NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
2377 |
$22,670 |
$3,085 |
$53,885,613 |
$7,334,056 |
2.25 |
SEPTICEMIA AND DISSEMINATED INFECTIONS |
1800 |
$207,168 |
$34,262 |
$372,902,073 |
$61,672,436 |
10.08 |
VAGINAL DELIVERY |
1789 |
$43,279 |
$11,787 |
$77,425,333 |
$21,086,251 |
2.63 |
CESAREAN SECTION WITHOUT STERILIZATION |
1023 |
$82,764 |
$23,814 |
$84,667,094 |
$24,361,939 |
3.98 |
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
904 |
$109,043 |
$17,949 |
$98,574,519 |
$16,226,185 |
6.64 |
HEART FAILURE |
819 |
$118,262 |
$20,500 |
$96,856,936 |
$16,789,464 |
6.74 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
414 |
$47,681 |
$10,566 |
$19,739,938 |
$4,374,447 |
2.88 |
ACUTE KIDNEY INJURY |
375 |
$90,825 |
$15,376 |
$34,059,479 |
$5,765,956 |
5.81 |
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
341 |
$72,492 |
$12,162 |
$24,719,635 |
$4,147,317 |
3.36 |
SYNCOPE AND COLLAPSE |
320 |
$57,657 |
$9,285 |
$18,450,090 |
$2,971,260 |
2.99 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
303 |
$75,620 |
$13,732 |
$22,912,995 |
$4,160,675 |
4.41 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
301 |
$66,282 |
$10,994 |
$19,950,746 |
$3,309,089 |
4.18 |
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI |
289 |
$151,223 |
$33,935 |
$43,703,508 |
$9,807,237 |
3.21 |
DIABETES |
254 |
$76,800 |
$12,220 |
$19,507,187 |
$3,103,993 |
4.48 |
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
253 |
$51,808 |
$8,672 |
$13,107,448 |
$2,194,033 |
2.68 |
PERCUTANEOUS CARDIAC INTERVENTION WITH AMI |
248 |
$159,119 |
$31,420 |
$39,461,620 |
$7,792,269 |
4.06 |
KIDNEY AND URINARY TRACT INFECTIONS |
244 |
$72,092 |
$11,937 |
$17,590,562 |
$2,912,627 |
4.63 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
237 |
$62,081 |
$10,709 |
$14,713,295 |
$2,538,151 |
4.22 |
CHEST PAIN |
228 |
$41,493 |
$6,708 |
$9,460,384 |
$1,529,396 |
2.10 |
OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
227 |
$55,617 |
$8,820 |
$12,624,980 |
$2,002,157 |
3.28 |
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES |
218 |
$285,763 |
$84,251 |
$62,296,283 |
$18,366,632 |
3.83 |
CHOLECYSTECTOMY |
210 |
$97,690 |
$18,482 |
$20,514,829 |
$3,881,127 |
3.28 |
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
205 |
$76,944 |
$13,084 |
$15,773,580 |
$2,682,265 |
5.25 |
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE |
205 |
$366,636 |
$63,639 |
$75,160,452 |
$13,046,088 |
15.27 |
HYPERTENSION |
199 |
$61,157 |
$9,892 |
$12,170,257 |
$1,968,416 |
3.37 |
DIVERTICULITIS AND DIVERTICULOSIS |
185 |
$73,920 |
$12,962 |
$13,675,167 |
$2,398,014 |
3.96 |
PERIPHERAL AND OTHER VASCULAR DISORDERS |
182 |
$82,299 |
$14,068 |
$14,978,444 |
$2,560,403 |
4.94 |
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS |
180 |
$176,758 |
$32,051 |
$31,816,482 |
$5,769,115 |
7.29 |
PEPTIC ULCER AND GASTRITIS |
179 |
$92,656 |
$17,736 |
$16,585,505 |
$3,174,746 |
4.59 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
172 |
$86,161 |
$14,606 |
$14,819,646 |
$2,512,223 |
4.34 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
171 |
$81,337 |
$10,117 |
$13,908,594 |
$1,730,021 |
4.81 |
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
171 |
$61,515 |
$10,140 |
$10,519,148 |
$1,733,883 |
3.92 |
ACUTE MYOCARDIAL INFARCTION |
170 |
$143,772 |
$24,795 |
$24,441,274 |
$4,215,200 |
5.85 |
CELLULITIS AND OTHER SKIN INFECTIONS |
169 |
$63,640 |
$10,784 |
$10,755,174 |
$1,822,555 |
4.20 |
RESPIRATORY FAILURE |
169 |
$116,642 |
$19,244 |
$19,712,553 |
