Service Billed to DMERC (HCPCS) |
Overcoding Errors |
Paid Error Rate |
Projected Improper Payments |
95% Confidence Interval |
/
|
/
|
/
|
/
|
Levalbuterol non-comp unit (J7614) |
4.9% |
$17,539,696 |
0.9% - 8.8% |
Blood glucose/reagent strips (A4253) |
1.0% |
$10,356,710 |
0.5% - 1.5% |
Budesonide non-comp unit (J7626) |
2.1% |
$4,577,894 |
( 1.9%) - 6.1% |
Enteral feed supp pump per d (B4035) |
2.2% |
$3,715,180 |
( 1.3%) - 5.7% |
Oxygen concentrator (E1390) |
0.2% |
$3,136,044 |
( 0.0%) - 0.4% |
EF complet w/intact nutrient (B4150) |
3.0% |
$2,893,757 |
( 2.8%) - 8.7% |
High strength ltwt whlchr (K0004) |
2.8% |
$1,973,524 |
0.1% - 5.5% |
Multi den insert custom mold (A5513) |
4.5% |
$1,898,139 |
( 4.1%) - 13.0% |
Albuterol ipratrop non-comp (J7620) |
0.8% |
$1,681,045 |
( 0.8%) - 2.5% |
Lancets per box (A4259) |
1.1% |
$1,251,402 |
0.5% - 1.8% |
EF calorie dense>/=1.5Kcal (B4152) |
2.0% |
$1,050,723 |
( 0.7%) - 4.8% |
Lightweight wheelchair (K0003) |
1.6% |
$977,215 |
0.1% - 3.0% |
Portable gaseous 02 (E0431) |
0.1% |
$266,504 |
( 0.1%) - 0.3% |
Albuterol non-comp unit (J7613) |
0.7% |
$258,637 |
( 0.2%) - 1.6% |
Iv pole (E0776) |
2.5% |
$207,975 |
( 2.4%) - 7.4% |
Lithium batt for glucose mon (A4235) |
5.0% |
$58,017 |
( 4.4%) - 14.3% |
Ipratropium bromide non-comp (J7644) |
0.4% |
$54,139 |
( 0.4%) - 1.2% |
Hosp bed semi-electr w/ matt (E0260) |
0.0% |
$46,118 |
( 0.0%) - 0.1% |
Nebulizer administration set (A7003) |
0.7% |
$38,033 |
( 0.6%) - 1.9% |
Mycophenolate mofetil oral (J7517) |
0.0% |
$1,497 |
( 0.0%) - 0.0% |
All Other Codes |
0.2% |
$8,085,506 |
0.0% - 0.3% |
Overall |
0.6% |
$60,067,754 |
0.3% - 0.9% |
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