Monthly total of evaluations for elevated PSA performed from October 2010 to September 2013 at Delaware Valley Urology, LLC (Voorhees, NJ). In the 2 years following release of the USPSTF grade D recommendation, evaluations for elevated PSA decreased by 317 visits per month (95% CI: −573, −61; P = .017). CI, confidence interval; PSA, prostate-specific antigen; USPSTF, United States Preventive Services Task Force.