$3,252,313 |
6.09 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
168 |
$76,551 |
$12,817 |
$12,860,491 |
$2,153,274 |
4.27 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
164 |
$77,442 |
$13,065 |
$12,700,503 |
$2,142,628 |
4.48 |
CESAREAN SECTION WITH STERILIZATION |
163 |
$99,797 |
$27,268 |
$16,266,954 |
$4,444,635 |
4.45 |
OTHER PNEUMONIA |
161 |
$85,202 |
$14,150 |
$13,717,498 |
$2,278,186 |
5.22 |
OTHER ESOPHAGEAL DISORDERS |
154 |
$63,047 |
$11,733 |
$9,709,162 |
$1,806,848 |
3.51 |
ASTHMA |
150 |
$62,579 |
$10,400 |
$9,386,778 |
$1,559,982 |
3.88 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS |
149 |
$79,414 |
$13,740 |
$11,832,634 |
$2,047,314 |
6.07 |
INTESTINAL OBSTRUCTION |
147 |
$74,775 |
$12,718 |
$10,991,863 |
$1,869,510 |
4.62 |
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
144 |
$107,405 |
$18,585 |
$15,466,270 |
$2,676,243 |
6.42 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY |
138 |
$154,660 |
$19,189 |
$21,343,027 |
$2,648,021 |
7.54 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
135 |
$37,881 |
$4,890 |
$5,114,001 |
$660,085 |
2.96 |
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
130 |
$84,109 |
$15,203 |
$10,934,161 |
$1,976,429 |
4.46 |
PULMONARY EMBOLISM |
129 |
$99,694 |
$16,583 |
$12,860,486 |
$2,139,259 |
4.95 |
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
121 |
$95,301 |
$19,061 |
$11,531,475 |
$2,306,409 |
5.11 |
DISORDERS OF GALLBLADDER AND BILIARY TRACT |
119 |
$89,880 |
$17,112 |
$10,695,760 |
$2,036,306 |
4.61 |
SEIZURE |
114 |
$119,015 |
$19,596 |
$13,567,745 |
$2,233,995 |
6.59 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
110 |
$200,992 |
$38,688 |
$22,109,075 |
$4,255,690 |
7.63 |
ALCOHOL ABUSE AND DEPENDENCE |
108 |
$85,597 |
$14,625 |
$9,244,466 |
$1,579,529 |
5.51 |
MASTECTOMY PROCEDURES |
108 |
$127,936 |
$26,705 |
$13,817,095 |
$2,884,118 |
1.74 |
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
104 |
$96,086 |
$18,517 |
$9,992,987 |
$1,925,814 |
1.93 |
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS |
104 |
$62,523 |
$10,447 |
$6,502,376 |
$1,086,510 |
4.00 |
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA |
102 |
$90,911 |
$17,647 |
$9,272,903 |
$1,800,042 |
2.11 |
DIGESTIVE MALIGNANCY |
101 |
$126,524 |
$23,594 |
$12,778,886 |
$2,382,947 |
7.43 |
TRANSURETHRAL PROSTATECTOMY |
101 |
$58,270 |
$10,947 |
$5,885,245 |
$1,105,641 |
1.62 |
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
100 |
$52,232 |
$8,900 |
$5,223,162 |
$889,969 |
2.04 |
MAJOR LARGE BOWEL PROCEDURES |
99 |
$159,599 |
$31,928 |
$15,800,323 |
$3,160,863 |
5.97 |
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE |
95 |
$92,931 |
$16,879 |
$8,828,485 |
$1,603,533 |
3.04 |
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
90 |
$101,831 |
$16,920 |
$9,164,754 |
$1,522,769 |
6.02 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
90 |
$116,575 |
$20,280 |
$10,491,742 |
$1,825,159 |
6.77 |
OTHER DISORDERS OF NERVOUS SYSTEM |
88 |
$65,201 |
$10,444 |
$5,737,688 |
$919,090 |
4.08 |
ABDOMINAL PAIN |
85 |
$50,470 |
$8,173 |
$4,289,963 |
$694,710 |
3.04 |
MAJOR SMALL BOWEL PROCEDURES |
82 |
$287,115 |
$53,356 |
$23,543,400 |
$4,375,219 |
13.04 |
RESPIRATORY MALIGNANCY |
82 |
$140,406 |
$25,039 |
$11,513,321 |
$2,053,178 |
8.62 |
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE |
78 |
$1,193,076 |
$201,589 |
$93,059,945 |
$15,723,979 |
47.42 |
POISONING OF MEDICINAL AGENTS |
76 |
$78,764 |
$12,775 |
$5,986,076 |
$970,874 |
4.41 |
