{"procedure":{"code_type":"CPT","code":"99416","lay_name":"Extended staff time during a visit, each extra 30 minutes","blurb":"Add-on billed after the first hour of prolonged clinical staff time during an office visit; one unit equals each additional 30 minutes.","slug":"cpt-99416-extended-staff-time-during-a-visit-each-extra-30-minutes","description":"Prolonged Clinical Staff Svc Office/O/P Ea Addl","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":"2025-05-07","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":265,"n_usable":252,"n_not_usable":0,"n_labelled":1,"n_no_cash":12,"n_estimated":0,"n_states":40,"cash_p10":4.0,"cash_p20":5.85,"cash_p25":6.16,"cash_p50":15.2,"cash_p75":24.08,"cash_p80":24.08,"cash_p90":41.76,"cash_mean_trimmed":15.0,"gross_p50":20.0,"cash_to_gross_p50":0.6004,"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":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":23,"p20":24.08,"p50":24.08,"p80":24.08},{"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":13,"p20":17.6,"p50":17.6,"p80":17.6},{"state":"ID","n":2,"p20":null,"p50":null,"p80":null},{"state":"IL","n":8,"p20":null,"p50":null,"p80":null},{"state":"IN","n":6,"p20":null,"p50":null,"p80":null},{"state":"KS","n":2,"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":"ME","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":17,"p20":4.5,"p50":4.5,"p80":17.24},{"state":"MN","n":5,"p20":null,"p50":null,"p80":null},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":5,"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":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":18,"p20":8.94,"p50":14.58,"p80":39.0},{"state":"OH","n":7,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":11.9,"p50":11.9,"p80":11.9},{"state":"OR","n":12,"p20":13.0,"p50":17.55,"p80":24.0},{"state":"PA","n":10,"p20":29.64,"p50":35.88,"p80":40.56},{"state":"SC","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":20,"p20":6.16,"p50":6.16,"p80":6.16},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":9,"p20":null,"p50":null,"p80":null},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":5,"p20":null,"p50":null,"p80":null},{"state":"WI","n":11,"p20":15.2,"p50":17.1,"p80":18.05},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":198,"p20":6.08,"p50":15.2,"p80":24.08},{"key":"childrens","n":3,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":50,"p20":4.5,"p50":14.95,"p80":22.55}],"ownership":[{"key":"for_profit","n":12,"p20":null,"p50":null,"p80":null},{"key":"government","n":42,"p20":9.0,"p50":17.0,"p80":56.7},{"key":"nonprofit","n":197,"p20":6.0,"p50":16.24,"p80":24.08}],"affiliation":[{"key":"affiliated","n":205,"p20":4.5,"p50":14.95,"p80":24.08},{"key":"independent","n":47,"p20":9.54,"p50":17.0,"p80":37.5}]},"histogram":[{"lo":3.15,"hi":4.35,"n":23},{"lo":4.35,"hi":6.0,"n":20},{"lo":6.0,"hi":8.29,"n":27},{"lo":8.29,"hi":11.44,"n":12},{"lo":11.44,"hi":15.79,"n":39},{"lo":15.79,"hi":21.81,"n":50},{"lo":21.81,"hi":30.1,"n":34},{"lo":30.1,"hi":41.56,"n":12},{"lo":41.56,"hi":57.37,"n":10},{"lo":57.37,"hi":79.2,"n":4}],"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":"2025-10-01","filing_date_max":"2026-09-15","checked_from":"2026-09-05T11:18:47.736875Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":181,"n_usable":179,"n_not_usable":0,"n_labelled":1,"n_no_cash":1,"n_estimated":0,"n_states":34,"cash_p10":4.0,"cash_p20":6.16,"cash_p25":6.16,"cash_p50":16.24,"cash_p75":24.08,"cash_p80":24.5,"cash_p90":39.0,"cash_mean_trimmed":15.36,"gross_p50":21.0,"cash_to_gross_p50":0.6004,"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":22,"p20":24.08,"p50":24.08,"p80":24.08},{"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":12,"p20":17.6,"p50":17.6,"p80":17.6},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":8,"p20":null,"p50":null,"p80":null},{"state":"IN","n":4,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":4,"p20":null,"p50":null,"p80":null},{"state":"MN","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":5,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"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":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":13,"p20":8.94,"p50":19.5,"p80":39.0},{"state":"OH","n":4,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":11.9,"p50":11.9,"p80":11.9},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":10,"p20":29.64,"p50":35.88,"p80":40.56},{"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":6.16,"p50":6.16,"p80":6.16},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":8,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":11,"p20":15.2,"p50":17.1,"p80":18.05},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":151,"p20":6.16,"p50":17.55,"p80":24.08},{"key":"childrens","n":2,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":25,"p20":5.45,"p50":15.2,"p80":24.5}],"ownership":[{"key":"for_profit","n":10,"p20":null,"p50":null,"p80":null},{"key":"government","n":24,"p20":9.76,"p50":15.75,"p80":56.7},{"key":"nonprofit","n":144,"p20":6.16,"p50":17.55,"p80":24.08}],"affiliation":[{"key":"affiliated","n":153,"p20":6.16,"p50":17.0,"p80":24.08},{"key":"independent","n":26,"p20":8.0,"p50":14.4,"p80":30.0}]},"histogram":[{"lo":3.15,"hi":4.21,"n":20},{"lo":4.21,"hi":5.62,"n":5},{"lo":5.62,"hi":7.5,"n":21},{"lo":7.5,"hi":10.01,"n":10},{"lo":10.01,"hi":13.36,"n":16},{"lo":13.36,"hi":17.84,"n":36},{"lo":17.84,"hi":23.82,"n":14},{"lo":23.82,"hi":31.81,"n":28},{"lo":31.81,"hi":42.47,"n":14},{"lo":42.47,"hi":56.7,"n":6}],"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"}]}