Schizophrenia |
2143 |
$33,460 |
$21,573 |
$71,704,972 |
$46,231,620 |
22.41 |
Neonate birthwt >2499g, normal newborn or neonate w other problem |
1179 |
$6,513 |
$4,199 |
$7,678,869 |
$4,950,934 |
2.45 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
988 |
$5,970 |
$3,849 |
$5,898,585 |
$3,803,106 |
3.21 |
Procedures for obesity |
963 |
$14,685 |
$9,468 |
$14,141,273 |
$9,117,528 |
2.45 |
Major depressive disorders & other/unspecified psychoses |
962 |
$20,476 |
$13,202 |
$19,698,050 |
$12,700,284 |
13.43 |
Vaginal delivery |
936 |
$12,800 |
$8,253 |
$11,980,612 |
$7,724,475 |
2.77 |
Bipolar disorders |
898 |
$17,699 |
$11,411 |
$15,893,412 |
$10,247,250 |
11.49 |
Alcohol abuse & dependence |
476 |
$11,262 |
$7,261 |
$5,360,495 |
$3,456,174 |
3.65 |
Septicemia & disseminated infections |
448 |
$63,797 |
$41,133 |
$28,581,200 |
$18,427,683 |
10.63 |
Seizure |
405 |
$24,341 |
$15,694 |
$9,858,227 |
$6,356,087 |
3.32 |
Heart failure |
373 |
$43,483 |
$28,035 |
$16,218,973 |
$10,457,160 |
7.28 |
Cesarean delivery |
371 |
$19,416 |
$12,519 |
$7,203,396 |
$4,644,392 |
4.24 |
Cellulitis & other skin infections |
347 |
$25,282 |
$16,301 |
$8,772,881 |
$5,656,304 |
4.20 |
Opioid abuse & dependence |
322 |
$8,220 |
$5,300 |
$2,646,784 |
$1,706,504 |
3.70 |
Other Chemotherapy |
314 |
$21,420 |
$13,810 |
$6,725,775 |
$4,336,430 |
3.71 |
Angina pectoris & coronary atherosclerosis |
297 |
$22,295 |
$14,375 |
$6,621,598 |
$4,269,264 |
3.13 |
Adjustment disorders & neuroses except depressive diagnoses |
293 |
$10,016 |
$6,458 |
$2,934,713 |
$1,892,150 |
6.47 |
Depression except major depressive disorder |
287 |
$14,697 |
$9,476 |
$4,217,897 |
$2,719,482 |
9.41 |
Cardiac arrhythmia & conduction disorders |
285 |
$27,281 |
$17,589 |
$7,775,098 |
$5,012,978 |
4.24 |
Rehabilitation |
264 |
$70,226 |
$45,278 |
$18,539,756 |
$11,953,472 |
20.13 |
Other digestive system diagnoses |
247 |
$24,335 |
$15,690 |
$6,010,855 |
$3,875,492 |
4.00 |
Percutaneous coronary intervention w/o AMI |
239 |
$26,342 |
$16,984 |
$6,295,700 |
$4,059,151 |
4.07 |
Kidney & urinary tract infections |
209 |
$26,955 |
$17,379 |
$5,633,607 |
$3,632,254 |
4.43 |
Acute myocardial infarction |
204 |
$35,984 |
$23,200 |
$7,340,648 |
$4,732,867 |
5.27 |
Chest pain |
196 |
$20,337 |
$13,113 |
$3,986,148 |
$2,570,071 |
2.90 |
Syncope & collapse |
194 |
$22,076 |
$14,234 |
$4,282,774 |
$2,761,310 |
3.02 |
Cocaine abuse & dependence |
194 |
$6,196 |
$3,995 |
$1,202,057 |
$775,033 |
3.24 |
Head trauma w coma >1 hr or hemorrhage |
191 |
$33,605 |
$21,667 |
$6,418,541 |
$4,138,338 |
4.07 |
Cardiac catheterization for other non-coronary conditions |
190 |
$52,590 |
$33,907 |
$9,992,096 |
$6,442,383 |
8.37 |
Diabetes |
190 |
$25,542 |
$16,468 |
$4,853,027 |
$3,128,974 |
4.17 |
Chronic obstructive pulmonary disease |
188 |
$29,757 |
$19,186 |
$5,594,288 |
$3,606,903 |
4.86 |
Other anemia & disorders of blood & blood-forming organs |
187 |
$20,678 |
$13,332 |
$3,866,796 |
$2,493,106 |
3.34 |
Behavioral disorders |
187 |
$17,374 |
$11,202 |
$3,248,864 |
$2,094,704 |
12.16 |
Percutaneous coronary intervention w AMI |
174 |
$29,146 |
$18,792 |
$5,071,358 |
$3,269,751 |
4.06 |
Other gastroenteritis, nausa & vomiting |
165 |
$17,485 |
$11,273 |
$2,884,966 |
$1,860,073 |
2.62 |
Drug & alcohol abuse or dependence, left against medical advice |
164 |
$6,124 |
$3,948 |
$1,004,279 |
$647,507 |
1.80 |
Other disorders of nervous system |
160 |
$48,141 |
$31,039 |
$7,702,543 |
$4,966,199 |
9.59 |
Asthma |
155 |
$17,906 |
$11,545 |
$2,775,360 |
$1,789,409 |
2.86 |
Electrolyte disorders except hypovolemia related |
151 |
$47,575 |
$30,674 |
$7,183,819 |
$4,631,748 |
6.52 |
Other pneumonia |
149 |
$27,533 |