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C |
76 |
$65,468 |
$17,581 |
$4,975,587 |
$1,336,182 |
3.58 |
SICKLE CELL ANEMIA CRISIS |
74 |
$88,623 |
$15,274 |
$6,558,098 |
$1,130,280 |
6.53 |
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE |
72 |
$102,625 |
$18,818 |
$7,388,966 |
$1,354,899 |
6.43 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL |
68 |
$147,029 |
$28,168 |
$9,997,996 |
$1,915,427 |
5.13 |
ALTERATION IN CONSCIOUSNESS |
67 |
$144,420 |
$23,928 |
$9,676,161 |
$1,603,154 |
8.48 |
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
65 |
$158,541 |
$26,096 |
$10,305,137 |
$1,696,247 |
8.88 |
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY |
64 |
$105,682 |
$22,445 |
$6,763,637 |
$1,436,477 |
2.97 |
VERTIGO AND OTHER LABYRINTH DISORDERS |
64 |
$57,660 |
$8,939 |
$3,690,248 |
$572,098 |
3.33 |
CHRONIC KIDNEY DISEASE |
64 |
$80,621 |
$13,794 |
$5,159,732 |
$882,798 |
4.69 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
64 |
$237,874 |
$43,984 |
$15,223,961 |
$2,815,004 |
12.23 |
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS |
63 |
$134,227 |
$24,646 |
$8,456,271 |
$1,552,692 |
7.67 |
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK |
62 |
$176,645 |
$39,507 |
$10,951,967 |
$2,449,421 |
4.65 |
ACUTE BRONCHITIS AND RELATED SYMPTOMS |
61 |
$52,918 |
$8,645 |
$3,227,994 |
$527,315 |
2.84 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
61 |
$63,150 |
$10,167 |
$3,852,171 |
$620,195 |
1.46 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
59 |
$100,838 |
$17,262 |
$5,949,438 |
$1,018,436 |
6.51 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDIT |
58 |
$167,777 |
$20,314 |
$9,731,069 |
$1,178,196 |
7.47 |
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
56 |
$74,200 |
$12,193 |
$4,155,218 |
$682,801 |
4.21 |
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY |
56 |
$119,378 |
$21,808 |
$6,685,175 |
$1,221,267 |
2.82 |
OTHER COMPLICATIONS OF TREATMENT |
55 |
$97,935 |
$19,456 |
$5,386,433 |
$1,070,087 |
5.09 |
SKIN ULCERS |
55 |
$89,386 |
$15,496 |
$4,916,220 |
$852,253 |
6.24 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS |
54 |
$88,043 |
$14,967 |
$4,754,325 |
$808,205 |
5.31 |
URETHRAL AND TRANSURETHRAL PROCEDURES |
54 |
$94,914 |
$18,658 |
$5,125,332 |
$1,007,513 |
3.33 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS |
54 |
$63,462 |
$11,133 |
$3,426,969 |
$601,169 |
4.33 |
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS |
52 |
$282,557 |
$46,951 |
$14,692,962 |
$2,441,452 |
13.73 |
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION |
51 |
$116,692 |
$18,724 |
$5,951,316 |
$954,917 |
6.14 |
BREAST PROCEDURES EXCEPT MASTECTOMY |
50 |
$127,923 |
$24,799 |
$6,396,156 |
$1,239,937 |
2.68 |
ALCOHOLIC LIVER DISEASE |
50 |
$119,272 |
$20,984 |
$5,963,585 |
$1,049,190 |
6.82 |
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE |
50 |
$106,900 |
$18,487 |
$5,344,979 |
$924,340 |
5.62 |
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
47 |
$67,925 |
$11,255 |
$3,192,454 |
$529,001 |
4.04 |
OTHER DISORDERS OF THE LIVER |
46 |
$105,130 |
$18,295 |
$4,835,974 |
$841,591 |
5.87 |
LOWER EXTREMITY ARTERIAL PROCEDURES |
46 |
$292,083 |
$55,990 |
$13,435,838 |
$2,575,533 |
10.02 |
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
45 |
$40,034 |
$5,755 |
$1,801,534 |
$258,992 |
2.02 |
COAGULATION AND PLATELET DISORDERS |
45 |
$89,757 |
$15,368 |
$4,039,051 |
$691,571 |
4.82 |
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
44 |
$223,747 |
$40,980 |
