{"procedure":{"code_type":"CPT","code":"99403","lay_name":"Health risk counseling, one person, about 45 minutes","blurb":"A one-on-one counseling session to help prevent illness or reduce health risks in a person without current symptoms; this code covers roughly 45 minutes of face-to-face time.","slug":"cpt-99403-health-risk-counseling-one-person-about-45-minutes","description":"Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 45 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":"2024-01-24","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":725,"n_usable":669,"n_not_usable":0,"n_labelled":7,"n_no_cash":42,"n_estimated":7,"n_states":50,"cash_p10":36.6,"cash_p20":68.64,"cash_p25":80.8,"cash_p50":133.62,"cash_p75":210.74,"cash_p80":226.0,"cash_p90":274.0,"cash_mean_trimmed":141.19,"gross_p50":206.0,"cash_to_gross_p50":0.6991,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":8,"p20":null,"p50":null,"p80":null},{"state":"AL","n":4,"p20":null,"p50":null,"p80":null},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":6,"p20":null,"p50":null,"p80":null},{"state":"CA","n":32,"p20":45.5,"p50":91.09,"p80":243.0},{"state":"CO","n":9,"p20":null,"p50":null,"p80":null},{"state":"CT","n":3,"p20":null,"p50":null,"p80":null},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":10,"p20":86.44,"p50":149.86,"p80":379.6},{"state":"GA","n":15,"p20":36.6,"p50":36.6,"p80":36.6},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":29,"p20":120.6,"p50":160.0,"p80":176.0},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":22,"p20":88.26,"p50":105.0,"p80":267.0},{"state":"IN","n":16,"p20":48.9,"p50":64.4,"p80":116.8},{"state":"KS","n":9,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MA","n":16,"p20":101.0,"p50":159.75,"p80":235.2},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":16,"p20":33.8,"p50":102.35,"p80":216.9},{"state":"MI","n":50,"p20":75.0,"p50":106.0,"p80":201.5},{"state":"MN","n":21,"p20":128.75,"p50":225.0,"p80":262.24},{"state":"MO","n":12,"p20":27.5,"p50":27.5,"p80":128.0},{"state":"MS","n":4,"p20":null,"p50":null,"p80":null},{"state":"MT","n":6,"p20":null,"p50":null,"p80":null},{"state":"NC","n":12,"p20":24.0,"p50":118.2,"p80":227.25},{"state":"ND","n":5,"p20":null,"p50":null,"p80":null},{"state":"NE","n":10,"p20":79.18,"p50":158.0,"p80":162.5},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":55,"p20":80.75,"p50":143.65,"p80":275.0},{"state":"OH","n":67,"p20":82.0,"p50":128.05,"p80":219.05},{"state":"OK","n":15,"p20":47.4,"p50":93.1,"p80":116.8},{"state":"OR","n":28,"p20":120.0,"p50":155.35,"p80":202.5},{"state":"PA","n":22,"p20":24.18,"p50":75.67,"p80":257.0},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":2,"p20":null,"p50":null,"p80":null},{"state":"SD","n":7,"p20":null,"p50":null,"p80":null},{"state":"TN","n":9,"p20":null,"p50":null,"p80":null},{"state":"TX","n":12,"p20":76.19,"p50":141.54,"p80":226.9},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":20,"p20":153.0,"p50":171.0,"p80":294.0},{"state":"WI","n":42,"p20":112.1,"p50":170.74,"p80":201.5},{"state":"WV","n":10,"p20":96.0,"p50":186.99,"p80":285.0},{"state":"WY","n":4,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":453,"p20":64.0,"p50":128.4,"p80":226.8},{"key":"childrens","n":13,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":199,"p20":80.8,"p50":152.46,"p80":224.11}],"ownership":[{"key":"for_profit","n":41,"p20":44.01,"p50":93.88,"p80":236.0},{"key":"government","n":114,"p20":80.19,"p50":121.54,"p80":210.74},{"key":"nonprofit","n":510,"p20":69.65,"p50":144.3,"p80":226.0}],"affiliation":[{"key":"affiliated