$17,752 |
$4,102,378 |
$2,645,001 |
4.81 |
Other antepartum diagnoses |
134 |
$13,240 |
$8,537 |
$1,774,217 |
$1,143,926 |
3.31 |
Signs, symptoms & other factors influencing health status |
134 |
$38,261 |
$24,669 |
$5,127,006 |
$3,305,629 |
5.60 |
Poisoning of medicinal agents |
131 |
$24,185 |
$15,593 |
$3,168,203 |
$2,042,689 |
4.04 |
Other musculoskeletal system & connective tissue diagnoses |
128 |
$26,398 |
$17,020 |
$3,378,943 |
$2,178,567 |
4.31 |
Appendectomy |
127 |
$17,058 |
$10,998 |
$2,166,415 |
$1,396,787 |
2.64 |
Laparoscopic cholecystectomy |
127 |
$21,035 |
$13,562 |
$2,671,409 |
$1,722,386 |
3.11 |
Coronary bypass w/o AMI or complex PDX |
114 |
$81,318 |
$52,430 |
$9,270,298 |
$5,977,004 |
11.89 |
Hypertension |
111 |
$27,342 |
$17,628 |
$3,034,913 |
$1,956,756 |
3.99 |
Acute Kidney Injury |
106 |
$49,945 |
$32,202 |
$5,294,160 |
$3,413,406 |
7.19 |
CVA & precerebral occlusion w infarct |
104 |
$53,006 |
$34,176 |
$5,512,646 |
$3,554,267 |
7.19 |
Hip joint replacement |
102 |
$33,014 |
$21,285 |
$3,367,380 |
$2,171,109 |
5.48 |
Cardiac catheterization for coronary artery disease |
101 |
$22,415 |
$14,452 |
$2,263,874 |
$1,459,630 |
3.24 |
Infectious & parasitic diseases including HIV w O.R. procedure |
100 |
$129,930 |
$83,772 |
$12,992,993 |
$8,377,203 |
20.62 |
Peripheral & other vascular disorders |
99 |
$32,764 |
$21,124 |
$3,243,587 |
$2,091,296 |
4.92 |
Other back & neck disorders, fractures & injuries |
99 |
$31,941 |
$20,594 |
$3,162,144 |
$2,038,787 |
4.38 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
99 |
$19,635 |
$12,660 |
$1,943,912 |
$1,253,334 |
2.16 |
Infections of upper respiratory tract |
96 |
$16,339 |
$10,535 |
$1,568,553 |
$1,011,317 |
2.51 |
Other drug abuse & dependence |
93 |
$7,309 |
$4,712 |
$679,713 |
$438,243 |
4.15 |
Peptic ulcer & gastritis |
91 |
$29,893 |
$19,273 |
$2,720,220 |
$1,753,855 |
4.63 |
Knee & lower leg procedures except foot |
90 |
$39,784 |
$25,651 |
$3,580,574 |
$2,308,567 |
6.57 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
88 |
$28,374 |
$18,294 |
$2,496,899 |
$1,609,875 |
4.60 |
Acute anxiety & delirium states |
88 |
$10,004 |
$6,450 |
$880,389 |
$567,631 |
5.38 |
Shoulder, upper arm & forearm procedures except joint replacement |
87 |
$29,483 |
$19,009 |
$2,565,011 |
$1,653,788 |
4.83 |
Hip and femur fracture repair |
86 |
$49,302 |
$31,788 |
$4,239,998 |
$2,733,730 |
7.60 |
Major respiratory infections & inflammations |
85 |
$91,093 |
$58,732 |
$7,742,942 |
$4,992,244 |
14.19 |
Other circulatory system diagnoses |
85 |
$27,207 |
$17,542 |
$2,312,618 |
$1,491,057 |
3.89 |
Organic mental health disturbances |
83 |
$30,520 |
$19,677 |
$2,533,120 |
$1,633,226 |
11.55 |
Intestinal obstruction |
82 |
$28,627 |
$18,457 |
$2,347,442 |
$1,513,507 |
4.63 |
Craniotomy except for trauma |
81 |
$84,172 |
$54,270 |
$6,817,917 |
$4,395,836 |
11.70 |
Chronic Kidney Disease |
81 |
$41,555 |
$26,792 |
$3,365,928 |
$2,170,179 |
6.79 |
Pulmonary embolism |
79 |
$32,052 |
$20,666 |
$2,532,125 |
$1,632,584 |
4.94 |
Knee joint replacement |
79 |
$20,290 |
$13,082 |
$1,602,893 |
$1,033,466 |
3.34 |
Abdominal pain |
78 |
$17,689 |
$11,405 |
$1,379,728 |
$889,573 |
2.51 |
Fractures & dislocations except femur, pelvis & back |
78 |
$25,419 |
$16,389 |
$1,982,717 |
$1,278,354 |
3.41 |
Major small & large bowel procedures |
77 |
$101,780 |
$65,622 |
$7,837,043 |
$5,052,919 |
16.25 |
Intracranial hemorrhage |
76 |
$55,895 |
$36,038 |
$4,248,043 |
$2,738,919 |
7.82 |
Disorders of pancreas except malignancy |
76 |
$29,363 |
$18,932 |
$2,231,607 |
$1,438,822 |
4.33 |
Hypovolemia & related electrolyte disorders |
74 |
$21,202 |
$13,670 |
$1,568,936 |
$1,011,569 |
3.27 |
