{"procedure":{"code_type":"CPT","code":"99354","lay_name":"Extra face-to-face visit time in clinic, first hour","blurb":"Add-on charge for extended direct contact with the patient during an office or outpatient visit, beyond the time normally included; this code covers the first hour of extra time.","slug":"cpt-99354-extra-face-to-face-visit-time-in-clinic-first-hour","description":"PROLNG SVC O/P 1ST HOUR","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":null},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T16:50:06.671404Z","filing_date_min":"2023-04-01","filing_date_max":"2026-09-21","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T21:50:20.494632Z","n_priced_setters":3956,"n_filed":276,"n_usable":252,"n_not_usable":0,"n_labelled":5,"n_no_cash":19,"n_estimated":0,"n_states":45,"cash_p10":54.6,"cash_p20":98.4,"cash_p25":102.9,"cash_p50":178.64,"cash_p75":220.8,"cash_p80":258.7,"cash_p90":419.2,"cash_mean_trimmed":165.91,"gross_p50":285.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":10,"p20":127.42,"p50":703.0,"p80":703.0},{"state":"CA","n":2,"p20":null,"p50":null,"p80":null},{"state":"CO","n":4,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"p20":null,"p50":null,"p80":null},{"state":"GA","n":10,"p20":150.4,"p50":494.0,"p80":494.0},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":7,"p20":null,"p50":null,"p80":null},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":15,"p20":99.75,"p50":204.9,"p80":370.0},{"state":"IN","n":12,"p20":35.0,"p50":99.75,"p80":107.25},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MA","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":16,"p20":108.0,"p50":112.5,"p80":192.0},{"state":"MN","n":2,"p20":null,"p50":null,"p80":null},{"state":"MO","n":7,"p20":null,"p50":null,"p80":null},{"state":"MS","n":7,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":13,"p20":62.4,"p50":193.5,"p80":409.2},{"state":"OH","n":6,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":126.7,"p50":126.7,"p80":126.7},{"state":"OR","n":10,"p20":117.0,"p50":213.85,"p80":297.6},{"state":"PA","n":12,"p20":64.36,"p50":77.91,"p80":91.46},{"state":"SC","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":8,"p20":null,"p50":null,"p80":null},{"state":"TX","n":33,"p20":178.64,"p50":178.76,"p80":178.76},{"state":"UT","n":3,"p20":null,"p50":null,"p80":null},{"state":"VA","n":1,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":9,"p20":null,"p50":null,"p80":null},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":156,"p20":99.75,"p50":178.64,"p80":218.0},{"key":"childrens","n":8,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":87,"p20":91.0,"p50":178.64,"p80":259.0}],"ownership":[{"key":"for_profit","n":27,"p20":67.57,"p50":178.64,"p80":260.0},{"key":"government","n":52,"p20":131.0,"p50":189.0,"p80":267.2},{"key":"nonprofit","n":172,"p20":88.08,"p50":178.64,"p80":240.1}],"affiliation":[{"key":"affiliated","n":188,"p20":88.08,"p50":178.64,"p80":247.0},{"key":"independent","n":64,"p20":114.68,"p50":180.0,"p80":278.88}]},"histogram":[{"lo":27.72,"hi":37.43,"n":5},{"lo":37.43,"hi":50.55,"n":6},{"lo":50.55,"hi":68.26,"n":13},{"lo":68.26,"hi":92.18,"n":12},{"lo":92.18,"hi":124.48,"n":31},{"lo":124.48,"hi":168.1,"n":38},{"lo":168.1,"hi":227.0,"n":75},{"lo":227.0,"hi":306.54,"n":23},{"lo":306.54,"hi":413.95,"n":10},{"lo":413.95,"hi":559.0,"n":15}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T14:27:30.011889Z","filing_date_min":"2023-04-01","filing_date_max":"2026-08-19","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T18:08:53.016649Z","n_priced_setters":3956,"n_filed":208,"n_usable":190,"n_not_usable":0,"n_labelled":0,"n_no_cash":18,"n_estimated":0,"n_states":38,"cash_p10":51.0,"cash_p20":91.46,"cash_p25":99.75,"cash_p50":178.64,"cash_p75":213.85,"cash_p80":257.7,"cash_p90":494.0,"cash_mean_trimmed":160.54,"gross_p50":297.74,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":10,"p20":127.42,"p50":703.0,"p80":703.0},{"state":"CA","n":2,"p20":null,"p50":null,"p80":null},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"GA","n":7,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":4,"p20":null,"p50":null,"p80":null},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":16,"p20":99.75,"p50":198.6,"p80":370.0},{"state":"IN","n":12,"p20":38.5,"p50":81.0,"p80":99.75},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":14,"p20":112.5,"p50":112.5,"p80":214.0},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MS","n":7,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":9,"p20":null,"p50":null,"p80":null},{"state":"OH","n":4,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":126.7,"p50":126.7,"p80":126.7},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":12,"p20":64.36,"p50":77.91,"p80":91.46},{"state":"SC","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":31,"p20":178.64,"p50":178.76,"p80":178.76},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":1,"p20":null,"p50":null,"p80":null},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":138,"p20":99.44,"p50":178.64,"p80":213.85},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":47,"p20":57.6,"p50":136.72,"p80":259.0}],"ownership":[{"key":"for_profit","n":28,"p20":67.57,"p50":126.7,"p80":210.6},{"key":"government","n":26,"p20":145.0,"p50":204.9,"p80":328.0},{"key":"nonprofit","n":135,"p20":81.3,"p50":173.4,"p80":216.0}],"affiliation":[{"key":"affiliated","n":147,"p20":77.91,"p50":178.64,"p80":213.85},{"key":"independent","n":43,"p20":115.88,"p50":180.0,"p80":309.44}]},"histogram":[{"lo":27.3,"hi":37.78,"n":4},{"lo":37.78,"hi":52.28,"n":6},{"lo":52.28,"hi":72.34,"n":10},{"lo":72.34,"hi":100.11,"n":20},{"lo":100.11,"hi":138.53,"n":29},{"lo":138.53,"hi":191.71,"n":48},{"lo":191.71,"hi":265.29,"n":28},{"lo":265.29,"hi":367.11,"n":9},{"lo":367.11,"hi":508.01,"n":12},{"lo":508.01,"hi":703.0,"n":12}],"previous":null}},"related":[]}