| Final E&M Code |
Incorrect Coding Errors |
| Paid Claims Error Rate |
Projected Improper Payments |
95% Confidence Interval |
/
|
/
|
/
|
/
|
| Office/outpatient visit, est (99214) |
4.6% |
$170,627,839 |
4.2% - 5.1% |
| Subsequent hospital care (99233) |
9.9% |
$112,310,767 |
7.9% - 11.9% |
| Initial inpatient consult (99254) |
8.6% |
$57,082,375 |
6.9% - 10.3% |
| Office/outpatient visit, est (99215) |
10.0% |
$55,860,211 |
8.3% - 11.7% |
| Office/outpatient visit, est (99213) |
1.1% |
$48,193,659 |
0.9% - 1.3% |
| Office consultation (99244) |
5.5% |
$46,551,134 |
4.2% - 6.8% |
| Subsequent hospital care (99232) |
1.9% |
$41,719,370 |
1.3% - 2.5% |
| Office/outpatient visit, new (99203) |
9.4% |
$36,610,344 |
7.5% - 11.4% |
| Emergency dept visit (99285) |
4.3% |
$36,077,983 |
3.0% - 5.6% |
| Initial hospital care (99222) |
8.6% |
$26,001,119 |
6.1% - 11.0% |
| Office/outpatient visit, new (99204) |
5.8% |
$20,090,533 |
4.0% - 7.6% |
| Office/outpatient visit, est (99212) |
2.8% |
$19,264,915 |
2.2% - 3.3% |
| Office consultation (99243) |
4.5% |
$18,798,713 |
3.2% - 5.7% |
| Nursing fac care, subseq (99313) |
6.9% |
$13,313,750 |
4.7% - 9.0% |
| Nursing fac care, subseq (99312) |
2.9% |
$9,630,102 |
1.4% - 4.4% |
| Initial hospital care (99223) |
1.3% |
$9,470,927 |
0.7% - 2.0% |
| Initial inpatient consult (99253) |
3.3% |
$8,656,204 |
1.9% - 4.6% |
| Subsequent hospital care (99231) |
1.5% |
$6,790,103 |
0.1% - 3.0% |
| Initial inpatient consult (99255) |
1.4% |
$6,648,923 |
0.3% - 2.4% |
| Emergency dept visit (99283) |
2.6% |
$6,321,658 |
1.2% - 4.0% |
| All Other Codes |
0.1% |
$55,397,696 |
0.1% - 0.1% |
| Overall |
1.1% |
$805,418,323 |
1.0% - 1.2% |
|
|