$9,844,878 |
$1,803,108 |
11.70 |
DEFIBRILLATOR IMPLANTS |
44 |
$292,282 |
$70,478 |
$12,860,403 |
$3,101,014 |
7.59 |
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES |
44 |
$89,642 |
$15,353 |
$3,944,242 |
$675,545 |
6.39 |
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
44 |
$125,691 |
$21,405 |
$5,530,410 |
$941,820 |
6.14 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
44 |
$76,121 |
$12,503 |
$3,349,315 |
$550,128 |
4.14 |
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
44 |
$94,252 |
$16,574 |
$4,147,086 |
$729,248 |
6.34 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
44 |
$89,715 |
$15,192 |
$3,947,446 |
$668,434 |
5.09 |
ANTEPARTUM WITH O.R. PROCEDURE |
43 |
$54,446 |
$13,578 |
$2,341,185 |
$583,874 |
1.84 |
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS |
42 |
$115,845 |
$19,916 |
$4,865,487 |
$836,481 |
7.24 |
ACUTE ANXIETY AND DELIRIUM STATES |
41 |
$43,945 |
$6,988 |
$1,801,738 |
$286,496 |
2.34 |
CONNECTIVE TISSUE DISORDERS |
40 |
$130,073 |
$22,404 |
$5,202,935 |
$896,179 |
7.58 |
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
40 |
$116,852 |
$20,597 |
$4,674,074 |
$823,876 |
7.93 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
40 |
$48,539 |
$8,263 |
$1,941,551 |
$330,515 |
2.73 |
MAJOR ABDOMINAL VASCULAR PROCEDURES |
39 |
$331,775 |
$71,882 |
$12,939,228 |
$2,803,414 |
9.28 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
39 |
$67,714 |
$11,398 |
$2,640,828 |
$444,540 |
4.08 |
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE |
39 |
$226,124 |
$39,911 |
$8,818,842 |
$1,556,534 |
10.08 |
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK |
38 |
$83,350 |
$14,485 |
$3,167,289 |
$550,422 |
5.79 |
INFLAMMATORY BOWEL DISEASE |
38 |
$89,452 |
$15,256 |
$3,399,159 |
$579,717 |
5.11 |
FOOT AND TOE PROCEDURES |
38 |
$119,856 |
$22,066 |
$4,554,536 |
$838,491 |
5.76 |
HIV WITH MAJOR HIV RELATED CONDITION |
37 |
$78,081 |
$12,435 |
$2,889,012 |
$460,084 |
4.59 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
36 |
$461,368 |
$56,486 |
$16,609,245 |
$2,033,483 |
21.19 |
FEVER AND INFLAMMATORY CONDITIONS |
36 |
$49,552 |
$7,464 |
$1,783,889 |
$268,702 |
2.94 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS |
36 |
$618,532 |
$102,056 |
$22,267,162 |
$3,674,002 |
26.00 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
35 |
$172,286 |
$21,182 |
$6,030,019 |
$741,366 |
8.86 |
INTERSTITIAL AND ALVEOLAR LUNG DISEASES |
35 |
$118,335 |
$20,593 |
$4,141,715 |
$720,745 |
7.71 |
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES |
35 |
$205,838 |
$38,648 |
$7,204,337 |
$1,352,675 |
8.74 |
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE |
35 |
$1,627,108 |
$274,484 |
$56,948,777 |
$9,606,950 |
62.94 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
34 |
$120,879 |
$21,259 |
$4,109,875 |
$722,810 |
7.44 |
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES |
34 |
$95,211 |
$18,108 |
$3,237,159 |
$615,665 |
3.15 |
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
34 |
$80,649 |
$13,506 |
$2,742,071 |
$459,215 |
3.97 |
MIGRAINE AND OTHER HEADACHES |
33 |
$70,350 |
$11,100 |
$2,321,544 |
$366,302 |
3.91 |
THYROID DISORDERS |
30 |
$85,855 |
$14,510 |
$2,575,657 |
$435,295 |
4.60 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
29 |
$59,687 |
$9,262 |
$1,730,916 |
$268,594 |
3.34 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY |
28 |
$360,141 |
$44,276 |
$10,083,958 |
$1,239,733 |
15.82 |
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR |
28 |
