MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
316 |
$31,118 |
$14,340 |
$9,833,183 |
$4,531,462 |
5.90 |
SEPTICEMIA AND DISSEMINATED INFECTIONS |
292 |
$26,494 |
$11,503 |
$7,736,118 |
$3,359,021 |
5.13 |
NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
276 |
$4,745 |
$3,113 |
$1,309,714 |
$859,234 |
1.70 |
VAGINAL DELIVERY |
211 |
$9,390 |
$10,128 |
$1,981,234 |
$2,137,004 |
1.86 |
HEART FAILURE |
208 |
$16,836 |
$7,705 |
$3,501,834 |
$1,602,710 |
3.94 |
OTHER PNEUMONIA |
138 |
$16,504 |
$7,197 |
$2,277,590 |
$993,224 |
4.67 |
CELLULITIS AND OTHER SKIN INFECTIONS |
107 |
$14,195 |
$6,122 |
$1,518,831 |
$655,040 |
3.99 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
107 |
$17,425 |
$7,601 |
$1,864,504 |
$813,320 |
3.85 |
KIDNEY AND URINARY TRACT INFECTIONS |
95 |
$12,992 |
$5,030 |
$1,234,208 |
$477,864 |
3.34 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
82 |
$7,438 |
$5,873 |
$609,880 |
$481,586 |
3.28 |
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
75 |
$12,926 |
$5,942 |
$969,468 |
$445,632 |
3.28 |
CESAREAN SECTION WITHOUT STERILIZATION |
55 |
$20,125 |
$10,270 |
$1,106,866 |
$564,870 |
2.64 |
DIVERTICULITIS AND DIVERTICULOSIS |
49 |
$14,152 |
$4,789 |
$693,453 |
$234,653 |
2.69 |
SCHIZOPHRENIA |
47 |
$18,060 |
$16,481 |
$848,805 |
$774,607 |
10.11 |
ALCOHOL ABUSE AND DEPENDENCE |
47 |
$12,263 |
$5,729 |
$576,354 |
$269,262 |
3.30 |
DIABETES |
44 |
$13,014 |
$5,460 |
$572,616 |
$240,220 |
2.82 |
HIP AND FEMUR FRACTURE REPAIR |
39 |
$37,274 |
$16,051 |
$1,453,692 |
$625,979 |
5.51 |
OTHER AFTERCARE AND CONVALESCENCE |
39 |
$4,794 |
$2,934 |
$186,962 |
$114,416 |
5.13 |
BIPOLAR DISORDERS |
39 |
$12,019 |
$10,484 |
$468,750 |
$408,881 |
6.18 |
PULMONARY EMBOLISM |
36 |
$19,347 |
$7,376 |
$696,507 |
$265,522 |
3.11 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
36 |
$14,895 |
$4,854 |
$536,226 |
$174,754 |
2.50 |
ACUTE KIDNEY INJURY |
35 |
$15,709 |
$6,228 |
$549,816 |
$217,973 |
3.31 |
OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
35 |
$15,195 |
$5,372 |
$531,824 |
$188,031 |
2.83 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
32 |
$16,240 |
$7,317 |
$519,666 |
$234,142 |
4.63 |
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
32 |
$7,770 |
$5,812 |
$248,652 |
$185,998 |
3.03 |
INTESTINAL OBSTRUCTION |
32 |
$17,486 |
$6,439 |
$559,552 |
$206,035 |
3.59 |
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
30 |
$16,037 |
$6,739 |
$481,100 |
$202,164 |
3.17 |
RESPIRATORY FAILURE |
28 |
$18,432 |
$8,255 |
$516,088 |
$231,147 |
4.04 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS |
27 |
$9,704 |
$6,415 |
$262,001 |
$173,217 |
11.07 |
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
25 |
$27,668 |
$13,446 |
$691,688 |
$336,142 |
6.96 |
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
24 |
$15,399 |
$5,841 |
$369,576 |
$140,175 |
3.75 |
DISORDERS OF GALLBLADDER AND BILIARY TRACT |
24 |
$21,905 |
$7,502 |
$525,716 |
$180,051 |
2.92 |
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES |
23 |
$15,561 |
$14,184 |
$357,893 |
$326,223 |
8.65 |
CESAREAN SECTION WITH STERILIZATION |
23 |
$19,487 |
$9,746 |
$448,207 |
$224,158 |
2.30 |
POISONING OF MEDICINAL AGENTS |
23 |
$16,011 |
$6,576 |
$368,258 |
$151,259 |
2.52 |
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE |
22 |
$49,691 |
$20,447 |
$1,093,191 |
