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Employer Group ABC

Incurred:

Apr 2014 thru Dec 2015

Paid:

Apr 2014 thru Mar 2016

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3.1.5 Place of service – Outpatient and low acuity (excluding office visits)

The chart below shows which outpatient and low-acuity places of service are large and are growing fast. Moving left

to right on the horizontal axis, costs incurred by location get larger. Moving bottom to top on the vertical axis, growth

from previous period through current period in costs increases. Therefore, locations in the upper right corner are

both large and growing fast.

Figure 3.1.6 Cost drivers: Areas of cost and cost growth for outpatient and community based utilization

(excluding office visits)

30

30

Note:

Figure 3.1.6 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