$110,492 |
$19,017 |
$3,093,789 |
$532,462 |
6.71 |
OTHER RESPIRATORY AND CHEST PROCEDURES |
28 |
$214,835 |
$39,144 |
$6,015,383 |
$1,096,026 |
6.39 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES |
27 |
$100,793 |
$18,471 |
$2,721,410 |
$498,711 |
4.07 |
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES |
26 |
$120,492 |
$21,700 |
$3,132,787 |
$564,197 |
4.00 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
25 |
$592,584 |
$72,860 |
$14,814,602 |
$1,821,505 |
27.56 |
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
25 |
$378,012 |
$70,304 |
$9,450,302 |
$1,757,607 |
17.84 |
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
25 |
$251,015 |
$46,460 |
$6,275,369 |
$1,161,496 |
8.80 |
MAJOR ESOPHAGEAL DISORDERS |
24 |
$139,538 |
$25,180 |
$3,348,915 |
$604,312 |
6.38 |
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES |
23 |
$65,540 |
$12,446 |
$1,507,416 |
$286,247 |
1.09 |
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE |
23 |
$111,801 |
$19,498 |
$2,571,416 |
$448,463 |
6.65 |
CARDIAC STRUCTURAL AND VALVULAR DISORDERS |
23 |
$91,395 |
$16,231 |
$2,102,075 |
$373,321 |
4.83 |
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C |
23 |
$120,645 |
$29,100 |
$2,774,832 |
$669,310 |
5.70 |
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
22 |
$1,301,444 |
$160,300 |
$28,631,764 |
$3,526,599 |
56.59 |
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
22 |
$145,683 |
$27,609 |
$3,205,016 |
$607,403 |
7.05 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
22 |
$61,779 |
$11,332 |
$1,359,147 |
$249,309 |
2.82 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY |
21 |
$455,545 |
$56,040 |
$9,566,446 |
$1,176,833 |
21.33 |
OTHER ENDOCRINE DISORDERS |
20 |
$85,059 |
$13,852 |
$1,701,188 |
$277,034 |
4.65 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION |
20 |
$169,376 |
$20,668 |
$3,387,514 |
$413,361 |
8.60 |
PERITONEAL ADHESIOLYSIS |
20 |
$147,161 |
$29,240 |
$2,943,212 |
$584,791 |
5.85 |
INTRACRANIAL HEMORRHAGE |
19 |
$129,991 |
$20,022 |
$2,469,822 |
$380,412 |
6.26 |
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE |
19 |
$85,393 |
$14,600 |
$1,622,469 |
$277,405 |
5.11 |
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY |
18 |
$90,073 |
$15,410 |
$1,621,310 |
$277,375 |
6.17 |
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA |
18 |
$154,365 |
$26,122 |
$2,778,569 |
$470,203 |
8.33 |
VIRAL ILLNESS |
18 |
$70,514 |
$10,637 |
$1,269,255 |
$191,465 |
3.39 |
NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE |
18 |
$1,779,589 |
$220,206 |
$32,032,601 |
$3,963,705 |
75.94 |
PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS |
16 |
$46,954 |
$11,479 |
$751,258 |
$183,657 |
2.88 |
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY |
16 |
$211,722 |
$40,259 |
$3,387,552 |
$644,139 |
8.00 |
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY |
16 |
$121,438 |
$22,704 |
$1,943,003 |
$363,262 |
3.50 |
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
15 |
$1,070,544 |
$132,941 |
$16,058,154 |
$1,994,110 |
48.27 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
15 |
$284,106 |
$51,822 |
$4,261,589 |
$777,327 |
12.73 |
NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE |
14 |
$2,480,816 |
$300,432 |
$34,731,421 |
$4,206,049 |
89.64 |
OTHER INFECTIOUS AND PARASITIC DISEASES |
14 |
$88,317 |
$14,758 |
$1,236,436 |
$206,607 |
5.43 |
TRANSIENT ISCHEMIA |
14 |
$64,729 |
$8,953 |
$906,208 |
$125,337 |
3.57 |
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY |
14 |
$180,167 |
$31,597 |
$2,522,337 |
$442,360 |
11.64 |
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
14 |
$76,301 |
$12,827 |
$1,068,218 |
$179,573 |
3.79 |
INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES |
14 |
$145,066 |
$35,638 |
$2,030,922 |
$498,932 |
3.07 |
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES |
14 |
$96,024 |
$18,489 |
$1,344,333 |
$258,849 |
1.64 |
MALIGNANT BREAST DISORDERS |
13 |
$123,515 |
$21,016 |
$1,605,701 |
$273,211 |
7.31 |
OTHER SMALL AND LARGE BOWEL PROCEDURES |
13 |
$126,645 |
$23,095 |
$1,646,391 |
$300,234 |
4.85 |
OPIOID ABUSE AND DEPENDENCE |
13 |
$76,494 |
$13,076 |
$994,418 |
$169,985 |
5.31 |
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
13 |
$211,038 |
$34,353 |
$2,743,492 |
$446,592 |
6.69 |
ANAL PROCEDURES |
13 |
$96,317 |
$17,844 |
$1,252,123 |
$231,968 |
3.85 |
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES |
13 |
$114,954 |
$27,155 |
$1,494,408 |
$353,012 |
1.62 |
UNGROUPABLE |
13 |
$110,043 |
$18,703 |
$1,430,560 |
$243,135 |
5.54 |
NERVOUS SYSTEM MALIGNANCY |
12 |
$106,583 |
$17,639 |
$1,278,998 |
$211,671 |
7.33 |
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS |
12 |
$55,407 |
$9,162 |
$664,881 |
$109,942 |
3.58 |
CARDIOMYOPATHY |
12 |
$108,888 |
$18,309 |
$1,306,661 |
$219,707 |
6.50 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
12 |
$222,826 |
$37,723 |
$2,673,911 |
$452,679 |
11.42 |
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES |
12 |
$354,399 |
$76,463 |
$4,252,793 |
$917,550 |
9.33 |
CARDIAC ARREST AND SHOCK |
12 |
$129,000 |
$18,560 |
$1,548,002 |
$222,719 |
3.83 |
MAJOR RESPIRATORY AND CHEST PROCEDURES |
12 |
$196,927 |
$38,531 |
$2,363,127 |
$462,366 |
4.58 |
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE |
11 |
$152,980 |
$24,532 |
$1,682,785 |
$269,848 |
8.64 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
11 |
$100,772 |
$18,674 |
$1,108,489 |
$205,419 |
1.64 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
11 |
$117,748 |
$21,382 |
$1,295,228 |
$235,197 |
7.00 |
INBORN ERRORS OF METABOLISM |
11 |
$91,719 |
$17,024 |
$1,008,910 |
$187,264 |
5.00 |
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES |
11 |
$118,930 |
$24,344 |
$1,308,225 |
$267,781 |
4.27 |
COCAINE ABUSE AND DEPENDENCE |
11 |
$68,875 |
$11,207 |
$757,629 |
$123,277 |
4.82 |
NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRT |
10 |
$1,705,118 |
$209,322 |
$17,051,184 |
$2,093,217 |
63.90 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
10 |
$73,787 |
$12,053 |
$737,869 |
$120,534 |
2.10 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES |
10 |
$132,495 |
$26,486 |
$1,324,953 |
$264,857 |
6.30 |
KIDNEY AND URINARY TRACT MALIGNANCY |
10 |
$93,092 |
$15,399 |
$930,923 |
$153,991 |
5.40 |
OTHER AFTERCARE AND CONVALESCENCE |
10 |
$67,636 |
$12,341 |
$676,362 |
$123,411 |
3.40 |
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES |
10 |
$247,783 |
$43,823 |
$2,477,832 |
$438,227 |
8.70 |
ALLERGIC REACTIONS |
9 |
$61,461 |
$9,761 |
$553,146 |
$87,848 |
3.33 |
BRONCHIOLITIS AND RSV PNEUMONIA |
9 |
$85,086 |
$14,756 |
$765,772 |
$132,800 |
5.44 |
EYE INFECTIONS AND OTHER EYE DISORDERS |
9 |
$75,170 |
$11,251 |
$676,532 |
$101,257 |
3.56 |
OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES |
9 |
$185,377 |
$33,541 |
$1,668,391 |
$301,873 |
8.11 |
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES |
8 |
$83,294 |
$17,345 |
$666,352 |
$138,763 |
1.00 |
ADRENAL PROCEDURES |
8 |
$115,565 |
$21,704 |
$924,522 |
