| Service Billed to DMERCs |
Number of Claims in Sample |
Number of Lines in Sample |
Dollars Underpaid in Sample |
Total Dollars Paid in Sample |
Projected Dollars Underpaid |
Underpymt Rate |
/
|
/
|
/
|
/
|
/
|
/
|
/
|
| Mycophenolate mofetil oral (J7517) |
42 |
42 |
$601 |
$17,538 |
$1,951,189 |
1.8% |
| All Codes With Less Than 30 Claims |
2,058 |
3,214 |
$229 |
$487,456 |
$741,899 |
0.0% |
| Blood glucose/reagent strips (A4253) |
1,781 |
1,807 |
$74 |
$176,291 |
$620,122 |
0.1% |
| Cont airway pressure device (E0601) |
401 |
435 |
$84 |
$33,265 |
$272,016 |
0.1% |
| Sup fee antiem,antica,immuno (Q0511) |
91 |
92 |
$24 |
$1,824 |
$77,923 |
0.7% |
| Albuterol non-comp unit (J7613) |
329 |
337 |
$19 |
$5,704 |
$60,586 |
0.2% |
| Px sup fee anti-can sub pres (Q0512) |
82 |
92 |
$16 |
$1,424 |
$51,949 |
0.6% |
| Ipratropium bromide non-comp (J7644) |
217 |
226 |
$6 |
$2,061 |
$47,592 |
0.4% |
| All Other Codes |
7,437 |
11,091 |
$0 |
$890,280 |
$0 |
0.0% |
| Combined |
10,191 |
17,336 |
$1,053 |
$1,615,843 |
$3,823,276 |
0.0% |
|
|