Facial bone procedures except major cranial/facial bone procedures |
72 |
$25,558 |
$16,479 |
$1,840,204 |
$1,186,465 |
4.03 |
Other & unspecified gastrointestinal hemorrhage |
72 |
$29,558 |
$19,058 |
$2,128,188 |
$1,372,142 |
4.83 |
Alcoholic liver disease |
72 |
$50,358 |
$32,468 |
$3,625,770 |
$2,337,705 |
7.99 |
Disorders of personality & impulse control |
72 |
$9,713 |
$6,262 |
$699,319 |
$450,885 |
5.60 |
Eye procedures except orbit |
71 |
$20,802 |
$13,412 |
$1,476,958 |
$952,261 |
3.72 |
Other aftercare & convalescence |
71 |
$60,003 |
$38,687 |
$4,260,200 |
$2,746,750 |
18.72 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
70 |
$12,682 |
$8,177 |
$887,766 |
$572,383 |
4.00 |
Diverticulitis & diverticulosis |
69 |
$22,143 |
$14,277 |
$1,527,872 |
$985,097 |
3.43 |
Disorders of gallbladder & biliary tract |
68 |
$30,953 |
$19,957 |
$2,104,834 |
$1,357,090 |
4.54 |
Uterine & adnexa procedures for leiomyoma |
68 |
$9,905 |
$6,386 |
$673,525 |
$434,253 |
1.59 |
Cardiac defibrillator & heart assist implant |
66 |
$59,402 |
$38,300 |
$3,920,545 |
$2,527,769 |
9.03 |
Respiratory signs, symptoms & minor diagnoses |
64 |
$22,936 |
$14,788 |
$1,467,917 |
$946,431 |
3.61 |
Cardiac valve procedures w/o AMI or complex PDX |
64 |
$127,531 |
$82,225 |
$8,161,992 |
$5,262,429 |
18.63 |
Hand & wrist procedures |
63 |
$21,619 |
$13,939 |
$1,362,023 |
$878,158 |
3.56 |
Other skin, subcutaneous tissue & breast disorders |
63 |
$29,357 |
$18,928 |
$1,849,512 |
$1,192,468 |
5.03 |
Connective tissue disorders |
62 |
$37,736 |
$24,330 |
$2,339,651 |
$1,508,488 |
6.11 |
Other skin, subcutaneous tissue & related procedures |
62 |
$27,515 |
$17,740 |
$1,705,904 |
$1,099,884 |
4.42 |
Respiratory Failure |
61 |
$56,761 |
$36,596 |
$3,462,391 |
$2,232,370 |
9.34 |
Other endocrine disorders |
61 |
$40,084 |
$25,844 |
$2,445,138 |
$1,576,494 |
6.84 |
Toxic effects of non-medicinal substances |
61 |
$18,137 |
$11,694 |
$1,106,380 |
$713,331 |
2.54 |
Other ear, nose, mouth & throat procedures |
60 |
$22,406 |
$14,446 |
$1,344,341 |
$866,759 |
3.70 |
Degenerative nervous system disorders exc mult sclerosis |
59 |
$55,228 |
$35,608 |
$3,258,477 |
$2,100,899 |
11.92 |
Other mental health disorders |
59 |
$10,873 |
$7,010 |
$641,486 |
$413,595 |
5.93 |
Respiratory malignancy |
57 |
$43,680 |
$28,163 |
$2,489,781 |
$1,605,277 |
7.09 |
Other disorders of the liver |
57 |
$37,622 |
$24,256 |
$2,144,433 |
$1,382,619 |
6.18 |
Other kidney & urinary tract diagnoses, signs & symptoms |
57 |
$44,827 |
$28,902 |
$2,555,120 |
$1,647,407 |
7.93 |
Digestive malignancy |
56 |
$47,624 |
$30,706 |
$2,666,956 |
$1,719,512 |
8.27 |
Other esophageal disorders |
56 |
$22,173 |
$14,296 |
$1,241,677 |
$800,565 |
3.50 |
Post-operative, post-traumatic, other device infections |
56 |
$33,282 |
$21,459 |
$1,863,812 |
$1,201,683 |
5.73 |
Dental & oral diseases & injuries |
55 |
$18,638 |
$12,017 |
$1,025,109 |
$660,936 |
2.49 |
HIV w major HIV related condition |
55 |
$56,743 |
$36,585 |
$3,120,855 |
$2,012,161 |
10.64 |
Major gastrointestinal & peritoneal infections |
54 |
$34,460 |
$22,218 |
$1,860,838 |
$1,199,774 |
5.76 |
Malignancy of hepatobiliary system & pancreas |
53 |
$41,363 |
$26,668 |
$2,192,217 |
$1,413,420 |
7.04 |
Malnutrition, failure to thrive & other nutritional disorders |
53 |
$60,317 |
$38,890 |
$3,196,823 |
$2,061,145 |
10.92 |
Sickle cell anemia crisis |
53 |
$23,935 |
$15,432 |
$1,268,532 |
$817,884 |
3.94 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
52 |
$41,731 |
$26,906 |
$2,170,006 |
$1,399,111 |
6.23 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
52 |
$54,360 |
$35,048 |
$2,826,695 |
$1,822,509 |
9.77 |
Other complications of treatment |
