83 / 537
Employer Group ABC
Incurred:
Apr 2014 thru Dec 2015
Paid:
Apr 2014 thru Mar 2016
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3.1.2 Specialty procedures/consultations
Specialty procedures, and the consultations that lead to those procedures, are a common driver of excess utilization.
The chart below shows what procedures are large and are growing fast. Moving left to right on the horizontal axis,
total costs incurred get larger. Moving bottom to top on the vertical axis, growth from previous period through current
period in costs increases. Therefore, specialties in the upper right corner are both large and growing fast.
Figure 3.1.3 Cost drivers: Areas of cost and cost growth for specialty procedures and consultations
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Note:
Figure 3.1.3 is based on select categories of Verscend Procedure Groups which utilize CPT4 Procedure Codes.
Source: Medical Intelligence : Claims Module / Trend / Medical / drill by Plan Type / Zoom Fwd / drill by Procedure Group