{"procedure":{"code_type":"CPT","code":"99291","lay_name":"Critical care, first 30 to 74 minutes","blurb":"Covers the first 30 to 74 minutes of a clinician's direct critical care for a seriously ill or injured patient; additional time is billed separately in 30-minute blocks.","slug":"cpt-99291-critical-care-first-30-to-74-minutes","description":"Critical Care Ill/Injured Patient Init 30-74 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":3595,"n_usable":3408,"n_not_usable":0,"n_labelled":62,"n_no_cash":123,"n_estimated":2,"n_states":50,"cash_p10":459.0,"cash_p20":680.0,"cash_p25":824.0,"cash_p50":1728.0,"cash_p75":3172.8,"cash_p80":3790.84,"cash_p90":5634.21,"cash_mean_trimmed":1856.73,"gross_p50":3324.0,"cash_to_gross_p50":0.65,"medicare_rate":843.92,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":2.0476,"by_state":[{"state":"AK","n":19,"p20":902.5,"p50":1768.0,"p80":3850.5},{"state":"AL","n":42,"p20":675.0,"p50":1090.67,"p80":1968.0},{"state":"AR","n":35,"p20":422.0,"p50":909.97,"p80":1183.0},{"state":"AZ","n":55,"p20":1360.8,"p50":2763.58,"p80":6187.5},{"state":"CA","n":213,"p20":1419.71,"p50":4500.0,"p80":7392.0},{"state":"CO","n":70,"p20":942.6,"p50":3311.0,"p80":7115.62},{"state":"CT","n":23,"p20":830.0,"p50":1810.8,"p80":2738.0},{"state":"DE","n":7,"p20":null,"p50":null,"p80":null},{"state":"FL","n":168,"p20":1703.2,"p50":4730.83,"p80":7808.72},{"state":"GA","n":105,"p20":481.5,"p50":1827.9,"p80":2947.0},{"state":"HI","n":19,"p20":3713.4,"p50":4407.9,"p80":4966.0},{"state":"IA","n":95,"p20":532.0,"p50":800.0,"p80":1747.8},{"state":"ID","n":24,"p20":527.2,"p50":2308.78,"p80":3926.0},{"state":"IL","n":130,"p20":892.5,"p50":1778.37,"p80":3147.9},{"state":"IN","n":98,"p20":489.15,"p50":1647.1,"p80":3202.8},{"state":"KS","n":93,"p20":420.3,"p50":636.8,"p80":1569.1},{"state":"KY","n":63,"p20":574.57,"p50":1671.32,"p80":3383.43},{"state":"LA","n":47,"p20":637.62,"p50":1167.03,"p80":1842.5},{"state":"MA","n":51,"p20":1103.64,"p50":2597.49,"p80":3970.0},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":27,"p20":592.5,"p50":930.0,"p80":1547.55},{"state":"MI","n":101,"p20":487.0,"p50":1711.5,"p80":3826.0},{"state":"MN","n":112,"p20":644.62,"p50":1432.91,"p80":2051.05},{"state":"MO","n":81,"p20":617.5,"p50":2145.0,"p80":3168.0},{"state":"MS","n":56,"p20":332.5,"p50":528.5,"p80":1297.0},{"state":"MT","n":34,"p20":426.0,"p50":693.0,"p80":1973.4},{"state":"NC","n":90,"p20":1141.11,"p50":2100.0,"p80":2808.93},{"state":"ND","n":31,"p20":588.65,"p50":1011.75,"p80":2283.0},{"state":"NE","n":80,"p20":522.9,"p50":1381.0,"p80":2055.0},{"state":"NH","n":25,"p20":331.89,"p50":1730.86,"p80":2491.2},{"state":"NJ","n":53,"p20":932.65,"p50":1124.35,"p80":3519.0},{"state":"NM","n":32,"p20":671.55,"p50":1500.0,"p80":2187.0},{"state":"NV","n":24,"p20":898.0,"p50":2414.13,"p80":4424.0},{"state":"NY","n":117,"p20":539.0,"p50":1536.79,"p80":3714.0},{"state":"OH","n":132,"p20":1246.5,"p50":2249.0,"p80":3779.1},{"state":"OK","n":70,"p20":504.0,"p50":921.3,"p80":1850.1},{"state":"OR","n":55,"p20":499.2,"p50":901.6,"p80":2567.66},{"state":"PA","n":124,"p20":766.2,"p50":1409.2,"p80":4182