Acute Upper Respiratory Infections is more common among the infants and small kids. Adult patients have higher medical expense. Adult patients see doctors more frequently.
  The patients have annual medical cost around $7,598
  In one year, the patients are expected to see doctors 23 times
  There are 2 diagnosis codes containing Acute upper respiratory infections
  Based on 40,900+ patients
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Popular Medication

Popular Medication for Acute Upper Respiratory Infections
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Medication : Prevalence (%)
Annual Cost ($)

Experienced and Focused Doctors

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Exp Score measures the experience toward treating the query diagnosis.

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Cost Score measures the cost. Higher means more expensive.

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Focus Score measures the dominance of the related services over other services performed.

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Avoid the providers listed suspicious on the OIG exclusion database.

 

Popular Medical Services

Popular Medical Services for Acute Upper Respiratory Infections
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Medical Services : Dominance (%)
Popular Medical Services for Acute Upper Respiratory Infections
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Medical Services : Prevalence (%)
Annual Cost ($)

Statistics

$7,598
Annual Medical Cost
0.13
Annual Hospital Adms
23
Doctor Visits
23
Services Used
11
Doctors Used
$12,332
Annual Medical Charge
Drug Prevalence Average Charged Average Dispensed Average Supplied Days Average Supplied Quantity
  Azithromycin 20.46% $74 1.84 10 21
  Amoxicillin 18.70% $50 1.99 22 208
  Hydrocodone 9.17% $54 2.63 25 137
  Prednisone 6.26% $19 2.06 31 74
  Fluticasone 6.21% $184 2.38 86 50
  Oxycodone 6.12% $138 3.30 38 187
  Proair 5.04% $123 2.20 57 24
  Amox 5.01% $133 1.95 23 146
  Ventolin 4.93% $94 2.05 50 45
  Cephalexin 4.58% $39 1.61 16 117
  Ciprofloxacin 4.28% $55 1.64 13 23
  Sulfamethoxazole 4.07% $31 1.89 28 125
  Lisinopril 4.06% $181 6.25 289 305
  Lorazepam 3.94% $106 4.03 101 219
  Cyclobenzaprine 3.87% $58 2.20 44 91
  Cheratussin 3.81% $14 1.46 11 238
  Ibuprofen 3.78% $31 1.93 40 134
  Simvastatin 3.44% $604 6.49 292 292
  Fluconazole 3.08% $65 2.14 17 15
  Albuterol 3.06% $82 2.28 30 281
Procedure Provider Unit Charge Provider Paid Ratio Provider Paid by Patient Ratio Patient Charged Patient Pays Patient Covered Per Claim Charged Per Claim Paid Services Per Patient
99213 1.75 79% 17.3% $152 $26 $94 $124 $98 1.21
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity.
99214 1.93 80% 13.4% $214 $29 $142 $186 $149 1.14
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity.
87880 0.34 53% 9.4% $46 $4 $20 $43 $23 1.06
Infectious agent antigen detection by immunoassay with direct optical observation; streptococcus, group a
94760 0.19 8% 1.0% $26 $0 $2 $22 $2 1.14
Noninvasive ear or pulse oximetry for oxygen saturation; single determination
99283 2.12 70% 17.9% $342 $61 $177 $273 $190 1.22
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; and medical decision making of moderate complexity.
87081 0.45 57% 11.9% $40 $5 $18 $39 $22 1.02
Culture, presumptive, pathogenic organisms, screening only;
71020 2.00 57% 13.2% $257 $34 $114 $221 $127 1.15
Radiologic examination, chest, 2 views, frontal and lateral;
94640 0.52 59% 9.1% $86 $8 $43 $77 $45 1.04
Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [ippb] device)
99051 0.86 6% 0.5% $99 $1 $5 $89 $5 1.11
Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service
90471 0.15 75% 1.3% $31 $0 $23 $30 $23 1.02
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)
99212 0.76 67% 20.7% $108 $22 $50 $101 $68 1.05
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making.
99284 2.76 71% 13.5% $533 $72 $306 $445 $316 1.17
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: a detailed history; a detailed examination; and medical decision making of moderate complexity.
99282 1.67 74% 29.3% $228 $67 $102 $195 $145 1.13
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; and medical decision making of low complexity.
99203 0.98 75% 18.4% $190 $35 $108 $182 $137 1.02
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity.
36415 0.14 39% 7.4% $19 $1 $6 $18 $7 1.04
Collection of venous blood by venipuncture
85025 0.58 61% 10.7% $70 $7 $35 $64 $39 1.07
Blood count; complete (cbc), automated (hgb, hct, rbc, wbc and platelet count) and automated differential wbc count
99000 0.10 1% 0.4% $16 $0 $0 $15 $0 1.03
Handling and/or conveyance of specimen for transfer from the office to a laboratory
87070 0.50 54% 14.5% $60 $9 $24 $58 $31 1.02
Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates
99202 0.67 78% 26.4% $127 $34 $66 $125 $98 1.01
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making.
99050 0.26 73% 8.4% $39 $3 $25 $36 $26 1.07
Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, saturday or sunday), in addition to basic service

High Risk Diagnoses

On every hundred of patients

Sample Distribution for Acute Upper Respiratory Infections
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Which group is risky?

Prevalence for Acute Upper Respiratory Infections
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Which group cost more?

Annual Cost ($) for Acute Upper Respiratory Infections
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Which group has more hassle?

Annual Doctor Visits for Acute Upper Respiratory Infections
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Patient of what condition has the most expansive overall payment (including covered benefits) in medical bill?