$449,844 |
7.23 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
22 |
$11,164 |
$4,586 |
$245,605 |
$100,893 |
3.77 |
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
21 |
$25,421 |
$11,837 |
$533,840 |
$248,568 |
8.33 |
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT |
20 |
$48,669 |
$20,887 |
$973,374 |
$417,735 |
7.05 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
20 |
$11,740 |
$5,802 |
$234,798 |
$116,045 |
2.50 |
OPIOID ABUSE AND DEPENDENCE |
18 |
$11,950 |
$8,201 |
$215,105 |
$147,612 |
4.67 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
18 |
$13,305 |
$4,349 |
$239,494 |
$78,278 |
2.11 |
CHOLECYSTECTOMY |
17 |
$42,107 |
$15,610 |
$715,826 |
$265,363 |
3.82 |
OTHER DRUG ABUSE AND DEPENDENCE |
16 |
$9,358 |
$7,209 |
$149,731 |
$115,345 |
3.94 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
16 |
$3,115 |
$1,986 |
$49,847 |
$31,783 |
1.25 |
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
16 |
$11,961 |
$3,944 |
$191,376 |
$63,097 |
2.13 |
ALCOHOLIC LIVER DISEASE |
15 |
$19,355 |
$7,784 |
$290,330 |
$116,759 |
3.87 |
PERIPHERAL AND OTHER VASCULAR DISORDERS |
14 |
$12,423 |
$5,126 |
$173,927 |
$71,757 |
2.64 |
ELECTIVE KNEE JOINT REPLACEMENT |
14 |
$44,729 |
$20,257 |
$626,200 |
$283,592 |
2.50 |
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK |
13 |
$24,687 |
$10,371 |
$320,933 |
$134,828 |
5.85 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
13 |
$13,801 |
$5,491 |
$179,407 |
$71,382 |
2.31 |
PEPTIC ULCER AND GASTRITIS |
13 |
$21,108 |
$8,085 |
$274,408 |
$105,102 |
2.92 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
12 |
$29,441 |
$12,979 |
$353,289 |
$155,744 |
6.25 |
HYPERTENSION |
12 |
$14,925 |
$5,720 |
$179,105 |
$68,643 |
2.75 |
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
12 |
$7,911 |
$2,761 |
$94,935 |
$33,133 |
1.25 |
ACUTE ANXIETY AND DELIRIUM STATES |
12 |
$6,909 |
$5,485 |
$82,913 |
$65,823 |
3.42 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
12 |
$6,254 |
$3,783 |
$75,045 |
$45,392 |
1.75 |
INTERSTITIAL AND ALVEOLAR LUNG DISEASES |
11 |
$21,632 |
$10,821 |
$237,955 |
$119,034 |
4.91 |
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
11 |
$13,122 |
$5,146 |
$144,338 |
$56,603 |
2.82 |
INFLAMMATORY BOWEL DISEASE |
11 |
$19,857 |
$7,605 |
$218,426 |
$83,651 |
4.18 |
OTHER INFECTIOUS AND PARASITIC DISEASES |
11 |
$12,688 |
$5,414 |
$139,563 |
$59,550 |
5.27 |
DIGESTIVE MALIGNANCY |
11 |
$31,797 |
$11,598 |
$349,762 |
$127,573 |
4.91 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
11 |
$24,819 |
$9,448 |
$273,004 |
$103,929 |
2.09 |
DISORDERS OF PERSONALITY AND IMPULSE CONTROL |
10 |
$8,192 |
$6,498 |
$81,915 |
$64,977 |
3.60 |
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT |
10 |
$44,468 |
$18,966 |
$444,682 |
$189,658 |
4.80 |
MAJOR SMALL BOWEL PROCEDURES |
10 |
$66,863 |
$27,446 |
$668,631 |
$274,455 |
8.80 |
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
10 |
$22,224 |
$7,835 |
$222,238 |
$78,346 |
4.40 |
ALTERATION IN CONSCIOUSNESS |
10 |
$24,793 |
$10,012 |
$247,934 |
$100,115 |
5.20 |
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
10 |
$18,138 |
$6,641 |
$181,382 |
$66,413 |
2.70 |
OTHER DISORDERS OF THE LIVER |
9 |
$14,469 |
$5,287 |
$130,222 |
$47,581 |
2.67 |
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
9 |
$12,859 |
$4,939 |
$115,734 |
$44,454 |
2.78 |