.0},{"state":"RI","n":10,"p20":624.0,"p50":1654.8,"p80":1746.15},{"state":"SC","n":52,"p20":1576.2,"p50":2562.3,"p80":3209.91},{"state":"SD","n":44,"p20":581.03,"p50":920.0,"p80":2323.0},{"state":"TN","n":85,"p20":435.6,"p50":1032.79,"p80":1748.25},{"state":"TX","n":247,"p20":1189.86,"p50":2505.6,"p80":4473.0},{"state":"UT","n":42,"p20":2835.0,"p50":4199.9,"p80":6206.53},{"state":"VA","n":72,"p20":1337.4,"p50":2535.0,"p80":4271.0},{"state":"VT","n":13,"p20":442.32,"p50":1097.0,"p80":2947.49},{"state":"WA","n":76,"p20":693.0,"p50":2034.4,"p80":4001.6},{"state":"WI","n":104,"p20":677.77,"p50":1404.0,"p80":2114.2},{"state":"WV","n":41,"p20":637.0,"p50":1258.14,"p80":2447.25},{"state":"WY","n":16,"p20":611.77,"p50":1011.0,"p80":2602.0}],"by_segment":{"hospital_type":[{"key":"acute","n":2356,"p20":903.41,"p50":2100.0,"p80":4407.9},{"key":"childrens","n":49,"p20":607.41,"p50":3025.5,"p80":4948.75},{"key":"critical_access","n":993,"p20":504.8,"p50":986.4,"p80":2145.6}],"ownership":[{"key":"for_profit","n":484,"p20":1046.7,"p50":2828.0,"p80":7392.0},{"key":"government","n":650,"p20":504.0,"p50":1165.4,"p80":2497.0},{"key":"nonprofit","n":2264,"p20":703.88,"p50":1796.4,"p80":3717.38}],"affiliation":[{"key":"affiliated","n":2767,"p20":803.15,"p50":1895.4,"p80":4053.4},{"key":"independent","n":641,"p20":465.99,"p50":1026.0,"p80":2524.32}]},"histogram":[{"lo":314.4,"hi":434.81,"n":131},{"lo":434.81,"hi":601.33,"n":264},{"lo":601.33,"hi":831.62,"n":303},{"lo":831.62,"hi":1150.11,"n":361},{"lo":1150.11,"hi":1590.57,"n":368},{"lo":1590.57,"hi":2199.71,"n":448},{"lo":2199.71,"hi":3042.15,"n":457},{"lo":3042.15,"hi":4207.21,"n":362},{"lo":4207.21,"hi":5818.46,"n":229},{"lo":5818.46,"hi":8046.78,"n":145}],"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":2736,"n_usable":2595,"n_not_usable":0,"n_labelled":30,"n_no_cash":111,"n_estimated":0,"n_states":50,"cash_p10":519.6,"cash_p20":831.2,"cash_p25":980.03,"cash_p50":1929.6,"cash_p75":3265.5,"cash_p80":3779.1,"cash_p90":4966.0,"cash_mean_trimmed":2042.11,"gross_p50":3492.0,"cash_to_gross_p50":0.62,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":15,"p20":1344.0,"p50":2012.4,"p80":6417.5},{"state":"AL","n":27,"p20":848.1,"p50":1598.51,"p80":3296.71},{"state":"AR","n":14,"p20":182.4,"p50":457.9,"p80":1913.79},{"state":"AZ","n":48,"p20":1699.27,"p50":2763.58,"p80":7062.0},{"state":"CA","n":208,"p20":1853.44,"p50":4329.9,"p80":6735.2},{"state":"CO","n":53,"p20":2115.2,"p50":3742.6,"p80":7115.62},{"state":"CT","n":17,"p20":830.0,"p50":1810.8,"p80":2738.0},{"state":"DE","n":7,"p20":null,"p50":null,"p80":null},{"state":"FL","n":106,"p20":1703.2,"p50":4053.4,"p80":5634.21},{"state":"GA","n":77,"p20":504.8,"p50":1827.9,"p80":2755.0},{"state":"HI","n":14,"p20":3713.4,"p50":4129.8,"p80":4966.0},{"state":"IA","n":89,"p20":649.9,"p50":1240.2,"p80":2016.0},{"state":"ID","n":18,"p20":1483.2,"p50":2576.7,"p80":3661.0},{"state":"IL","n":126,"p20":1137.5,"p50":2072.16,"p80":3147.63},{"state":"IN","n":79,"p20":1148.16,"p50":2123.1,"p80":3453.6},{"state":"KS","n":69,"p20":799.5,"p50":1376.1,"p80":2045.54},{"state":"KY","n":53,"p20":812.06,"p50":1763