","n":521,"p20":64.4,"p50":129.0,"p80":226.0},{"key":"independent","n":148,"p20":81.75,"p50":140.8,"p80":234.65}]},"histogram":[{"lo":27.5,"hi":35.49,"n":24},{"lo":35.49,"hi":45.81,"n":30},{"lo":45.81,"hi":59.13,"n":21},{"lo":59.13,"hi":76.32,"n":48},{"lo":76.32,"hi":98.5,"n":63},{"lo":98.5,"hi":127.13,"n":98},{"lo":127.13,"hi":164.09,"n":96},{"lo":164.09,"hi":211.78,"n":95},{"lo":211.78,"hi":273.34,"n":96},{"lo":273.34,"hi":352.8,"n":35}],"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":"2024-01-24","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":488,"n_usable":459,"n_not_usable":0,"n_labelled":4,"n_no_cash":25,"n_estimated":0,"n_states":48,"cash_p10":40.76,"cash_p20":68.91,"cash_p25":82.0,"cash_p50":134.0,"cash_p75":202.5,"cash_p80":220.71,"cash_p90":273.6,"cash_mean_trimmed":139.79,"gross_p50":203.0,"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":4,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":21,"p20":61.5,"p50":142.8,"p80":243.0},{"state":"CO","n":7,"p20":null,"p50":null,"p80":null},{"state":"CT","n":2,"p20":null,"p50":null,"p80":null},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":5,"p20":null,"p50":null,"p80":null},{"state":"GA","n":15,"p20":36.6,"p50":36.6,"p80":36.6},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":160.0,"p50":160.0,"p80":226.8},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":23,"p20":88.2,"p50":112.2,"p80":245.0},{"state":"IN","n":12,"p20":58.68,"p50":64.4,"p80":89.65},{"state":"KS","n":4,"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":13,"p20":145.0,"p50":203.0,"p80":282.15},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":15,"p20":33.8,"p50":171.0,"p80":216.9},{"state":"MI","n":33,"p20":70.0,"p50":120.8,"p80":226.0},{"state":"MN","n":6,"p20":null,"p50":null,"p80":null},{"state":"MO","n":10,"p20":27.5,"p50":27.5,"p80":110.5},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":5,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":3,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":37,"p20":96.0,"p50":168.04,"p80":275.0},{"state":"OH","n":61,"p20":83.7,"p50":144.3,"p80":219.05},{"state":"OK","n":12,"p20":47.4,"p50":80.4,"p80":93.1},{"state":"OR","n":18,"p20":155.35,"p50":202.46,"p80":202.5},{"state":"PA","n":20,"p20":23.17,"p50":64.86,"p80":257.0},{"state":"SC","n":2,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":8,"p20":null,"p50":null,"p80":null},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":6,"p20":null,"p50":null,"p80":null},{"state":"WA","n":11,"p20":155.35,"p50":175.68,"p80":294.0},{"state":"WI","n":26,"p20":112.1,"p50":201.5,"p80":201.5},{"state":"WV","n":6,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":342,"p20":64.31,"p50":128.75,"p80":226.0},{"key":"childrens","n":8,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":105,"p20":89.65,"p50":158.72,"p80":202.46}],"ownership":[{"key":"for_profit","n":36,"p20":58.87,"p50":73.35,"p80":201.5},{"key":"government","n":58,"p20":68.91,"p50":119.67,"p80":222.0},{"key":"nonprofit","n":361,"p20":75.2,"p50":145.0,"p80":220.71}],"affiliation":[{"key":"affiliated","n":383,"p20":64.86,"p50":141.54,"p80":219.1},{"key":"independent","n":76,"p20":81.75,"p50":129.0,"p80":228.14}]},"histogram":[{"lo":28.2,"hi":36.25,"n":9},{"lo":36.25,"hi":46.59,"n":19},{"lo":46.59,"hi":59.88,"n":16},{"lo":59.88,"hi":76.96,"n":40},{"lo":76.96,"hi":98.92,"n":49},{"lo":98.92,"hi":127.14,"n":61},{"lo":127.14,"hi":163.42,"n":66},{"lo":163.42,"hi":210.05,"n":69},{"lo":210.05,"hi":269.97,"n":61},{"lo":269.97,"hi":347.0,"n":26}],"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"}]}