For example, in the state of Colorado, 77% of spending was on high-cost antibiotics, while 20% of spending was noted in the use of low-cost antibiotics. low cost for the pediatric population for the most common infection such as otitis media. AHRQ revealed that “the same rates as second course antibiotics are spent on less expensive antibiotics, saving Colorado nearly $400,000 in Medicaid” (AHRQ, 2002). The American-Academy of Pediatrics recommends the use of less expensive antibiotics to treat otitis media as a result of the growth of this research. AHRQ is helping research evaluate the quality and reduce the costs of health care