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Table 3 Savings in selected procedure codes

From: Managing prior approval for site-of-service referrals: an algorithmic approach

Procedure Code

EOCs

Payment in HOPD ($)

Fee in Alternate Location ($)

Savings ($)

99,214

560

332,865

61,602

271,263

99,213

544

246,431

29,672

216,759

99,212

145

39,036

3,905

35,131

99,204

78

67,091

10,126

56,965

99,215

78

32,700

8,738

23,962

99,203

11

5,087

785

4,302

99,202

4

964

400

564

TOTAL

1420

724,175

115,227

608,948

  1. EOCs Episodes of care, HOPD Hospital outpatient department