{"procedure":{"code_type":"CPT","code":"99222","lay_name":"First hospital or observation visit, moderate complexity","blurb":"The admitting clinician's first visit with a hospital inpatient or observation patient for a moderately complex problem, about 55 minutes of care on that day; billed once per admission.","slug":"cpt-99222-first-hospital-or-observation-visit-moderate-complexity","description":"1st Hospital IP/Obs Care Moderate Mdm 55 Minutes","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":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":1324,"n_usable":1237,"n_not_usable":0,"n_labelled":24,"n_no_cash":63,"n_estimated":0,"n_states":50,"cash_p10":96.0,"cash_p20":138.6,"cash_p25":154.5,"cash_p50":243.37,"cash_p75":317.0,"cash_p80":351.0,"cash_p90":430.75,"cash_mean_trimmed":238.5,"gross_p50":331.0,"cash_to_gross_p50":0.75,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":15,"p20":324.0,"p50":542.0,"p80":828.88},{"state":"AL","n":20,"p20":121.5,"p50":151.2,"p80":292.6},{"state":"AR","n":14,"p20":115.06,"p50":185.12,"p80":215.8},{"state":"AZ","n":10,"p20":146.3,"p50":408.75,"p80":900.0},{"state":"CA","n":45,"p20":141.96,"p50":276.0,"p80":503.0},{"state":"CO","n":24,"p20":168.56,"p50":202.5,"p80":315.0},{"state":"CT","n":15,"p20":144.3,"p50":276.0,"p80":320.0},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":27,"p20":16.4,"p50":158.2,"p80":383.0},{"state":"GA","n":28,"p20":122.7,"p50":162.0,"p80":294.0},{"state":"HI","n":8,"p20":null,"p50":null,"p80":null},{"state":"IA","n":78,"p20":210.6,"p50":248.0,"p80":319.0},{"state":"ID","n":12,"p20":196.0,"p50":252.0,"p80":306.0},{"state":"IL","n":53,"p20":194.4,"p50":293.0,"p80":447.3},{"state":"IN","n":34,"p20":112.7,"p50":159.6,"p80":287.25},{"state":"KS","n":55,"p20":152.0,"p50":191.2,"p80":271.0},{"state":"KY","n":27,"p20":126.71,"p50":140.25,"p80":261.0},{"state":"LA","n":10,"p20":78.54,"p50":171.0,"p80":268.8},{"state":"MA","n":17,"p20":132.0,"p50":315.75,"p80":429.0},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":23,"p20":90.48,"p50":190.5,"p80":363.1},{"state":"MI","n":52,"p20":47.0,"p50":177.0,"p80":260.0},{"state":"MN","n":64,"p20":216.6,"p50":311.0,"p80":448.5},{"state":"MO","n":31,"p20":127.55,"p50":184.8,"p80":228.8},{"state":"MS","n":18,"p20":108.16,"p50":123.95,"p80":199.41},{"state":"MT","n":28,"p20":200.4,"p50":273.07,"p80":400.0},{"state":"NC","n":8,"p20":null,"p50":null,"p80":null},{"state":"ND","n":20,"p20":208.62,"p50":306.0,"p80":370.0},{"state":"NE","n":38,"p20":177.6,"p50":267.0,"p80":342.41},{"state":"NH","n":17,"p20":150.6,"p50":179.49,"p80":215.76},{"state":"NJ","n":9,"p20":null,"p50":null,"p80":null},{"state":"NM","n":6,"p20":null,"p50":null,"p80":null},{"state":"NV","n":8,"p20":null,"p50":null,"p80":null},{"state":"NY","n":53,"p20":123.0,"p50":225.0,"p80":361.0},{"state":"OH","n":32,"p20":136.15,"p50":243.2,"p80":383.25},{"state":"OK","n":31,"p20":26.6,"p50":152.8,"p80":232.05},{"state":"OR","n":44,"p20":235.95,"p50":314.37,"p80":385.5},{"state":"PA","n":31,"p20":80.08,"p50":98.28,"p80":242.4},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":9,"p20":null,"p50":null,"p80":null},{"state":"SD","n":31,"p20":191.25,"p50":342.4,"p80":462.0},{"state":"TN","n":15,"p20":75.6,"p50":147.8,"p80":166.17},{"state":"TX","n":25,"p20":112.0,"p50":241.8,"p80":385.0},{"state":"UT","n":3,"p20":null,"p50":null,"p80":null},{"state":"VA","n":6,"p20":null,"p50":null,"p80":null},{"state":"VT","n":12,"p20":173.03,"p50":252.8,"p80":385.0},{"state":"WA","n":38,"p20":230.3,"p50":258.05,"p80":416.0},{"state":"WI","n":46,"p20":276.86,"p50":310.05,"p80":430.75},{"state":"WV","n":22,"p20":134.5,"p50":154.11,"p80":305.0},{"state":"WY","n":12,"p20":209.06,"p50":248.0,"p80":348.5}],"by_segment":{"hospital_type":[{"key":"acute","n":590,"p20":117.3,"p50":220.2,"p80":320.0},{"key":"childrens","n":18,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":627,"p20":159.6,"p50":255.0,"p80":364.46}],"ownership":[{"key":"for_profit","n":68,"p20":112.7,"p50":181.34,"p80":310.65},{"key":"government","n":342,"p20":153.0,"p50":245.5,"p80":355.5},{"key":"nonprofit","n":825,"p20":135.05,"p50":244.0,"p80":351.0}],"affiliation":[{"key":"affiliated","n":872,"p20":133.2,"p50":242.4,"p80":343.15},{"key":"independent","n":365,"p20":153.3,"p50":243.6,"p80":361.0}]},"histogram":[{"lo":61.5,"hi":76.32,"n":29},{"lo":76.32,"hi":94.7,"n":30},{"lo":94.7,"hi":117.51,"n":52},{"lo":117.51,"hi":145.82,"n":100},{"lo":145.82,"hi":180.95,"n":127},{"lo":180.95,"hi":224.54,"n":159},{"lo":224.54,"hi":278.