50 |
$24,927 |
$16,072 |
$1,246,365 |
$803,596 |
4.10 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
49 |
$318,804 |
$205,548 |
$15,621,385 |
$10,071,855 |
42.63 |
Cardiac structural & valvular disorders |
49 |
$48,315 |
$31,151 |
$2,367,422 |
$1,526,389 |
7.98 |
Kidney & urinary tract procedures for nonmalignancy |
49 |
$23,758 |
$15,318 |
$1,164,164 |
$750,595 |
3.90 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
48 |
$14,671 |
$9,459 |
$704,204 |
$454,030 |
2.35 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
47 |
$41,557 |
$26,794 |
$1,953,197 |
$1,259,321 |
6.68 |
Migraine & other headaches |
46 |
$18,985 |
$12,240 |
$873,304 |
$563,060 |
2.24 |
Other respiratory & chest procedures |
46 |
$75,635 |
$48,765 |
$3,479,192 |
$2,243,200 |
12.33 |
Mastectomy procedures |
46 |
$8,758 |
$5,647 |
$402,868 |
$259,745 |
1.20 |
Coronary bypass w AMI or complex PDX |
45 |
$101,141 |
$65,211 |
$4,551,351 |
$2,934,475 |
15.02 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
45 |
$28,670 |
$18,485 |
$1,290,159 |
$831,826 |
4.51 |
Moderately extensive procedure unrelated to principal diagnosis |
45 |
$73,435 |
$47,347 |
$3,304,586 |
$2,130,630 |
12.53 |
Musculoskeletal & other procedures for multiple significant trauma |
44 |
$79,263 |
$51,105 |
$3,487,587 |
$2,248,615 |
10.25 |
Other hepatobiliary, pancreas & abdominal procedures |
43 |
$64,373 |
$41,505 |
$2,768,052 |
$1,784,698 |
10.95 |
Malfunction, reaction & complication of GI device or procedure |
42 |
$29,557 |
$19,057 |
$1,241,387 |
$800,385 |
4.81 |
Major respiratory & chest procedures |
41 |
$69,497 |
$44,808 |
$2,849,387 |
$1,837,134 |
10.63 |
Major chest & respiratory trauma |
41 |
$32,557 |
$20,991 |
$1,334,838 |
$860,634 |
4.07 |
Neonate birthwt >2499g w other significant condition |
41 |
$28,522 |
$18,389 |
$1,169,393 |
$753,963 |
6.88 |
O.R. procedure for other complications of treatment |
41 |
$62,034 |
$39,996 |
$2,543,395 |
$1,639,850 |
10.80 |
Eye disorders except major infections |
40 |
$21,569 |
$13,906 |
$862,740 |
$556,251 |
3.03 |
Other cardiothoracic & thoracic vascular procedures |
40 |
$77,758 |
$50,134 |
$3,110,305 |
$2,005,364 |
11.28 |
Vaginal delivery w sterilization &/or D&C |
40 |
$12,787 |
$8,244 |
$511,461 |
$329,761 |
2.78 |
Coagulation & platelet disorders |
40 |
$25,952 |
$16,732 |
$1,038,069 |
$669,294 |
4.28 |
Extracranial vascular procedures |
39 |
$44,196 |
$28,495 |
$1,723,646 |
$1,111,318 |
5.56 |
Bronchiolitis & RSV pneumonia |
39 |
$20,679 |
$13,333 |
$806,491 |
$519,985 |
3.36 |
Inguinal, femoral & umbilical hernia procedures |
39 |
$17,454 |
$11,253 |
$680,708 |
$438,885 |
2.85 |
Inflammatory bowel disease |
39 |
$30,090 |
$19,401 |
$1,173,510 |
$756,620 |
4.69 |
Hepatic coma & other major acute liver disorders |
39 |
$46,392 |
$29,911 |
$1,809,288 |
$1,166,532 |
7.67 |
Urinary stones & acquired upper urinary tract obstruction |
39 |
$15,526 |
$10,011 |
$605,531 |
$390,413 |
2.33 |
Viral illness |
39 |
$27,638 |
$17,820 |
$1,077,882 |
$694,961 |
4.72 |
Multiple significant trauma w/o O.R. procedure |
39 |
$34,598 |
$22,307 |
$1,349,310 |
$869,966 |
3.56 |
Vertigo & other labyrinth disorders |
38 |
$21,139 |
$13,629 |
$803,269 |
$517,905 |
2.79 |
Skin ulcers |
38 |
$57,493 |
$37,068 |
$2,184,719 |
$1,408,592 |
10.42 |
Peripheral, cranial & autonomic nerve disorders |
37 |
$43,203 |
$27,855 |
$1,598,501 |
$1,030,632 |
7.14 |
Nonextensive procedure unrelated to principal diagnosis |
37 |
$59,995 |
$38,682 |
$2,219,817 |
$1,431,220 |
11.03 |
Major stomach, esophageal & duodenal procedures |
36 |
$93,320 |
$60,168 |
$3,359,521 |
$2,166,042 |
15.03 |
Other small & large bowel procedures |
36 |
$36,548 |
$23,564 |
$1,315,711 |