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK |
9 |
$41,624 |
$19,674 |
$374,613 |
$177,067 |
5.00 |
MAJOR LARGE BOWEL PROCEDURES |
9 |
$60,977 |
$24,337 |
$548,791 |
$219,037 |
5.44 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
8 |
$10,820 |
$4,411 |
$86,560 |
$35,284 |
2.00 |
SYNCOPE AND COLLAPSE |
8 |
$13,328 |
$3,628 |
$106,625 |
$29,020 |
1.50 |
URETHRAL AND TRANSURETHRAL PROCEDURES |
8 |
$24,616 |
$8,427 |
$196,924 |
$67,415 |
2.50 |
ASTHMA |
8 |
$16,444 |
$6,086 |
$131,552 |
$48,686 |
2.88 |
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS |
8 |
$20,699 |
$9,872 |
$165,593 |
$78,976 |
5.50 |
ACUTE MYOCARDIAL INFARCTION |
8 |
$11,868 |
$3,967 |
$94,940 |
$31,739 |
2.38 |
SEIZURE |
8 |
$15,942 |
$4,510 |
$127,537 |
$36,081 |
2.13 |
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE |
7 |
$16,191 |
$6,012 |
$113,337 |
$42,086 |
3.43 |
FRACTURE OF FEMUR |
7 |
$13,746 |
$5,179 |
$96,223 |
$36,251 |
3.00 |
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE |
7 |
$14,042 |
$4,871 |
$98,292 |
$34,094 |
2.29 |
UNGROUPABLE |
7 |
$32,830 |
$26,483 |
$229,810 |
$185,383 |
15.00 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS |
6 |
$84,576 |
$43,167 |
$507,458 |
$259,003 |
14.17 |
OTHER MENTAL HEALTH DISORDERS |
6 |
$5,632 |
$4,118 |
$33,789 |
$24,706 |
2.33 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
6 |
$16,897 |
$4,962 |
$101,380 |
$29,769 |
2.17 |
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA |
6 |
$31,437 |
$12,239 |
$188,619 |
$73,433 |
1.17 |
OTHER ESOPHAGEAL DISORDERS |
6 |
$20,508 |
$7,401 |
$123,047 |
$44,404 |
3.50 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
6 |
$5,452 |
$3,454 |
$32,713 |
$20,722 |
1.67 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES |
6 |
$18,655 |
$8,366 |
$111,931 |
$50,193 |
6.83 |
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
5 |
$18,786 |
$10,289 |
$93,932 |
$51,443 |
7.40 |
PERITONEAL ADHESIOLYSIS |
5 |
$56,403 |
$22,581 |
$282,013 |
$112,905 |
8.60 |
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
5 |
$14,032 |
$8,762 |
$70,161 |
$43,812 |
16.20 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS |
5 |
$10,849 |
$3,285 |
$54,243 |
$16,426 |
1.60 |
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS |
5 |
$21,323 |
$7,651 |
$106,614 |
$38,253 |
3.40 |
MAJOR ESOPHAGEAL DISORDERS |
5 |
$16,846 |
$6,420 |
$84,229 |
$32,102 |
2.60 |
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
5 |
$24,814 |
$10,229 |
$124,070 |
$51,143 |
3.80 |
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
5 |
$12,945 |
$4,138 |
$64,724 |
$20,691 |
2.20 |
SKIN ULCERS |
5 |
$9,871 |
$3,940 |
$49,355 |
$19,702 |
2.00 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
5 |
$19,267 |
$8,065 |
$96,334 |
$40,327 |
2.20 |
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES |
4 |
$31,339 |
$10,649 |
$125,354 |
$42,594 |
2.25 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
4 |
$9,820 |
$3,471 |
$39,281 |
$13,885 |
1.25 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL |
4 |
$36,594 |
$13,780 |
$146,374 |
$55,120 |
3.75 |
RESPIRATORY MALIGNANCY |
4 |
$28,259 |
$12,586 |
$113,034 |
$50,342 |
6.00 |
FOOT AND TOE PROCEDURES |
4 |
$34,125 |
$15,442 |
$136,498 |
$61,767 |
7.00 |
ACUTE AND SUBACUTE ENDOCARDITIS |
4 |
$11,356 |
$4,682 |
$45,423 |
$18,729 |
