Overview
Ill-Defined Conditions is more common among the adults. Adult patients have higher medical expense.
The patients have annual medical cost around $6,432
In one year, the patients are expected to see doctors 23 times
Based on 6,200+ patients
Jump to: Popular Medication Experienced Doctors Popular Billing Items Risky Conditions Variety Cost & Dist Charts
Popular Medication
Popular Medication for Ill-Defined Conditions
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Medication : Prevalence (%)
Annual Cost ($)
Experienced and Focused Doctors
Exp Score measures the experience toward treating the query diagnosis.
Cost Score measures the cost. Higher means more expensive.
Focus Score measures the dominance of the related services over other services performed.
Avoid the providers listed suspicious on the OIG exclusion database.
Popular Medical Services
Statistics
$6,432
Annual Medical Cost
0.11
Annual Hospital Adms
23
Doctor Visits
22
Services Used
10
Doctors Used
$11,162
Annual Medical Charge
| Drug | Prevalence | Average Charged | Average Dispensed | Average Supplied Days | Average Supplied Quantity |
|---|---|---|---|---|---|
| Azithromycin | 7.33% | $59 | 1.40 | 8 | 10 |
| Amoxicillin | 7.02% | $46 | 1.46 | 15 | 66 |
| Hydrocodone | 6.91% | $37 | 1.92 | 16 | 84 |
| Oxycodone | 5.35% | $66 | 2.02 | 23 | 110 |
| Lisinopril | 4.83% | $150 | 3.77 | 223 | 229 |
| Fluticasone | 4.43% | $200 | 1.96 | 91 | 47 |
| Levothyroxine | 4.19% | $88 | 4.15 | 238 | 235 |
| Lorazepam | 4.08% | $60 | 2.34 | 60 | 127 |
| Simvastatin | 3.96% | $505 | 3.70 | 224 | 220 |
| Lipitor | 3.77% | $1,021 | 3.62 | 239 | 233 |
| Ibuprofen | 3.50% | $28 | 1.53 | 40 | 128 |
| Zolpidem | 3.33% | $265 | 2.79 | 104 | 110 |
| Cyclobenzaprine | 3.32% | $46 | 1.69 | 35 | 69 |
| Ciprofloxacin | 3.25% | $46 | 1.34 | 12 | 19 |
| Prednisone | 3.22% | $15 | 1.72 | 33 | 74 |
| Hydrochlorothiazide | 3.01% | $35 | 3.24 | 212 | 213 |
| Fluconazole | 2.88% | $57 | 1.75 | 13 | 6 |
| Sertraline | 2.88% | $273 | 3.49 | 178 | 201 |
| Bupropion | 2.84% | $561 | 3.66 | 164 | 209 |
| Fexofenadine | 2.79% | $299 | 2.88 | 145 | 171 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| 99214 | 1.07 | 88% | 18.9% | $191 | $36 | $132 | $175 | $154 | 1.06 |
| 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. | |||||||||
| 36415 | 0.08 | 28% | 5.1% | $16 | $1 | $4 | $15 | $4 | 1.08 |
| Collection of venous blood by venipuncture | |||||||||
| 99213 | 0.58 | 72% | 14.5% | $140 | $20 | $81 | $133 | $95 | 1.06 |
| 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. | |||||||||
| 85025 | 0.23 | 59% | 8.2% | $49 | $4 | $25 | $49 | $29 | 1.00 |
| Blood count; complete (cbc), automated (hgb, hct, rbc, wbc and platelet count) and automated differential wbc count | |||||||||
| 99215 | 1.82 | 94% | 27.4% | $271 | $74 | $182 | $252 | $238 | 1.08 |
| 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 comprehensive history; a comprehensive examination; medical decision making of high complexity. | |||||||||
High Risk Diagnoses
| Diagnosis (click for more detail) | Linkage(%) |
|---|---|
| Hyperlipidemia | 18 |
| Hypertension | 14 |
| Lumbago | 12 |
| Cervicalgia | 11 |
| Pain In Limb | 11 |
| Pure Hypercholesterolemia | 10 |
| Anxiety State | 9 |
| Malaise And Fatigue | 9 |
| Acquired Hypothyroidism | 9 |
| Depressive Disorder | 9 |
| Acute Sinusitis | 9 |
| Esophageal Reflux | 8 |
| Nonallopathic Lesions | 8 |
| Acute Upper Respiratory Infections | 8 |
| Pain In Joint | 7 |
| Acute Pharyngitis | 7 |
| Backache | 7 |
| Cough | 7 |
Matching Diagnoses
- 100% Other ill-defined conditions