$848,299 |
6.19 |
Extensive procedure unrelated to principal diagnosis |
36 |
$88,108 |
$56,808 |
$3,171,890 |
$2,045,071 |
14.11 |
Foot & toe procedures |
35 |
$44,360 |
$28,601 |
$1,552,597 |
$1,001,032 |
7.86 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
35 |
$47,924 |
$30,899 |
$1,677,340 |
$1,081,463 |
7.29 |
Malfunction, reaction, complic of genitourinary device or proc |
35 |
$38,346 |
$24,724 |
$1,342,120 |
$865,329 |
7.00 |
Other peripheral vascular procedures |
34 |
$42,805 |
$27,598 |
$1,455,357 |
$938,336 |
6.59 |
Post-op, post-trauma, other device infections w O.R. procedure |
34 |
$79,179 |
$51,050 |
$2,692,073 |
$1,735,707 |
14.35 |
Transient ischemia |
33 |
$24,046 |
$15,504 |
$793,529 |
$511,627 |
1.70 |
HIV w multiple major HIV related conditions |
33 |
$147,788 |
$95,286 |
$4,877,015 |
$3,144,447 |
21.33 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
32 |
$24,182 |
$15,591 |
$773,825 |
$498,926 |
2.94 |
Postpartum & post abortion diagnoses w/o procedure |
32 |
$18,287 |
$11,790 |
$585,174 |
$377,290 |
4.50 |
Fever |
32 |
$21,371 |
$13,779 |
$683,868 |
$440,926 |
3.44 |
Nervous system malignancy |
31 |
$56,937 |
$36,710 |
$1,765,034 |
$1,138,001 |
9.16 |
Neonate birthwt >2499g w major anomaly |
31 |
$43,183 |
$27,842 |
$1,338,668 |
$863,106 |
10.74 |
HIV w one signif HIV cond or w/o signif related cond |
31 |
$29,992 |
$19,337 |
$929,762 |
$599,460 |
4.97 |
Lower extremity arterial procedures |
30 |
$136,146 |
$87,780 |
$4,084,393 |
$2,633,404 |
23.17 |
Other digestive system & abdominal procedures |
30 |
$47,039 |
$30,328 |
$1,411,164 |
$909,846 |
7.77 |
Major pancreas, liver & shunt procedures |
30 |
$67,435 |
$43,478 |
$2,023,035 |
$1,304,345 |
10.27 |
Amputation of lower limb except toes |
29 |
$106,982 |
$68,976 |
$3,102,472 |
$2,000,314 |
19.34 |
Lymphoma, myeloma & non-acute leukemia |
29 |
$65,964 |
$42,530 |
$1,912,958 |
$1,233,377 |
11.00 |
Other nervous system & related procedures |
28 |
$28,183 |
$18,171 |
$789,117 |
$508,781 |
4.07 |
Interstitial & alveolar lung diseases |
28 |
$42,219 |
$27,221 |
$1,182,125 |
$762,174 |
7.04 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
27 |
$55,118 |
$35,537 |
$1,488,178 |
$959,500 |
13.15 |
Other infectious & parasitic diseases |
26 |
$39,152 |
$25,244 |
$1,017,963 |
$656,331 |
6.23 |
Tendon, muscle & other soft tissue procedures |
25 |
$37,781 |
$24,359 |
$944,516 |
$608,975 |
6.60 |
Nontraumatic stupor & coma |
24 |
$100,059 |
$64,513 |
$2,401,408 |
$1,548,303 |
12.67 |
Other circulatory system procedures |
24 |
$104,921 |
$67,648 |
$2,518,100 |
$1,623,542 |
16.54 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
24 |
$59,623 |
$38,442 |
$1,430,954 |
$922,604 |
10.21 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
24 |
$25,409 |
$16,382 |
$609,811 |
$393,178 |
4.25 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
24 |
$70,712 |
$45,592 |
$1,697,099 |
$1,094,201 |
11.96 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
24 |
$41,357 |
$26,665 |
$992,573 |
$639,960 |
6.67 |
Other musculoskeletal system & connective tissue procedures |
23 |
$48,472 |
$31,253 |
$1,114,866 |
$718,811 |
8.35 |
Tonsil & adenoid procedures |
22 |
$7,859 |
$5,067 |
$172,907 |
$111,484 |
1.50 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
22 |
$39,710 |
$25,603 |
$873,615 |
$563,260 |
6.82 |
Menstrual & other female reproductive system disorders |
22 |
$8,389 |
$5,409 |
$184,567 |
$119,002 |
1.00 |
Chemotherapy for acute leukemia |
22 |
$61,582 |
$39,705 |
$1,354,811 |
$873,513 |
11.45 |
Major esophageal disorders |
21 |
$24,957 |
$16,091 |
$524,091 |
$337,905 |
3.71 |
Breast procedures except mastectomy |
21 |
$16,333 |
$10,531 |
$342,997 |