3.75 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
4 |
$29,324 |
$10,239 |
$117,295 |
$40,955 |
1.00 |
INBORN ERRORS OF METABOLISM |
4 |
$14,808 |
$6,943 |
$59,230 |
$27,773 |
5.75 |
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA |
4 |
$15,298 |
$6,173 |
$61,192 |
$24,691 |
5.25 |
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
3 |
$32,031 |
$12,880 |
$96,092 |
$38,640 |
1.33 |
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION |
3 |
$9,648 |
$4,125 |
$28,943 |
$12,374 |
1.33 |
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
3 |
$5,772 |
$2,608 |
$17,317 |
$7,824 |
2.00 |
OTHER SMALL AND LARGE BOWEL PROCEDURES |
3 |
$26,383 |
$9,156 |
$79,149 |
$27,468 |
2.00 |
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES |
3 |
$11,685 |
$4,664 |
$35,054 |
$13,992 |
2.67 |
CONNECTIVE TISSUE DISORDERS |
3 |
$8,750 |
$3,529 |
$26,251 |
$10,587 |
2.33 |
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
3 |
$39,038 |
$14,759 |
$117,113 |
$44,278 |
4.00 |
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES |
3 |
$23,670 |
$10,271 |
$71,009 |
$30,812 |
4.33 |
VERTIGO AND OTHER LABYRINTH DISORDERS |
3 |
$18,239 |
$5,207 |
$54,716 |
$15,622 |
1.33 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
3 |
$18,596 |
$7,747 |
$55,787 |
$23,241 |
8.67 |
OTHER COMPLICATIONS OF TREATMENT |
3 |
$14,364 |
$6,276 |
$43,092 |
$18,829 |
3.33 |
FEVER AND INFLAMMATORY CONDITIONS |
3 |
$10,684 |
$2,791 |
$32,051 |
$8,374 |
1.00 |
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE |
3 |
$37,276 |
$16,665 |
$111,829 |
$49,996 |
8.67 |
COCAINE ABUSE AND DEPENDENCE |
3 |
$7,796 |
$6,130 |
$23,387 |
$18,389 |
3.33 |
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE |
3 |
$24,850 |
$11,137 |
$74,551 |
$33,412 |
6.33 |
COAGULATION AND PLATELET DISORDERS |
3 |
$45,518 |
$22,191 |
$136,553 |
$66,572 |
8.00 |
CARDIAC STRUCTURAL AND VALVULAR DISORDERS |
3 |
$14,551 |
$6,670 |
$43,653 |
$20,009 |
3.33 |
CHEST PAIN |
3 |
$6,525 |
$1,799 |
$19,576 |
$5,397 |
1.00 |
ABDOMINAL PAIN |
2 |
$19,012 |
$4,454 |
$38,023 |
$8,908 |
1.00 |
VIRAL ILLNESS |
2 |
$16,499 |
$6,246 |
$32,998 |
$12,491 |
3.50 |
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY |
2 |
$34,057 |
$13,592 |
$68,114 |
$27,183 |
5.50 |
OTHER DISORDERS OF NERVOUS SYSTEM |
2 |
$7,137 |
$1,913 |
$14,274 |
$3,825 |
2.00 |
ACUTE BRONCHITIS AND RELATED SYMPTOMS |
2 |
$13,404 |
$5,297 |
$26,808 |
$10,593 |
2.00 |
OTHER RESPIRATORY AND CHEST PROCEDURES |
2 |
$19,135 |
$7,563 |
$38,269 |
$15,125 |
2.50 |
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS |
2 |
$33,106 |
$9,283 |
$66,212 |
$18,565 |
4.00 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
2 |
$33,808 |
$11,185 |
$67,616 |
$22,370 |
1.00 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
2 |
$13,357 |
$4,602 |
$26,713 |
$9,203 |
2.50 |
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
2 |
$37,917 |
$14,341 |
$75,833 |
$28,682 |
6.50 |
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES |
2 |
$29,049 |
$7,670 |
$58,098 |
$15,339 |
1.00 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
2 |
$14,030 |
$4,370 |
$28,059 |
$8,740 |
2.50 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS |
2 |
$7,537 |
$3,767 |
$15,073 |
$7,533 |
2.50 |
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
2 |
$27,418 |
$11,791 |
$54,836 |
$23,582 |
8.50 |
CARDIAC ARREST AND SHOCK |
2 |
