NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
510 |
$2,541 |
$1,686 |
$1,296,027 |
$859,650 |
1.74 |
VAGINAL DELIVERY |
353 |
$10,650 |
$4,814 |
$3,759,496 |
$1,699,466 |
1.88 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
352 |
$35,795 |
$11,969 |
$12,599,830 |
$4,213,156 |
5.07 |
CESAREAN SECTION W/O STERILIZATION |
153 |
$21,617 |
$8,598 |
$3,307,338 |
$1,315,553 |
2.58 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
122 |
$36,839 |
$13,614 |
$4,494,323 |
$1,660,933 |
6.12 |
HEART FAILURE |
111 |
$26,762 |
$9,052 |
$2,970,528 |
$1,004,786 |
4.11 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
97 |
$32,064 |
$18,102 |
$3,110,176 |
$1,755,931 |
16.09 |
RESPIRATORY FAILURE |
90 |
$29,026 |
$9,706 |
$2,612,368 |
$873,524 |
4.17 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
61 |
$25,022 |
$14,196 |
$1,526,339 |
$865,983 |
12.43 |
DIABETES |
59 |
$20,683 |
$7,138 |
$1,220,309 |
$421,150 |
2.80 |
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK |
55 |
$47,911 |
$17,359 |
$2,635,101 |
$954,740 |
1.91 |
OTHER PNEUMONIA |
53 |
$21,334 |
$6,570 |
$1,130,711 |
$348,211 |
2.94 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
43 |
$17,956 |
$5,264 |
$772,090 |
$226,334 |
2.28 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
42 |
$22,992 |
$7,770 |
$965,659 |
$326,355 |
3.60 |
CESAREAN SECTION W STERILIZATION |
42 |
$21,361 |
$8,298 |
$897,173 |
$348,503 |
2.26 |
ACUTE KIDNEY INJURY |
41 |
$23,538 |
$7,984 |
$965,066 |
$327,358 |
4.05 |
INTESTINAL OBSTRUCTION |
40 |
$17,543 |
$4,721 |
$701,726 |
$188,844 |
2.40 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
39 |
$20,878 |
$7,286 |
$814,249 |
$284,172 |
3.95 |
KIDNEY & URINARY TRACT INFECTIONS |
32 |
$21,545 |
$6,029 |
$689,441 |
$192,912 |
2.34 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
32 |
$2,417 |
$1,141 |
$77,346 |
$36,518 |
1.09 |
HIP & FEMUR FRACTURE REPAIR |
31 |
$58,799 |
$18,637 |
$1,822,772 |
$577,744 |
3.97 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
30 |
$94,754 |
$33,576 |
$2,842,614 |
$1,007,268 |
11.60 |
CELLULITIS & OTHER SKIN INFECTIONS |
29 |
$20,402 |
$6,596 |
$591,650 |
$191,273 |
3.10 |
ALCOHOL ABUSE & DEPENDENCE |
26 |
$29,907 |
$12,626 |
$777,587 |
$328,274 |
5.38 |
SCHIZOPHRENIA |
25 |
$38,594 |
$22,410 |
$964,838 |
$560,260 |
19.56 |
BIPOLAR DISORDERS |
24 |
$35,793 |
$18,927 |
$859,026 |
$454,237 |
15.75 |
MAJOR LARGE BOWEL PROCEDURES |
24 |
$46,690 |
$17,777 |
$1,120,557 |
$426,649 |
4.54 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
23 |
$20,485 |
$5,919 |
$471,155 |
$136,132 |
2.96 |
MAJOR SMALL BOWEL PROCEDURES |
22 |
$76,032 |
$28,097 |
$1,672,696 |
$618,139 |
8.64 |
ANTEPARTUM W/O O.R. PROCEDURE |
21 |
$6,044 |
$2,541 |
$126,925 |
$53,355 |
1.33 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
21 |
$3,412 |
$2,225 |
$71,662 |
$46,729 |
2.33 |
HIP JOINT REPLACEMENT |
20 |
$73,722 |
$24,632 |
$1,474,440 |
$492,647 |
4.80 |
ALTERATION IN CONSCIOUSNESS |
17 |
$27,335 |
$8,303 |
$464,693 |
$141,152 |
4.35 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
17 |
$34,219 |
$8,823 |
$581,715 |
$149,988 |
2.88 |
POISONING OF MEDICINAL AGENTS |
17 |
$27,982 |
$9,594 |
$475,699 |
$163,091 |
2.88 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
14 |
$20,196 |
$7,122 |
$282,738 |
$99,714 |
3.79 |
DIVERTICULITIS & DIVERTICULOSIS |
14 |
$18,451 |
$4,779 |
$258,307 |
$66,904 |
2.64 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