$221,147 |
3.10 |
Thyroid, parathyroid & thyroglossal procedures |
21 |
$14,826 |
$9,559 |
$311,355 |
$200,743 |
2.52 |
Acute leukemia |
21 |
$92,415 |
$59,584 |
$1,940,709 |
$1,251,266 |
16.33 |
Hernia procedures except inguinal, femoral & umbilical |
20 |
$28,717 |
$18,515 |
$574,332 |
$370,301 |
4.55 |
Other significant hip and femur surgery |
20 |
$91,348 |
$58,896 |
$1,826,954 |
$1,177,926 |
16.60 |
Neonate birthwt >2499g w congenital/perinatal infection |
20 |
$35,469 |
$22,868 |
$709,374 |
$457,368 |
8.25 |
Major cranial/facial bone procedures |
19 |
$70,045 |
$45,161 |
$1,330,851 |
$858,066 |
13.26 |
Skin graft for skin & subcutaneous tissue diagnoses |
19 |
$22,455 |
$14,478 |
$426,643 |
$275,077 |
4.05 |
Other female reproductive system & related procedures |
19 |
$14,149 |
$9,122 |
$268,822 |
$173,325 |
2.00 |
Mental illness diagnosis w O.R. procedure |
19 |
$63,634 |
$41,028 |
$1,209,049 |
$779,531 |
40.68 |
Kidney & urinary tract procedures for malignancy |
18 |
$38,303 |
$24,696 |
$689,450 |
$444,521 |
6.11 |
Female reproductive system malignancy |
18 |
$35,107 |
$22,635 |
$631,922 |
$407,430 |
5.78 |
Craniotomy for trauma |
17 |
$83,476 |
$53,821 |
$1,419,087 |
$914,953 |
10.00 |
Cardiac valve procedures w AMI or complex PDX |
17 |
$179,354 |
$115,638 |
$3,049,022 |
$1,965,851 |
26.94 |
Cardiomyopathy |
17 |
$26,311 |
$16,964 |
$447,292 |
$288,390 |
3.76 |
Testes & scrotal procedures |
17 |
$11,979 |
$7,723 |
$203,639 |
$131,295 |
1.71 |
Male reproductive system diagnoses except malignancy |
17 |
$19,996 |
$12,892 |
$339,929 |
$219,170 |
2.88 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
16 |
$288,558 |
$186,047 |
$4,616,927 |
$2,976,755 |
42.13 |
Spinal disorders & injuries |
16 |
$37,020 |
$23,868 |
$592,319 |
$381,895 |
4.50 |
Anal procedures |
16 |
$16,148 |
$10,411 |
$258,364 |
$166,578 |
2.38 |
Fracture of pelvis or dislocation of hip |
16 |
$35,328 |
$22,777 |
$565,243 |
$364,439 |
4.88 |
Acute & subacute endocarditis |
15 |
$87,405 |
$56,354 |
$1,311,077 |
$845,314 |
14.20 |
Peritoneal adhesiolysis |
15 |
$42,155 |
$27,179 |
$632,325 |
$407,692 |
7.40 |
Major skin disorders |
15 |
$47,041 |
$30,329 |
$705,610 |
$454,942 |
8.07 |
Female reproductive system infections |
15 |
$17,190 |
$11,083 |
$257,846 |
$166,248 |
2.40 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
15 |
$12,458 |
$8,032 |
$186,869 |
$120,485 |
2.67 |
Neonate bwt 1500-1999g w or w/o other significant condition |
15 |
$45,893 |
$29,590 |
$688,398 |
$443,844 |
11.60 |
Orbital procedures |
14 |
$28,625 |
$18,456 |
$400,744 |
$258,381 |
4.43 |
Respiratory system diagnosis w ventilator support 96+ hours |
14 |
$178,062 |
$114,805 |
$2,492,870 |
$1,607,270 |
28.43 |
Other stomach, esophageal & duodenal procedures |
14 |
$41,647 |
$26,852 |
$583,063 |
$375,928 |
6.57 |
Major biliary tract procedures |
14 |
$66,832 |
$43,090 |
$935,643 |
$603,254 |
11.21 |
Cholecystectomy except laparoscopic |
14 |
$28,845 |
$18,598 |
$403,835 |
$260,370 |
4.50 |
Urethral & transurethral procedures |
14 |
$28,645 |
$18,469 |
$401,028 |
$258,561 |
5.14 |
Extensive abdominal/thoracic procedures for mult significant trauma |
14 |
$92,621 |
$59,717 |
$1,296,690 |
$836,038 |
11.50 |
Spinal procedures |
13 |
$90,054 |
$58,062 |
$1,170,706 |
$754,812 |
13.08 |
Multiple sclerosis & other demyelinating diseases |
13 |
$31,101 |
$20,052 |
$404,314 |
$260,680 |
4.08 |
Non-bacterial infections of nervous system exc viral meningitis |
13 |
$31,398 |
$20,244 |
$408,172 |
$263,169 |
5.69 |
Intervertebral disc excision & decompression |
13 |
$38,438 |
$24,783 |
$499,692 |
$322,175 |
6.08 |
Transurethral prostatectomy |
13 |
$60,759 |
$39,174 |
$789,868 |
$509,265 |
