Top unexpected denials in May 2014 by CPT code
1. 99213: outpatient physician visit, level 3
2. 99214: outpatient physician visit, level 4
3. 36415: routine blood capture
4. 97110: therapeutic procedure, one or more areas, each 15 minutes
5. 99232: subsequent hospital care, level 2
Top reason codes for denial
1. 18: duplicate claim/service
2. 16: claim/service lacks information or has billing errors
3. 97: benefit for service is included in the payment for another service/procedure that has already been adjudicated
4. 96: non-covered charges
5. 29: time limit for filing has expired
Top specialties with the most unexpected denials
1. Physician therapy: 12 percent
2. Pediatrics: 12 percent
3. Family medicine: 11 percent
4. Internal medicine: 10 percent
5. Radiology: 9 percent
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