$4,520 |
$2,040 |
$9,040 |
$4,079 |
1.00 |
MALIGNANT BREAST DISORDERS |
2 |
$11,896 |
$5,203 |
$23,791 |
$10,405 |
3.50 |
OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES |
2 |
$75,857 |
$38,114 |
$151,713 |
$76,228 |
24.50 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
1 |
$7,402 |
$6,403 |
$7,402 |
$6,403 |
5.00 |
TRANSIENT ISCHEMIA |
1 |
$11,097 |
$3,738 |
$11,097 |
$3,738 |
1.00 |
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES |
1 |
$43,373 |
$20,681 |
$43,373 |
$20,681 |
18.00 |
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
1 |
$18,593 |
$7,803 |
$18,593 |
$7,803 |
2.00 |
OTHER ENDOCRINE DISORDERS |
1 |
$12,955 |
$4,531 |
$12,955 |
$4,531 |
3.00 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
1 |
$10,161 |
$3,262 |
$10,161 |
$3,262 |
2.00 |
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$14,144 |
$6,300 |
$14,144 |
$6,300 |
3.00 |
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
1 |
$5,303 |
$2,960 |
$5,303 |
$2,960 |
2.00 |
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
1 |
$8,633 |
$3,044 |
$8,633 |
$3,044 |
1.00 |
EYE INFECTIONS AND OTHER EYE DISORDERS |
1 |
$5,857 |
$2,738 |
$5,857 |
$2,738 |
2.00 |
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE |
1 |
$39,567 |
$18,437 |
$39,567 |
$18,437 |
11.00 |
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES |
1 |
$30,470 |
$15,306 |
$30,470 |
$15,306 |
5.00 |
EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES |
1 |
$13,677 |
$5,172 |
$13,677 |
$5,172 |
2.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
1 |
$12,449 |
$8,975 |
$12,449 |
$8,975 |
6.00 |
ALLERGIC REACTIONS |
1 |
$10,231 |
$3,602 |
$10,231 |
$3,602 |
1.00 |
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
1 |
$20,258 |
$7,292 |
$20,258 |
$7,292 |
1.00 |
MAJOR CHEST AND RESPIRATORY TRAUMA |
1 |
$23,098 |
$9,000 |
$23,098 |
$9,000 |
4.00 |
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C |
1 |
$21,222 |
$23,523 |
$21,222 |
$23,523 |
3.00 |
ANTEPARTUM WITH O.R. PROCEDURE |
1 |
$20,664 |
$9,645 |
$20,664 |
$9,645 |
2.00 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
1 |
$76,005 |
$34,198 |
$76,005 |
$34,198 |
12.00 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS |
1 |
$21,340 |
$7,036 |
$21,340 |
$7,036 |
1.00 |
ORGANIC MENTAL HEALTH DISTURBANCES |
1 |
$9,258 |
$5,954 |
$9,258 |
$5,954 |
10.00 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES |
1 |
$33,538 |
$15,373 |
$33,538 |
$15,373 |
6.00 |
MAJOR BLADDER PROCEDURES |
1 |
$40,865 |
$15,612 |
$40,865 |
$15,612 |
3.00 |
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR |
1 |
$17,985 |
$6,002 |
$17,985 |
$6,002 |
3.00 |
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES |
1 |
$46,321 |
$23,529 |
$46,321 |
$23,529 |
14.00 |
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT |
1 |
$52,175 |
$22,935 |
$52,175 |
$22,935 |
10.00 |
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT |
1 |
$16,949 |
$5,093 |
$16,949 |
$5,093 |
2.00 |
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY |
1 |
$470 |
$395 |
$470 |
$395 |
1.00 |
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES |
1 |
$31,099 |
$12,404 |
$31,099 |
$12,404 |
4.00 |
NERVOUS SYSTEM MALIGNANCY |
1 |
$47,863 |
$22,237 |
$47,863 |
$22,237 |
14.00 |
OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
1 |
$48,658 |
$24,075 |
$48,658 |
$24,075 |
7.00 |