TABLE D-24 Evaluation and Management Claims—Percent of Beneficiaries Seeing Five or Fewer Physicians

 

E&M Claims

E&M Claims with Hospitalization

E&M Claims without Hospitalization

E&M Claims: Outpatient Care Only

E&M Claims: Outpatient Care with Hospitalization

E&M Claims: Outpatient Care without Hospitalization

Total in File

75.42%

35.44%

88.09%

81.46%

59.15%

88.85%

Total in Groups

58.79%

29.86%

81.54%

70.55%

55.30%

82.44%

TABLE D-25 Evaluation and Management Claims—Percent of Payments Made to 35 Percent or More Providers

 

E&M Claims

E&M Claims with Hospitalization

E&M Claims without Hospitalization

E&M Claims: Outpatient Care Only

E&M Claims: Outpatient Care with Hospitalization

E&M Claims: Outpatient Care without Hospitalization

Total in File

76.33%

57.03%

82.38%

79.12%

68.01%

82.86%

Total in Groups

70.48%

53.51%

83.77%

76.20%

65.73%

84.34%

NOTE: Percent of beneficiaries not hospitalized for total in file = 76%; total in groups = 56% (see Table D-16).



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