Extra clinical staff time during scheduled office visit

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PROLONG OP FACE/FACE (1ST HR)

Payers reporting CPT 99415

Payer pricing summary

Low

Average

$101

Median

$28

High

$1.7k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +19 other terms	142	$21	$43	$38	88%	—	$6 – $278
2	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	118	$35	$45	$47	105%	—	$0 – $433
3	UnitedHealthcare fee schedule · outpatient · +23 other terms	86	$19	$39	$79	203%	—	$1 – $447
4	Aetna fee schedule · outpatient · +22 other terms	83	$21	$431	$1.5k	346%	—	$8 – $8.4k
5	Anthem fee schedule · outpatient · +15 other terms	63	$20	$48	$59	122%	—	$11 – $259
6	Cigna fee schedule · outpatient · +20 other terms	41	$21	$26	$10	36%	—	$9 – $63
7	Molina professional · fee schedule · outpatient · +14 other terms	33	$18	$17	$2	12%	—	$8 – $27
8	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$40	$37	$14	37%	—	$12 – $68
9	Kaiser fee schedule · outpatient · +9 other terms	27	$21	$20	$2	9%	—	$12 – $22
10	Regence professional · fee schedule · outpatient · +7 other terms	26	$18	$31	$15	50%	—	$18 – $59
11	Devoted fee schedule · outpatient · +8 other terms	22	$21	$21	$0	2%	—	$19 – $22
12	Caresource facility · case rate · outpatient · +8 other terms	20	$56	$54	$19	36%	—	$18 – $100
13	Medicare fee schedule · outpatient · +6 other terms	18	$21	$19	$1	6%	—	$18 – $21
14	WellCare fee schedule · both · +10 other terms	18	$20	$21	$5	24%	—	$15 – $35
15	Medica fee schedule · outpatient · +7 other terms	17	$75	$144	$145	100%	—	$11 – $438
16	Aetna Better Health fee schedule · outpatient · +9 other terms	15	$15	$15	$4	26%	—	$6 – $21
17	Highmark fee schedule · outpatient · +7 other terms	13	$22	$22	$2	9%	—	$8 – $33
18	Wellmark fee schedule · both · +3 other terms	13	$27	$26	$5	18%	—	$19 – $29
19	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	12	$7	$6	$2	26%	—	$2 – $8
20	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$17	$27	$18	65%	—	$9 – $84
21	Bcbs Nj fee schedule · outpatient	12	$5	$5	—	—	—	$5 – $5
22	Cigna Healthspring fee schedule · both · +2 other terms	12	$18	$19	$0	1%	—	$18 – $19
23	MultiPlan fee schedule · both · +14 other terms	12	$37	$38	$10	27%	—	$19 – $66
24	Optum facility · case rate · outpatient · +8 other terms	12	$53	$54	$18	34%	—	$22 – $89
25	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	12	$3	$3	$1	31%	—	$2 – $6

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