14 |
$21,615 |
$6,134 |
$302,612 |
$85,872 |
2.86 |
PERITONEAL ADHESIOLYSIS |
13 |
$46,148 |
$15,287 |
$599,923 |
$198,737 |
4.15 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
12 |
$53,600 |
$17,191 |
$643,204 |
$206,292 |
3.25 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
12 |
$48,843 |
$16,730 |
$586,120 |
$200,763 |
4.08 |
HYPERTENSION |
11 |
$20,697 |
$6,511 |
$227,663 |
$71,620 |
1.82 |
PULMONARY EMBOLISM |
11 |
$32,842 |
$10,396 |
$361,265 |
$114,355 |
5.64 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
11 |
$18,667 |
$5,287 |
$205,339 |
$58,153 |
2.55 |
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP |
11 |
$49,543 |
$18,629 |
$544,976 |
$204,923 |
1.55 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
10 |
$19,400 |
$5,563 |
$194,001 |
$55,631 |
2.40 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
10 |
$13,648 |
$4,251 |
$136,482 |
$42,508 |
1.40 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
9 |
$15,919 |
$3,655 |
$143,270 |
$32,894 |
1.67 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
9 |
$12,335 |
$5,464 |
$111,019 |
$49,174 |
2.00 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
9 |
$18,139 |
$4,365 |
$163,251 |
$39,286 |
1.00 |
ACUTE MYOCARDIAL INFARCTION |
8 |
$17,695 |
$4,815 |
$141,556 |
$38,522 |
1.75 |
SEIZURE |
8 |
$16,022 |
$4,086 |
$128,174 |
$32,689 |
1.25 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
8 |
$20,786 |
$5,313 |
$166,288 |
$42,506 |
1.88 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
8 |
$26,793 |
$7,694 |
$214,341 |
$61,548 |
3.50 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
8 |
$24,046 |
$6,616 |
$192,367 |
$52,925 |
3.63 |
ALCOHOLIC LIVER DISEASE |
7 |
$35,630 |
$10,936 |
$249,411 |
$76,550 |
5.00 |
INFLAMMATORY BOWEL DISEASE |
7 |
$25,729 |
$7,794 |
$180,105 |
$54,559 |
5.00 |
CHOLECYSTECTOMY |
7 |
$40,338 |
$13,139 |
$282,363 |
$91,976 |
2.71 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
7 |
$29,700 |
$9,688 |
$207,898 |
$67,818 |
3.29 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
7 |
$45,067 |
$15,962 |
$315,471 |
$111,737 |
4.71 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
7 |
$20,876 |
$5,644 |
$146,130 |
$39,510 |
2.86 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
6 |
$23,856 |
$8,290 |
$143,137 |
$49,739 |
4.00 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
6 |
$18,689 |
$6,156 |
$112,132 |
$36,936 |
2.83 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
6 |
$34,719 |
$11,895 |
$208,312 |
$71,367 |
4.17 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
6 |
$20,763 |
$5,588 |
$124,579 |
$33,526 |
2.17 |
OTHER AFTERCARE & CONVALESCENCE |
6 |
$11,909 |
$3,913 |
$71,454 |
$23,479 |
2.67 |
SYNCOPE & COLLAPSE |
6 |
$18,308 |
$4,371 |
$109,849 |
$26,228 |
1.67 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
6 |
$29,797 |
$10,202 |
$178,780 |
$61,212 |
3.00 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
5 |
$160,675 |
$60,105 |
$803,375 |
$300,526 |
17.40 |
ACUTE ANXIETY & DELIRIUM STATES |
5 |
$36,301 |
$19,385 |
$181,506 |
$96,923 |
16.40 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
5 |
$93,071 |
$31,636 |
$465,355 |
$158,181 |
9.80 |
PEPTIC ULCER & GASTRITIS |
5 |
$25,127 |
$7,221 |
$125,634 |
$36,106 |
3.00 |
URETHRAL & TRANSURETHRAL PROCEDURES |
5 |
$31,852 |
$8,961 |
$159,260 |
$44,806 |
1.40 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
5 |