63,"n":233},{"lo":278.63,"hi":345.75,"n":192},{"lo":345.75,"hi":429.04,"n":129},{"lo":429.04,"hi":532.4,"n":68}],"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":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":807,"n_usable":746,"n_not_usable":0,"n_labelled":11,"n_no_cash":50,"n_estimated":0,"n_states":50,"cash_p10":95.76,"cash_p20":138.6,"cash_p25":154.94,"cash_p50":246.4,"cash_p75":328.0,"cash_p80":356.95,"cash_p90":428.4,"cash_mean_trimmed":244.53,"gross_p50":336.0,"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":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":12,"p20":151.2,"p50":269.0,"p80":407.0},{"state":"AR","n":8,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":4,"p20":null,"p50":null,"p80":null},{"state":"CA","n":31,"p20":189.49,"p50":315.63,"p80":520.0},{"state":"CO","n":12,"p20":143.92,"p50":196.47,"p80":315.0},{"state":"CT","n":11,"p20":157.25,"p50":320.0,"p80":334.0},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":19,"p20":16.4,"p50":166.11,"p80":383.0},{"state":"GA","n":25,"p20":117.3,"p50":162.0,"p80":294.0},{"state":"HI","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":38,"p20":246.4,"p50":261.3,"p80":328.0},{"state":"ID","n":3,"p20":null,"p50":null,"p80":null},{"state":"IL","n":44,"p20":185.16,"p50":258.6,"p80":352.0},{"state":"IN","n":22,"p20":112.7,"p50":146.3,"p80":298.0},{"state":"KS","n":11,"p20":119.0,"p50":190.0,"p80":271.0},{"state":"KY","n":16,"p20":121.73,"p50":133.2,"p80":317.0},{"state":"LA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MA","n":15,"p20":96.0,"p50":311.0,"p80":343.15},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":20,"p20":87.0,"p50":181.8,"p80":356.95},{"state":"MI","n":31,"p20":94.0,"p50":166.8,"p80":199.0},{"state":"MN","n":47,"p20":221.62,"p50":309.4,"p80":438.0},{"state":"MO","n":12,"p20":153.0,"p50":161.5,"p80":290.7},{"state":"MS","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":15,"p20":194.4,"p50":247.2,"p80":351.0},{"state":"NC","n":5,"p20":null,"p50":null,"p80":null},{"state":"ND","n":12,"p20":196.52,"p50":227.43,"p80":360.8},{"state":"NE","n":18,"p20":170.94,"p50":289.0,"p80":361.81},{"state":"NH","n":11,"p20":150.6,"p50":151.25,"p80":265.79},{"state":"NJ","n":3,"p20":null,"p50":null,"p80":null},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":5,"p20":null,"p50":null,"p80":null},{"state":"NY","n":40,"p20":146.32,"p50":245.84,"p80":394.32},{"state":"OH","n":23,"p20":48.0,"p50":201.6,"p80":287.16},{"state":"OK","n":17,"p20":14.2,"p50":118.44,"p80":190.0},{"state":"OR","n":29,"p20":235.95,"p50":358.28,"p80":385.5},{"state":"PA","n":23,"p20":86.67,"p50":179.2,"p80":254.8},{"state":"RI","n":4,"p20":null,"p50":null,"p80":null},{"state":"SC","n":5,"p20":null,"p50":null,"p80":null},{"state":"SD","n":23,"p20":184.3,"p50":270.63,"p80":485.0},{"state":"TN","n":13,"p20":108.87,"p50":147.8,"p80":220.64},{"state":"TX","n":13,"p20":241.8,"p50":264.8,"p80":387.1},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":5,"p20":null,"p50":null,"p80":null},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":17,"p20":206.5,"p50":235.95,"p80":395.47},{"state":"WI","n":28,"p20":299.7,"p50":310.05,"p80":574.2},{"state":"WV","n":12,"p20":133.2,"p50":225.45,"p80":324.0},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":425,"p20":121.73,"p50":235.95,"p80":330.0},{"key":"childrens","n":12,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":307,"p20":158.4,"p50":261.3,"p80":374.4}],"ownership":[{"key":"for_profit","n":52,"p20":112.7,"p50":166.17,"p80":303.0},{"key":"government","n":151,"p20":152.58,"p50":247.8,"p80":348.0},{"key":"nonprofit","n":541,"p20":141.6,"p50":246.98,"p80":360.8}],"affiliation":[{"key":"affiliated","n":563,"p20":133.8,"p50":247.8,"p80":358.1},{"key":"independent","n":183,"p20":145.5,"p50":235.2,"p80":352.0}]},"histogram":[{"lo":55.36,"hi":69.42,"n":7},{"lo":69.42,"hi":87.06,"n":15},{"lo":87.06,"hi":109.17,"n":31},{"lo":109.17,"hi":136.9,"n":59},{"lo":136.9,"hi":171.68,"n":74},{"lo":171.68,"hi":215.29,"n":79},{"lo":215.29,"hi":269.98,"n":125},{"lo":269.98,"hi":338.56,"n":151},{"lo":338.56,"hi":424.55,"n":90},{"lo":424.55,"hi":532.4,"n":47}],"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":"99214","lay_name":"Office visit, established patient, moderate complexity","slug":"cpt-99214-office-visit-established-patient-moderate-complexity"},{"code_type":"CPT","code":"99215","lay_name":"Office visit, established patient, high complexity","slug":"cpt-99215-office-visit-established-patient-high-complexity"}]}