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. 2016 Dec;138(6):e20161809. doi: 10.1542/peds.2016-1809

TABLE 2.

Use of and Spending on Low-Value Diagnostic Tests, Imaging Tests, and Prescription Drugs

Variable Diagnostic Tests (Measures 1–6) Imaging Tests (Measures 7–11) Prescription Drugs (Measures 12–20) Total
Narrow measures
 Service counts 286 066 19 470 419 957 707 493
 % of total low-value service count in sample 37.9% 2.8% 59.4% NA
 Out-of-pocket spending $2 394 690 $2 448 950 $4 312 215 $9 155 855
 % of total out-of-pocket spending on low-value services in sample 26.2% 26.7% 47.1% NA
 Total spending $6 951 671 $9 103 717 $10 934 306 $26 989 694
 % of total spending on low-value services in sample 25.8% 33.7% 40.5% NA
 % of sample receiving at least 1 service during the year 3.9% 0.4% 6.1% 9.6%a
Broad measures
 Service counts 357 161 36 196 726 789 1 120 146
 % of total low-value service count in sample 31.9% 3.2% 64.9% NA
 Out-of-pocket spending $3 760 452 $4 847 918 $7 678 528 $16 286 898
 % of total out-of-pocket spending on low-value services in sample 23.1% 29.8% 47.1% NA
 Total spending $12 338 221 $20 009 840 $20 608 710 $52 956 771
 % of total spending on low-value services in sample 23.3% 37.8% 38.9% NA
 % of sample receiving at least 1 service during the year 5.1% 0.7% 9.7% 14.0%a

NA, not applicable.

a

Represents the percentage of the sample receiving at least 1 of the 20 low-value pediatric services during the year. This number does not equal the sum of the first 3 columns because some children were affected by >1 category of low-value service during the year.