.74,"p80":3383.43},{"state":"LA","n":35,"p20":558.48,"p50":1177.0,"p80":1842.5},{"state":"MA","n":46,"p20":1155.6,"p50":2597.49,"p80":3926.0},{"state":"MD","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":21,"p20":592.5,"p50":936.0,"p80":1547.55},{"state":"MI","n":84,"p20":817.05,"p50":1922.05,"p80":3826.0},{"state":"MN","n":88,"p20":644.62,"p50":1034.51,"p80":1996.8},{"state":"MO","n":46,"p20":986.4,"p50":2395.8,"p80":3400.0},{"state":"MS","n":42,"p20":510.88,"p50":925.32,"p80":1479.0},{"state":"MT","n":30,"p20":448.82,"p50":1012.0,"p80":2083.0},{"state":"NC","n":50,"p20":1136.97,"p50":1522.0,"p80":2808.93},{"state":"ND","n":20,"p20":556.0,"p50":874.0,"p80":2074.0},{"state":"NE","n":40,"p20":634.5,"p50":1715.93,"p80":2329.2},{"state":"NH","n":17,"p20":331.89,"p50":1730.86,"p80":2095.9},{"state":"NJ","n":26,"p20":1058.83,"p50":1180.11,"p80":5215.0},{"state":"NM","n":25,"p20":790.8,"p50":1961.82,"p80":2299.83},{"state":"NV","n":14,"p20":709.0,"p50":1239.7,"p80":4424.0},{"state":"NY","n":69,"p20":525.5,"p50":1519.0,"p80":2655.0},{"state":"OH","n":118,"p20":1377.0,"p50":2438.4,"p80":3779.1},{"state":"OK","n":53,"p20":640.4,"p50":1292.22,"p80":1850.1},{"state":"OR","n":43,"p20":499.2,"p50":1589.25,"p80":3619.0},{"state":"PA","n":111,"p20":923.5,"p50":1918.2,"p80":4205.0},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":40,"p20":1959.0,"p50":2562.3,"p80":3209.91},{"state":"SD","n":42,"p20":588.79,"p50":1038.6,"p80":2462.4},{"state":"TN","n":65,"p20":402.12,"p50":855.0,"p80":1679.04},{"state":"TX","n":170,"p20":1189.86,"p50":2327.0,"p80":3757.4},{"state":"UT","n":31,"p20":1362.37,"p50":4199.9,"p80":4666.56},{"state":"VA","n":50,"p20":1125.5,"p50":2535.0,"p80":2661.0},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":61,"p20":930.6,"p50":3167.1,"p80":4292.4},{"state":"WI","n":87,"p20":817.05,"p50":1448.04,"p80":2309.45},{"state":"WV","n":18,"p20":719.0,"p50":1258.14,"p80":2635.5},{"state":"WY","n":15,"p20":611.77,"p50":2416.85,"p80":3265.5}],"by_segment":{"hospital_type":[{"key":"acute","n":1807,"p20":974.4,"p50":2230.0,"p80":4113.0},{"key":"childrens","n":39,"p20":1090.67,"p50":3778.0,"p80":5341.0},{"key":"critical_access","n":739,"p20":598.5,"p50":1361.6,"p80":2589.7}],"ownership":[{"key":"for_profit","n":280,"p20":883.0,"p50":2241.81,"p80":4851.0},{"key":"government","n":478,"p20":707.85,"p50":1569.6,"p80":2839.34},{"key":"nonprofit","n":1827,"p20":868.19,"p50":2012.4,"p80":3820.4}],"affiliation":[{"key":"affiliated","n":2114,"p20":885.28,"p50":2033.28,"p80":3826.0},{"key":"independent","n":481,"p20":611.25,"p50":1564.15,"p80":2960.25}]},"histogram":[{"lo":377.4,"hi":502.72,"n":119},{"lo":502.72,"hi":669.64,"n":141},{"lo":669.64,"hi":892.0,"n":182},{"lo":892.0,"hi":1188.18,"n":219},{"lo":1188.18,"hi":1582.72,"n":264},{"lo":1582.72,"hi":2108.26,"n":360},{"lo":2108.26,"hi":2808.3,"n":349},{"lo":2808.3,"hi":3740.8,"n":294},{"lo":3740.8,"hi":4982.92,"n":281},{"lo":4982.92,"hi":6637.5,"n":128}],"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":"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"},{"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"}]}