$173,630 |
3.75 |
PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES |
8 |
$123,155 |
$21,936 |
$985,241 |
$175,485 |
2.88 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
8 |
$92,793 |
$15,854 |
$742,344 |
$126,829 |
7.00 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
8 |
$242,699 |
$42,811 |
$1,941,593 |
$342,488 |
9.88 |
EXTERNAL HEART ASSIST SYSTEMS |
8 |
$459,252 |
$107,051 |
$3,674,018 |
$856,404 |
9.88 |
SCHIZOPHRENIA |
7 |
$67,173 |
$11,330 |
$470,209 |
$79,307 |
5.57 |
MAJOR SKIN DISORDERS |
7 |
$72,305 |
$11,336 |
$506,135 |
$79,355 |
5.14 |
PENIS, TESTES AND SCROTAL PROCEDURES |
7 |
$79,092 |
$16,611 |
$553,645 |
$116,274 |
2.14 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
7 |
$92,788 |
$15,708 |
$649,518 |
$109,955 |
5.86 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS |
7 |
$171,958 |
$30,219 |
$1,203,704 |
$211,534 |
11.57 |
NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE |
7 |
$3,890,849 |
$483,132 |
$27,235,946 |
$3,381,922 |
120.00 |
OTHER BLADDER PROCEDURES |
6 |
$128,865 |
$24,321 |
$773,188 |
$145,928 |
5.50 |
SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES |
6 |
$136,584 |
$26,273 |
$819,502 |
$157,636 |
7.67 |
OTHER CHEMOTHERAPY |
6 |
$29,825 |
$5,301 |
$178,948 |
$31,804 |
2.50 |
OTHER DRUG ABUSE AND DEPENDENCE |
6 |
$41,890 |
$5,660 |
$251,337 |
$33,961 |
2.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE |
6 |
$1,836,818 |
$244,142 |
$11,020,909 |
$1,464,851 |
62.17 |
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT |
6 |
$114,454 |
$20,734 |
$686,723 |
$124,403 |
2.83 |
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES |
6 |
$346,858 |
$62,024 |
$2,081,147 |
$372,141 |
14.83 |
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES |
6 |
$189,411 |
$37,392 |
$1,136,463 |
$224,354 |
7.17 |
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES |
6 |
$93,494 |
$15,037 |
$560,965 |
$90,220 |
6.67 |
TONSIL AND ADENOID PROCEDURES |
6 |
$97,227 |
$18,003 |
$583,362 |
$108,015 |
3.83 |
MAJOR BILIARY TRACT PROCEDURES |
6 |
$171,277 |
$32,206 |
$1,027,659 |
$193,237 |
6.33 |
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS |
6 |
$218,923 |
$41,960 |
$1,313,540 |
$251,757 |
5.33 |
EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES |
5 |
$113,379 |
$17,747 |
$566,896 |
$88,737 |
6.40 |
ORGANIC MENTAL HEALTH DISTURBANCES |
5 |
$45,957 |
$6,773 |
$229,787 |
$33,866 |
2.60 |
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES |
5 |
$37,641 |
$6,092 |
$188,206 |
$30,461 |
2.40 |
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES |
5 |
$76,900 |
$14,779 |
$384,498 |
$73,897 |
2.40 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR |
5 |
$324,002 |
$59,617 |
$1,620,008 |
$298,084 |
16.40 |
NEPHRITIS AND NEPHROSIS |
5 |
$103,681 |
$17,042 |
$518,404 |
$85,210 |
7.60 |
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
5 |
$112,852 |
$22,947 |
$564,258 |
$114,733 |
4.80 |
OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
5 |
$299,581 |
$53,523 |
$1,497,903 |
$267,617 |
12.00 |
ACUTE AND SUBACUTE ENDOCARDITIS |
5 |
$102,433 |
$16,500 |
$512,165 |
$82,502 |
5.80 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION |
4 |
$170,251 |
$20,970 |
$681,003 |
$83,878 |
8.00 |
MAJOR MALE PELVIC PROCEDURES |
4 |
$78,039 |
$14,262 |
$312,154 |
$57,049 |
2.25 |
MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE |
4 |
$123,550 |
$24,287 |
$494,199 |
$97,148 |
3.75 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
4 |
$71,474 |
$8,865 |
$285,897 |