11.62 |
Procedure w diag of rehab, aftercare or oth contact w health service |
13 |
$77,424 |
$49,919 |
$1,006,508 |
$648,944 |
21.00 |
Dorsal & lumbar fusion proc except for curvature of back |
12 |
$76,667 |
$49,431 |
$919,999 |
$593,167 |
12.00 |
Malfunction, reaction, complic of orthopedic device or procedure |
12 |
$38,794 |
$25,012 |
$465,528 |
$300,149 |
6.92 |
Penis procedures |
12 |
$10,395 |
$6,702 |
$124,738 |
$80,426 |
1.58 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
12 |
$13,889 |
$8,955 |
$166,663 |
$107,456 |
3.42 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
12 |
$83,542 |
$53,864 |
$1,002,507 |
$646,366 |
13.00 |
Ventricular shunt procedures |
11 |
$30,294 |
$19,532 |
$333,237 |
$214,853 |
5.00 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
11 |
$13,821 |
$8,911 |
$152,034 |
$98,024 |
2.18 |
HIV w multiple significant HIV related conditions |
11 |
$38,427 |
$24,776 |
$422,697 |
$272,533 |
6.82 |
Bacterial & tuberculous infections of nervous system |
10 |
$90,182 |
$58,145 |
$901,824 |
$581,448 |
15.60 |
Cardiac pacemaker & defibrillator device replacement |
10 |
$42,704 |
$27,534 |
$427,044 |
$275,337 |
7.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
10 |
$62,678 |
$40,412 |
$626,780 |
$404,116 |
10.00 |
Fracture of femur |
10 |
$23,966 |
$15,452 |
$239,663 |
$154,522 |
3.80 |
Malignant breast disorders |
10 |
$44,232 |
$28,519 |
$442,323 |
$285,187 |
6.60 |
Inborn errors of metabolism |
10 |
$51,694 |
$33,330 |
$516,936 |
$333,295 |
8.30 |
Neonate birthwt >2499g w other major procedure |
10 |
$170,753 |
$110,092 |
$1,707,525 |
$1,100,920 |
38.50 |
Cardiac arrest and shock |
9 |
$46,113 |
$29,731 |
$415,015 |
$267,579 |
6.33 |
Renal dialysis access device procedure only |
9 |
$72,808 |
$46,943 |
$655,268 |
$422,483 |
13.78 |
Other kidney, urinary tract & related procedures |
9 |
$333,843 |
$215,245 |
$3,004,590 |
$1,937,203 |
23.00 |
Major male pelvic procedures |
9 |
$11,227 |
$7,238 |
$101,040 |
$65,145 |
1.78 |
Other male reproductive system & related procedures |
9 |
$18,982 |
$12,239 |
$170,839 |
$110,148 |
2.89 |
Craniotomy for multiple significant trauma |
9 |
$51,145 |
$32,976 |
$460,305 |
$296,781 |
4.56 |
Ear, nose, mouth, throat, cranial/facial malignancies |
8 |
$76,180 |
$49,117 |
$609,441 |
$392,936 |
12.13 |
Other procedures for endocrine, nutritional & metabolic disorders |
8 |
$32,375 |
$20,874 |
$258,998 |
$166,988 |
5.25 |
Malignancy, male reproductive system |
8 |
$39,945 |
$25,754 |
$319,558 |
$206,035 |
5.25 |
Preterm labor |
8 |
$6,453 |
$4,160 |
$51,621 |
$33,283 |
1.38 |
Other procedures of blood & blood-forming organs |
8 |
$31,923 |
$20,582 |
$255,384 |
$164,656 |
5.38 |
Other injury, poisoning & toxic effect diagnoses |
8 |
$43,045 |
$27,753 |
$344,359 |
$222,024 |
7.75 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
7 |
$14,354 |
$9,255 |
$100,477 |
$64,783 |
1.29 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
7 |
$85,018 |
$54,815 |
$595,123 |
$383,703 |
12.86 |
Cardiac pacemaker & defibrillator revision except device replacement |
7 |
$62,578 |
$40,347 |
$438,044 |
$282,427 |
13.14 |
Gastrointestinal vascular insufficiency |
7 |
$23,477 |
$15,137 |
$164,342 |
$105,960 |
3.43 |
Nephritis & nephrosis |
7 |
$32,536 |
$20,978 |
$227,755 |
$146,844 |
5.71 |
Neonate bwt <1500g w major procedure |
7 |
$305,531 |
$196,991 |
$2,138,719 |
$1,378,934 |
69.29 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
7 |
$187,310 |
$120,767 |
$1,311,168 |
$845,372 |
47.86 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
7 |
$84,993 |
$54,799 |
$594,949 |
$383,592 |
21.86 |
Neonate bwt 2000-2499g w other significant condition |
7 |
$34,159 |
