{"procedure":{"code_type":"CPT","code":"99491","lay_name":"Chronic care management by a doctor, 30 minutes a month","blurb":"Covers a physician's or other qualified clinician's own time coordinating care for a patient with two or more long-term conditions; one unit is at least 30 minutes in a calendar month.","slug":"cpt-99491-chronic-care-management-by-a-doctor-30-minutes-a-month","description":"Chronic Care Mgmt Svc Phys 1st 30 Min Cal Month","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":372,"n_usable":352,"n_not_usable":0,"n_labelled":3,"n_no_cash":17,"n_estimated":0,"n_states":43,"cash_p10":52.32,"cash_p20":86.48,"cash_p25":90.0,"cash_p50":130.0,"cash_p75":179.2,"cash_p80":200.72,"cash_p90":254.0,"cash_mean_trimmed":134.5,"gross_p50":210.0,"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":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":7,"p20":null,"p50":null,"p80":null},{"state":"CO","n":4,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":5,"p20":null,"p50":null,"p80":null},{"state":"GA","n":6,"p20":null,"p50":null,"p80":null},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":140.0,"p50":156.0,"p80":156.0},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":14,"p20":122.5,"p50":156.0,"p80":247.0},{"state":"IN","n":19,"p20":94.28,"p50":120.77,"p80":170.81},{"state":"KS","n":9,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":36,"p20":89.0,"p50":92.6,"p80":136.0},{"state":"MN","n":18,"p20":96.0,"p50":169.36,"p80":241.12},{"state":"MO","n":4,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":8,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":9,"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":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":24,"p20":22.14,"p50":136.5,"p80":222.6},{"state":"OH","n":8,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":114.8,"p50":114.8,"p80":114.8},{"state":"OR","n":18,"p20":145.0,"p50":154.05,"p80":179.2},{"state":"PA","n":16,"p20":46.2,"p50":50.4,"p80":96.0},{"state":"SC","n":13,"p20":128.05,"p50":128.05,"p80":128.05},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":8,"p20":null,"p50":null,"p80":null},{"state":"TX","n":7,"p20":null,"p50":null,"p80":null},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":15,"p20":117.6,"p50":154.55,"p80":309.6},{"state":"WI","n":17,"p20":113.65,"p50":141.7,"p80":141.7},{"state":"WV","n":17,"p20":57.0,"p50":77.5,"p80":164.5},{"state":"WY","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":221,"p20":84.5,"p50":128.05,"p80":193.94},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":125,"p20":89.0,"p50":141.7,"p80":208.0}],"ownership":[{"key":"for_profit","n":15,"p20":null,"p50":null,"p80":null},{"key":"government","n":80,"p20":90.0,"p50":144.5,"p80":236.0},{"key":"nonprofit","n":256,"p20":84.5,"p50":128.05,"p80":179.2}],"affiliation":[{"key":"affiliated","n":262,"p20":84.5,"p50":128.05,"p80":183.58},{"key":"independent","n":90,"p20":94.28,"p50":151.2,"p80":222.6}]},"histogram":[{"lo":45.0,"hi":54.57,"n":19},{"lo":54.57,"hi":66.18,"n":10},{"lo":66.18,"hi":80.26,"n":17},{"lo":80.26,"hi":97.33,"n":42},{"lo":97.33,"hi":118.03,"n":31},{"lo":118.03,"hi":143.14,"n":67},{"lo":143.14,"hi":173.59,"n":56},{"lo":173.59,"hi":210.52,"n":30},{"lo":210.52,"hi":255.29,"n":34},{"lo":255.29,"hi":309.6,"n":12}],"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":"2024-10-01","filing_date_max":"2026-09-15","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":195,"n_usable":189,"n_not_usable":0,"n_labelled":0,"n_no_cash":6,"n_estimated":0,"n_states":39,"cash_p10":73.58,"cash_p20":96.0,"cash_p25":105.96,"cash_p50":141.7,"cash_p75":167.45,"cash_p80":191.4,"cash_p90":254.0,"cash_mean_trimmed":137.9,"gross_p50":207.65,"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":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":4,"p20":null,"p50":null,"p80":null},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"GA","n":6,"p20":null,"p50":null,"p80":null},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":156.0,"p50":156.0,"p80":156.0},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":12,"p20":139.5,"p50":172.0,"p80":247.0},{"state":"IN","n":1,"p20":null,"p50":null,"p80":null},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":18,"p20":84.5,"p50":128.8,"p80":157.0},{"state":"MN","n":6,"p20":null,"p50":null,"p80":null},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"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":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":15,"p20":83.71,"p50":153.0,"p80":222.6},{"state":"OH","n":4,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":114.8,"p50":114.8,"p80":114.8},{"state":"OR","n":8,"p20":null,"p50":null,"p80":null},{"state":"PA","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":13,"p20":128.05,"p50":128.05,"p80":128.05},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":2,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":7,"p20":null,"p50":null,"p80":null},{"state":"WI","n":14,"p20":141.7,"p50":141.7,"p80":141.7},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":137,"p20":96.0,"p50":134.39,"p80":190.0},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":47,"p20":96.0,"p50":141.7,"p80":191.4}],"ownership":[{"key":"for_profit","n":8,"p20":null,"p50":null,"p80":null},{"key":"government","n":32,"p20":94.02,"p50":134.39,"p80":252.0},{"key":"nonprofit","n":148,"p20":96.0,"p50":141.7,"p80":172.0}],"affiliation":[{"key":"affiliated","n":145,"p20":96.0,"p50":138.0,"p80":172.0},{"key":"independent","n":44,"p20":94.28,"p50":144.2,"p80":222.6}]},"histogram":[{"lo":51.26,"hi":60.53,"n":3},{"lo":60.53,"hi":71.47,"n":5},{"lo":71.47,"hi":84.38,"n":6},{"lo":84.38,"hi":99.64,"n":20},{"lo":99.64,"hi":117.64,"n":18},{"lo":117.64,"hi":138.91,"n":32},{"lo":138.91,"hi":164.02,"n":46},{"lo":164.02,"hi":193.66,"n":15},{"lo":193.66,"hi":228.67,"n":6},{"lo":228.67,"hi":270.0,"n":20}],"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"}]}