$5,682 |
$3,488 |
$28,410 |
$17,439 |
3.60 |
BEHAVIORAL DISORDERS |
5 |
$14,472 |
$7,323 |
$72,361 |
$36,616 |
6.20 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
5 |
$25,319 |
$7,583 |
$126,597 |
$37,916 |
3.80 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
5 |
$2,736 |
$1,761 |
$13,678 |
$8,804 |
1.80 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
4 |
$21,880 |
$6,676 |
$87,520 |
$26,704 |
3.00 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
4 |
$23,189 |
$8,507 |
$92,754 |
$34,027 |
3.50 |
SKIN ULCERS |
4 |
$29,388 |
$9,694 |
$117,552 |
$38,775 |
4.75 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
4 |
$15,772 |
$4,419 |
$63,087 |
$17,674 |
2.00 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
4 |
$52,799 |
$17,776 |
$211,195 |
$71,103 |
4.25 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
4 |
$14,606 |
$5,391 |
$58,423 |
$21,564 |
2.75 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
4 |
$21,546 |
$5,091 |
$86,182 |
$20,363 |
2.00 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
4 |
$24,704 |
$6,831 |
$98,815 |
$27,323 |
3.25 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
4 |
$25,427 |
$8,033 |
$101,706 |
$32,132 |
3.25 |
SHOULDER & ELBOW JOINT REPLACEMENT |
4 |
$62,799 |
$18,182 |
$251,195 |
$72,726 |
1.00 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
3 |
$72,043 |
$25,073 |
$216,128 |
$75,219 |
4.67 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
3 |
$29,930 |
$10,095 |
$89,790 |
$30,285 |
4.00 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
3 |
$28,025 |
$9,525 |
$84,076 |
$28,574 |
4.00 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
3 |
$33,851 |
$10,203 |
$101,554 |
$30,608 |
3.67 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
3 |
$72,884 |
$23,747 |
$218,653 |
$71,240 |
6.00 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
3 |
$35,996 |
$13,307 |
$107,989 |
$39,921 |
2.33 |
FOOT & TOE PROCEDURES |
3 |
$33,305 |
$10,505 |
$99,916 |
$31,514 |
3.67 |
OTHER BLADDER PROCEDURES |
3 |
$48,514 |
$14,132 |
$145,541 |
$42,396 |
2.67 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
3 |
$25,013 |
$7,719 |
$75,039 |
$23,158 |
2.67 |
RESPIRATORY MALIGNANCY |
3 |
$45,804 |
$16,023 |
$137,411 |
$48,068 |
8.67 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
2 |
$20,185 |
$7,544 |
$40,369 |
$15,088 |
5.00 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
2 |
$32,329 |
$9,197 |
$64,658 |
$18,394 |
4.50 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
2 |
$17,556 |
$5,319 |
$35,112 |
$10,638 |
2.50 |
DIGESTIVE MALIGNANCY |
2 |
$4,703 |
$2,513 |
$9,406 |
$5,025 |
1.50 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
2 |
$88,753 |
$32,866 |
$177,505 |
$65,732 |
14.00 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
2 |
$13,388 |
$5,868 |
$26,776 |
$11,736 |
2.00 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
2 |
$14,947 |
$3,772 |
$29,893 |
$7,543 |
1.00 |
MAJOR ESOPHAGEAL DISORDERS |
2 |
$60,585 |
$21,260 |
$121,170 |
$42,520 |
7.50 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
2 |
$14,365 |
$3,419 |
$28,729 |
$6,837 |
1.50 |
VIRAL ILLNESS |
2 |
$22,026 |
$6,588 |
$44,052 |
$13,176 |
2.50 |
INBORN ERRORS OF METABOLISM |
2 |
$9,027 |
$2,412 |
$18,053 |
$4,823 |
1.00 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
2 |
$47,773 |
$16,051 |
$95,545 |
$32,101 |
4.50 |
OTHER MENTAL HEALTH DISORDERS |
2 |
$29,970 |
$16,681 |
$59,940 |