$35,459 |
2.75 |
SPLENECTOMY |
4 |
$89,540 |
$16,002 |
$358,159 |
$64,006 |
2.50 |
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES |
4 |
$60,836 |
$10,082 |
$243,342 |
$40,329 |
5.25 |
HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS |
4 |
$53,639 |
$7,745 |
$214,557 |
$30,979 |
3.75 |
GASTRIC FUNDOPLICATION |
4 |
$120,550 |
$24,800 |
$482,201 |
$99,200 |
3.00 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES |
4 |
$139,260 |
$24,609 |
$557,040 |
$98,436 |
4.25 |
MAJOR CHEST AND RESPIRATORY TRAUMA |
4 |
$146,602 |
$26,457 |
$586,409 |
$105,828 |
8.75 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
3 |
$54,493 |
$9,738 |
$163,480 |
$29,215 |
4.00 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS |
3 |
$135,279 |
$23,600 |
$405,836 |
$70,801 |
4.67 |
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
3 |
$433,939 |
$80,022 |
$1,301,817 |
$240,067 |
19.33 |
INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION |
3 |
$141,408 |
$26,443 |
$424,223 |
$79,330 |
9.67 |
VIRAL MENINGITIS |
3 |
$73,744 |
$11,227 |
$221,231 |
$33,682 |
4.33 |
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION |
3 |
$108,513 |
$16,360 |
$325,539 |
$49,081 |
4.00 |
NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE |
2 |
$2,035,383 |
$252,137 |
$4,070,765 |
$504,274 |
87.00 |
SPINAL DISORDERS AND INJURIES |
2 |
$53,803 |
$8,863 |
$107,605 |
$17,726 |
3.50 |
CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION |
2 |
$166,918 |
$31,737 |
$333,836 |
$63,473 |
8.00 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION |
2 |
$92,150 |
$12,052 |
$184,299 |
$24,103 |
7.00 |
OTHER MENTAL HEALTH DISORDERS |
2 |
$86,908 |
$14,978 |
$173,816 |
$29,955 |
6.50 |
MAJOR BLADDER PROCEDURES |
2 |
$167,636 |
$32,389 |
$335,272 |
$64,778 |
8.00 |
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS |
2 |
$104,329 |
$16,606 |
$208,658 |
$33,212 |
3.00 |
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS |
2 |
$202,792 |
$35,904 |
$405,584 |
$71,807 |
3.50 |
CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA |
1 |
$55,676 |
$8,596 |
$55,676 |
$8,596 |
2.00 |
CYSTIC FIBROSIS - PULMONARY DISEASE |
1 |
$133,563 |
$20,436 |
$133,563 |
$20,436 |
9.00 |
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
1 |
$41,310 |
$5,220 |
$41,310 |
$5,220 |
2.00 |
MAJOR CRANIAL OR FACIAL BONE PROCEDURES |
1 |
$157,726 |
$50,736 |
$157,726 |
$50,736 |
1.00 |
OTHER SIGNIFICANT HIP AND FEMUR SURGERY |
1 |
$228,033 |
$44,176 |
$228,033 |
$44,176 |
12.00 |
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
1 |
$178,990 |
$26,225 |
$178,990 |
$26,225 |
12.00 |
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES |
1 |
$382,819 |
$74,851 |
$382,819 |
$74,851 |
20.00 |
BIPOLAR DISORDERS |
1 |
$38,774 |
$4,770 |
$38,774 |
$4,770 |
2.00 |
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS |
1 |
$247,815 |
$80,680 |
$247,815 |
$80,680 |
1.00 |
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS |
1 |
$232,720 |
$77,310 |
$232,720 |
$77,310 |
1.00 |
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES |
1 |
$193,460 |
$42,600 |
$193,460 |
$42,600 |
5.00 |
HAND AND WRIST PROCEDURES |
1 |
$141,527 |
$25,390 |
$141,527 |
$25,390 |
8.00 |
FRACTURE OF FEMUR |
1 |
$67,948 |
$11,388 |
$67,948 |
$11,388 |
4.00 |
NEONATAL AFTERCARE |
1 |
$1,512,633 |
$186,589 |
$1,512,633 |
$186,589 |
61.00 |
ACUTE LEUKEMIA |
1 |
$199,192 |
$33,783 |
$199,192 |
$33,783 |
11.00 |
ANOXIC AND OTHER SEVERE BRAIN DAMAGE |
1 |
$236,743 |
$34,787 |
$236,743 |
$34,787 |
5.00 |