85},{"state":"GA","n":68,"p20":94.2,"p50":168.09,"p80":289.5},{"state":"HI","n":13,"p20":149.93,"p50":244.3,"p80":324.35},{"state":"IA","n":53,"p20":76.0,"p50":167.7,"p80":209.0},{"state":"ID","n":11,"p20":230.0,"p50":275.0,"p80":354.0},{"state":"IL","n":91,"p20":112.5,"p50":177.5,"p80":301.6},{"state":"IN","n":54,"p20":51.6,"p50":82.43,"p80":245.0},{"state":"KS","n":23,"p20":60.67,"p50":101.2,"p80":293.6},{"state":"KY","n":30,"p20":75.75,"p50":120.21,"p80":296.4},{"state":"LA","n":23,"p20":44.48,"p50":66.36,"p80":146.44},{"state":"MA","n":44,"p20":163.2,"p50":220.0,"p80":365.0},{"state":"MD","n":21,"p20":136.43,"p50":207.0,"p80":267.07},{"state":"ME","n":22,"p20":53.75,"p50":85.06,"p80":282.6},{"state":"MI","n":57,"p20":78.3,"p50":112.0,"p80":213.0},{"state":"MN","n":85,"p20":94.37,"p50":115.28,"p80":218.39},{"state":"MO","n":31,"p20":84.0,"p50":145.21,"p80":255.0},{"state":"MS","n":28,"p20":74.58,"p50":116.0,"p80":200.33},{"state":"MT","n":15,"p20":87.91,"p50":154.38,"p80":244.0},{"state":"NC","n":17,"p20":39.0,"p50":82.46,"p80":178.0},{"state":"ND","n":15,"p20":82.0,"p50":233.6,"p80":335.0},{"state":"NE","n":29,"p20":82.45,"p50":150.0,"p80":251.0},{"state":"NH","n":14,"p20":36.3,"p50":78.11,"p80":156.06},{"state":"NJ","n":20,"p20":114.53,"p50":119.0,"p80":673.67},{"state":"NM","n":6,"p20":null,"p50":null,"p80":null},{"state":"NV","n":9,"p20":null,"p50":null,"p80":null},{"state":"NY","n":68,"p20":108.33,"p50":183.0,"p80":327.0},{"state":"OH","n":93,"p20":96.39,"p50":127.5,"p80":194.0},{"state":"OK","n":34,"p20":82.14,"p50":110.95,"p80":217.94},{"state":"OR","n":32,"p20":145.2,"p50":180.44,"p80":278.25},{"state":"PA","n":89,"p20":93.0,"p50":194.4,"p80":444.05},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":33,"p20":66.89,"p50":118.8,"p80":203.45},{"state":"SD","n":30,"p20":93.12,"p50":171.0,"p80":234.4},{"state":"TN","n":46,"p20":40.26,"p50":57.8,"p80":93.6},{"state":"TX","n":99,"p20":124.35,"p50":175.5,"p80":321.0},{"state":"UT","n":25,"p20":193.5,"p50":250.51,"p80":337.2},{"state":"VA","n":28,"p20":41.7,"p50":143.4,"p80":248.05},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":41,"p20":157.55,"p50":177.2,"p80":248.0},{"state":"WI","n":83,"p20":95.0,"p50":182.5,"p80":267.3},{"state":"WV","n":16,"p20":95.25,"p50":143.69,"p80":211.0},{"state":"WY","n":7,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1253,"p20":88.58,"p50":166.0,"p80":297.5},{"key":"childrens","n":42,"p20":134.06,"p50":205.92,"p80":327.0},{"key":"critical_access","n":477,"p20":83.95,"p50":150.8,"p80":255.29}],"ownership":[{"key":"for_profit","n":141,"p20":87.5,"p50":197.5,"p80":455.25},{"key":"government","n":276,"p20":79.8,"p50":149.93,"p80":265.0},{"key":"nonprofit","n":1355,"p20":89.7,"p50":164.4,"p80":285.0}],"affiliation":[{"key":"affiliated","n":1491,"p20":88.58,"p50":167.7,"p80":289.5},{"key":"independent","n":286,"p20":78.57,"p50":145.6,"p80":269.25}]},"histogram":[{"lo":41.7,"hi":54.23,"n":61},{"lo":54.23,"hi":70.54,"n":99},{"lo":70.54,"hi":91.74,"n":134},{"lo":91.74,"hi":119.32,"n":222},{"lo":119.32,"hi":155.18,"n":242},{"lo":155.18,"hi":201.83,"n":269},{"lo":201.83,"hi":262.5,"n":225},{"lo":262.5,"hi":341.4,"n":210},{"lo":341.4,"hi":444.03,"n":78},{"lo":444.03,"hi":577.5,"n":69}],"previous":null}},"related":[{"code_type":"CPT","code":"99283","lay_name":"Emergency room visit, level 3 of 5","slug":"cpt-99283-emergency-room-visit-level-3-of-5"},{"code_type":"CPT","code":"99284","lay_name":"Emergency room visit, level 4 of 5","slug":"cpt-99284-emergency-room-visit-level-4-of-5"},{"code_type":"CPT","code":"99282","lay_name":"Emergency room visit, level 2 of 5","slug":"cpt-99282-emergency-room-visit-level-2-of-5"},{"code_type":"CPT","code":"99285","lay_name":"Emergency room visit, highest level","slug":"cpt-99285-emergency-room-visit-highest-level"},{"code_type":"CPT","code":"99281","lay_name":"Emergency room visit, lowest level","slug":"cpt-99281-emergency-room-visit-lowest-level"},{"code_type":"CPT","code":"99291","lay_name":"Critical care, first 30 to 74 minutes","slug":"cpt-99291-critical-care-first-30-to-74-minutes"},{"code_type":"CPT","code":"99292","lay_name":"Critical care, each additional 30 minutes","slug":"cpt-99292-critical-care-each-additional-30-minutes"},{"code_type":"CPT","code":"99211","lay_name":"Brief office visit for an existing patient (level 1)","slug":"cpt-99211-brief-office-visit-for-an-existing-patient-level-1"},{"code_type":"CPT","code":"99213","lay_name":"Office visit for an existing patient, moderate level","slug":"cpt-99213-office-visit-for-an-existing-patient-moderate-level"},{"code_type":"CPT","code":"99212","lay_name":"Short office visit for an existing patient","slug":"cpt-99212-short-office-visit-for-an-existing-patient"},{"code_type":"CPT","code":"99215","lay_name":"Office visit, established patient, high complexity","slug":"cpt-99215-office-visit-established-patient-high-complexity"},{"code_type":"CPT","code":"99203","lay_name":"Office visit for a new patient, low complexity (level 3)","slug":"cpt-99203-office-visit-for-a-new-patient-low-complexity-level-3"}]}