$22,024 |
$239,113 |
$154,169 |
8.43 |
Acute major eye infections |
6 |
$54,367 |
$35,053 |
$326,203 |
$210,319 |
10.50 |
Major larynx & trachea procedures |
6 |
$66,962 |
$43,174 |
$401,771 |
$259,041 |
10.33 |
Pituitary & adrenal procedures |
6 |
$43,540 |
$28,073 |
$261,239 |
$168,435 |
5.67 |
Dilation & curettage for non-obstetric diagnoses |
6 |
$13,665 |
$8,810 |
$81,990 |
$52,862 |
2.00 |
Neonate, transferred <5 days old, not born here |
6 |
$8,213 |
$5,295 |
$49,276 |
$31,769 |
1.50 |
Neonate birthwt 500-749g w/o major procedure |
6 |
$387,389 |
$249,768 |
$2,324,331 |
$1,498,608 |
87.50 |
Radiotherapy |
6 |
$19,480 |
$12,560 |
$116,878 |
$75,357 |
3.17 |
Other major head & neck procedures |
5 |
$47,666 |
$30,733 |
$238,330 |
$153,663 |
8.60 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
5 |
$165,279 |
$106,563 |
$826,395 |
$532,817 |
42.20 |
Neonate bwt 2000-2499g w major anomaly |
5 |
$19,568 |
$12,616 |
$97,841 |
$63,082 |
4.80 |
Nonspecific CVA & precerebral occlusion w/o infarct |
4 |
$22,249 |
$14,345 |
$88,994 |
$57,379 |
2.00 |
Kidney & urinary tract malignancy |
4 |
$43,919 |
$28,317 |
$175,676 |
$113,267 |
7.00 |
Neonate bwt <500g or GA <24 weeks |
4 |
$343,334 |
$221,364 |
$1,373,336 |
$885,456 |
81.00 |
Neonate birthwt 1500-1999g w major anomaly |
4 |
$70,065 |
$45,174 |
$280,259 |
$180,697 |
17.25 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
4 |
$41,635 |
$26,844 |
$166,539 |
$107,375 |
10.00 |
Partial thickness burns without skin graft |
4 |
$43,105 |
$27,792 |
$172,420 |
$111,168 |
6.50 |
Shoulder & elbow joint replacement |
3 |
$12,459 |
$8,033 |
$37,376 |
$24,099 |
1.67 |
Other bladder procedures |
3 |
$47,266 |
$30,475 |
$141,798 |
$91,424 |
8.67 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
3 |
$26,135 |
$16,850 |
$78,405 |
$50,551 |
4.67 |
Neonate bwt 1250-1499g w or w/o other significant condition |
3 |
$100,161 |
$64,579 |
$300,483 |
$193,736 |
25.67 |
Neonate bwt 1500-2499g w major procedure |
3 |
$166,796 |
$107,542 |
$500,389 |
$322,625 |
41.33 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
3 |
$70,477 |
$45,440 |
$211,430 |
$136,320 |
18.00 |
Sinus & mastoid procedures |
2 |
$11,783 |
$7,597 |
$23,566 |
$15,194 |
2.00 |
Major abdominal vascular procedures |
2 |
$168,824 |
$108,849 |
$337,648 |
$217,697 |
30.50 |
Major bladder procedures |
2 |
$71,237 |
$45,930 |
$142,474 |
$91,860 |
17.50 |
Neonate, transferred < 5 days old, born here |
2 |
$4,645 |
$2,995 |
$9,289 |
$5,990 |
1.00 |
Neonate birthwt 750-999g w/o major procedure |
2 |
$286,916 |
$184,989 |
$573,832 |
$369,977 |
72.50 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
2 |
$163,466 |
$105,394 |
$326,932 |
$210,788 |
41.50 |
Splenectomy |
2 |
$79,554 |
$51,292 |
$159,107 |
$102,583 |
13.00 |
Viral meningitis |
1 |
$33,824 |
$21,808 |
$33,824 |
$21,808 |
6.00 |
Cleft lip & palate repair |
1 |
$6,200 |
$3,997 |
$6,200 |
$3,997 |
1.00 |
Cystic fibrosis - pulmonary disease |
1 |
$7,931 |
$5,113 |
$7,931 |
$5,113 |
1.00 |
BPD & oth chronic respiratory diseases arising in perinatal period |
1 |
$45,348 |
$29,238 |
$45,348 |
$29,238 |
7.00 |
Major cardiothoracic repair of heart anomaly |
1 |
$43,871 |
$28,286 |
$43,871 |
$28,286 |
6.00 |
Female reproductive system reconstructive procedures |
1 |
$10,261 |
$6,616 |
$10,261 |
$6,616 |
1.00 |
False labor |
1 |
$4,318 |
$2,784 |
$4,318 |
$2,784 |
1.00 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
1 |
$53,598 |
$34,557 |
$53,598 |
$34,557 |
13.00 |
Eating disorders |
1 |
$17,370 |
$11,199 |
$17,370 |
$11,199 |
12.00 |
Allergic reactions |
1 |
$18,000 |
$11,605 |
$18,000 |
$11,605 |
2.00 |
Neonatal aftercare |
1 |
$53,394 |
$34,426 |
$53,394 |
$34,426 |
12.00 |