Healthcare Insights
Top 10 physician procedures in Florida
Physicians conduct a wide variety of procedures across office settings, hospitals, and more to diagnose and treat illnesses. These procedures help improve health outcomes for many patients.
We analyzed data from the Definitive Healthcare platform and compiled a list of the top 10 most-billed physician procedures in Florida. See which procedures made the list below.
| Rank | HCPCS/CPT code | HCPCS/CPT description | % Total charges | Explore dataset |
|---|---|---|---|---|
| 1 | 90999 | UNLISTED DIALYSIS PROCEDURE | 16.50% | Explore |
| 2 | 99285 | EMERGENCY DEPT VISIT HI MDM | 4.10% | Explore |
| 3 | 99284 | EMERGENCY DEPT VISIT MOD MDM | 2.70% | Explore |
| 4 | 99214 | OFFICE O/P EST MOD 30-39 MIN | 2.00% | Explore |
| 5 | 90945 | DIALYSIS ONE EVALUATION | 1.80% | Explore |
| 6 | S9083 | Urgent care center global | 1.50% | Explore |
| 7 | J0887 | Epoetin beta esrd use | 1.40% | Explore |
| 8 | 99283 | EMERGENCY DEPT VISIT LOW MDM | 1.40% | Explore |
| 9 | 99213 | OFFICE O/P EST LOW 20-29 MIN | 1.20% | Explore |
| 10 | 74177 | CT ABD & PELV W/CONTRAST | 1.00% | Explore |
Fig. 1 Data from the Definitive Healthcare ClaimsRx product. Claims data is sourced from multiple medical claims clearinghouses in the United States and updated monthly. Data accessed November 2022.
Which physician procedure had the most charges in Florida?
In 2021, the physician procedure with the highest charges in Florida was an unlisted dialysis procedure. In significant lead over the other procedures, it had 16.5% of total charges. Dialysis procedures may account for more charges because they are costly. Patients with end-stage kidney disease (ESKD) are reported to have 33x higher monthly spending than patients without ESKD.
Coming in next was an emergency department visit with high medical decision-making, with 4.1% in total charges. This code describes the evaluation and management of a patient within the emergency department using a high level of medical decision-making. In addition, it also involves a comprehensive history and a comprehensive examination.
In third was an emergency department visit with moderate medical decision-making, with 2.7% in total charges. Like the second code, this code describes the evaluation and management of an emergency department patient, but it involves using a moderate level of medical decision-making.
How are medical charges captured?
Healthcare providers capture medical charges by converting claims from patient services into charges to generate revenue. Oftentimes, healthcare organizations use EHR systems to capture charges. Accurate reporting is necessary to avoid revenue leakage and audits.
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