{"procedure":{"code_type":"CPT","code":"99415","lay_name":"Extended nurse or staff time during a visit, first hour","blurb":"Billed when clinical staff spend an unusually long stretch of face-to-face time with a patient during an office visit under the provider's supervision; this code covers the first hour.","slug":"cpt-99415-extended-nurse-or-staff-time-during-a-visit-first-hour","description":"Prolonged Clinical Staff Svc Office/O/P 1st Hr","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":"2024-01-01","filing_date_max":"2026-09-15","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":333,"n_usable":316,"n_not_usable":0,"n_labelled":2,"n_no_cash":15,"n_estimated":0,"n_states":41,"cash_p10":9.18,"cash_p20":13.68,"cash_p25":18.0,"cash_p50":27.32,"cash_p75":41.6,"cash_p80":48.72,"cash_p90":60.48,"cash_mean_trimmed":30.73,"gross_p50":42.85,"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":5,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":23,"p20":48.72,"p50":48.72,"p80":48.72},{"state":"CO","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":6,"p20":null,"p50":null,"p80":null},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":36.8,"p50":36.8,"p80":36.8},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":11,"p20":7.7,"p50":29.1,"p80":39.5},{"state":"IN","n":11,"p20":5.94,"p50":7.7,"p80":11.0},{"state":"KS","n":6,"p20":null,"p50":null,"p80":null},{"state":"KY","n":6,"p20":null,"p50":null,"p80":null},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":19,"p20":20.5,"p50":22.0,"p80":31.02},{"state":"MN","n":4,"p20":null,"p50":null,"p80":null},{"state":"MO","n":5,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":8,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":8,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":20,"p20":19.08,"p50":26.23,"p80":65.0},{"state":"OH","n":9,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":25.2,"p50":25.2,"p80":25.2},{"state":"OR","n":13,"p20":25.0,"p50":37.7,"p80":56.0},{"state":"PA","n":9,"p20":null,"p50":null,"p80":null},{"state":"SC","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":21,"p20":11.01,"p50":11.01,"p80":16.8},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":9,"p20":null,"p50":null,"p80":null},{"state":"VT","n":6,"p20":null,"p50":null,"p80":null},{"state":"WA","n":5,"p20":null,"p50":null,"p80":null},{"state":"WI","n":30,"p20":26.0,"p50":27.55,"p80":40.82},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":230,"p20":13.68,"p50":26.88,"p80":48.72},{"key":"childrens","n":3,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":82,"p20":16.2,"p50":27.32,"p80":43.0}],"ownership":[{"key":"for_profit","n":22,"p20":6.0,"p50":7.7,"p80":24.0},{"key":"government","n":48,"p20":18.0,"p50":29.1,"p80":56.7},{"key":"nonprofit","n":245,"p20":15.0,"p50":29.64,"p80":48.72}],"affiliation":[{"key":"affiliated","n":259,"p20":12.0,"p50":27.32,"p80":48.72},{"key":"independent","n":57,"p20":18.55,"p50":29.1,"p80":58.0}]},"histogram":[{"lo":7.0,"hi":9.66,"n":17},{"lo":9.66,"hi":13.32,"n":27},{"lo":13.32,"hi":18.38,"n":21},{"lo":18.38,"hi":25.36,"n":51},{"lo":25.36,"hi":34.98,"n":62},{"lo":34.98,"hi":48.27,"n":57},{"lo":48.27,"hi":66.59,"n":37},{"lo":66.59,"hi":91.87,"n":7},{"lo":91.87,"hi":126.74,"n":4},{"lo":126.74,"hi":174.85,"n":3}],"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":"2024-01-01","filing_date_max":"2026-09-15","checked_from":"2026-09-05T02:25:43.484337Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":238,"n_usable":236,"n_not_usable":0,"n_labelled":0,"n_no_cash":2,"n_estimated":0,"n_states":36,"cash_p10":11.01,"cash_p20":13.88,"cash_p25":17.0,"cash_p50":26.6,"cash_p75":41.6,"cash_p80":48.72,"cash_p90":57.0,"cash_mean_trimmed":31.13,"gross_p50":41.0,"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":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":21,"p20":48.72,"p50":48.72,"p80":48.72},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":4,"p20":null,"p50":null,"p80":null},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":36.8,"p50":36.8,"p80":36.8},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":9,"p20":null,"p50":null,"p80":null},{"state":"IN","n":10,"p20":7.7,"p50":7.7,"p80":9.9},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":6,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":15,"p20":16.8,"p50":20.5,"p80":26.0},{"state":"MN","n":2,"p20":null,"p50":null,"p80":null},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":8,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":5,"p20":null,"p50":null,"p80":null},{"state":"NH","n":2,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":15,"p20":19.08,"p50":35.97,"p80":65.0},{"state":"OH","n":7,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":25.2,"p50":25.2,"p80":25.2},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":9,"p20":null,"p50":null,"p80":null},{"state":"SC","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":18,"p20":11.01,"p50":11.01,"p80":11.05},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":8,"p20":null,"p50":null,"p80":null},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":23,"p20":26.0,"p50":26.0,"p80":34.2},{"state":"WV","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":183,"p20":13.68,"p50":26.4,"p80":48.72},{"key":"childrens","n":1,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":51,"p20":20.5,"p50":28.5,"p80":43.0}],"ownership":[{"key":"for_profit","n":21,"p20":7.7,"p50":11.01,"p80":24.0},{"key":"government","n":28,"p20":22.5,"p50":29.25,"p80":56.7},{"key":"nonprofit","n":186,"p20":15.0,"p50":27.65,"p80":48.72}],"affiliation":[{"key":"affiliated","n":203,"p20":13.68,"p50":27.32,"p80":48.72},{"key":"independent","n":33,"p20":16.8,"p50":24.83,"p80":58.0}]},"histogram":[{"lo":7.7,"hi":10.06,"n":15},{"lo":10.06,"hi":13.14,"n":21},{"lo":13.14,"hi":17.16,"n":17},{"lo":17.16,"hi":22.41,"n":12},{"lo":22.41,"hi":29.27,"n":59},{"lo":29.27,"hi":38.24,"n":42},{"lo":38.24,"hi":49.94,"n":32},{"lo":49.94,"hi":65.23,"n":14},{"lo":65.23,"hi":85.2,"n":4},{"lo":85.2,"hi":111.29,"n":3}],"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"}]}