$33,361 |
15.50 |
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
2 |
$40,093 |
$15,852 |
$80,185 |
$31,703 |
5.00 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
2 |
$49,157 |
$14,882 |
$98,314 |
$29,763 |
4.00 |
FRACTURE OF FEMUR |
2 |
$33,855 |
$9,514 |
$67,710 |
$19,027 |
2.50 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
2 |
$26,570 |
$9,778 |
$53,140 |
$19,555 |
1.00 |
OTHER DISORDERS OF NERVOUS SYSTEM |
2 |
$18,986 |
$4,610 |
$37,971 |
$9,219 |
2.50 |
INTRACRANIAL HEMORRHAGE |
2 |
$28,876 |
$5,898 |
$57,752 |
$11,796 |
2.50 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
2 |
$17,504 |
$5,127 |
$35,007 |
$10,253 |
2.50 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
2 |
$61,587 |
$21,944 |
$123,174 |
$43,888 |
6.50 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
2 |
$61,605 |
$21,067 |
$123,210 |
$42,134 |
5.50 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
2 |
$15,091 |
$5,728 |
$30,182 |
$11,455 |
3.50 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
2 |
$44,091 |
$26,993 |
$88,182 |
$53,985 |
24.50 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
2 |
$47,680 |
$16,550 |
$95,359 |
$33,099 |
3.00 |
HAND & WRIST PROCEDURES |
1 |
$38,539 |
$14,871 |
$38,539 |
$14,871 |
8.00 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
1 |
$28,186 |
$7,798 |
$28,186 |
$7,798 |
5.00 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
1 |
$38,649 |
$13,018 |
$38,649 |
$13,018 |
5.00 |
COAGULATION & PLATELET DISORDERS |
1 |
$27,720 |
$6,746 |
$27,720 |
$6,746 |
3.00 |
CHEST PAIN |
1 |
$16,244 |
$5,834 |
$16,244 |
$5,834 |
2.00 |
TRANSIENT ISCHEMIA |
1 |
$12,417 |
$2,837 |
$12,417 |
$2,837 |
1.00 |
THYROID DISORDERS |
1 |
$24,755 |
$10,073 |
$24,755 |
$10,073 |
6.00 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
1 |
$85,656 |
$28,729 |
$85,656 |
$28,729 |
6.00 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
1 |
$12,414 |
$3,937 |
$12,414 |
$3,937 |
2.00 |
OTHER DISORDERS OF THE LIVER |
1 |
$32,209 |
$7,175 |
$32,209 |
$7,175 |
3.00 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
1 |
$10,363 |
$2,986 |
$10,363 |
$2,986 |
1.00 |
SPINAL PROCEDURES |
1 |
$41,058 |
$14,847 |
$41,058 |
$14,847 |
1.00 |
TRANSURETHRAL PROSTATECTOMY |
1 |
$18,533 |
$6,087 |
$18,533 |
$6,087 |
1.00 |
MAJOR BLADDER PROCEDURES |
1 |
$126,710 |
$49,474 |
$126,710 |
$49,474 |
14.00 |
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND |
1 |
$5,085 |
$2,312 |
$5,085 |
$2,312 |
2.00 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES |
1 |
$114,103 |
$52,896 |
$114,103 |
$52,896 |
36.00 |
DISORDERS OF PERSONALITY & IMPULSE CONTROL |
1 |
$25,459 |
$13,029 |
$25,459 |
$13,029 |
10.00 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
1 |
$23,504 |
$4,865 |
$23,504 |
$4,865 |
2.00 |
KIDNEY & URINARY TRACT MALIGNANCY |
1 |
$40,579 |
$10,779 |
$40,579 |
$10,779 |
2.00 |
ACUTE LEUKEMIA |
1 |
$103,366 |
$35,038 |
$103,366 |
$35,038 |
13.00 |
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION |
1 |
$6,389 |
$3,945 |
$6,389 |
$3,945 |
4.00 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
1 |
$60,018 |
$19,550 |
$60,018 |
$19,550 |
9.00 |
FEVER & INFLAMMATORY CONDITIONS |
1 |
$36,310 |
$7,492 |
$36,310 |
$7,492 |
2.00 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
1 |
$11,407 |
$5,770 |
$11,407 |
$5,770 |
5.00 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
1 |
$38,090 |
$13,204 |
$38,090 |
$13,204 |
3.00 |
OTHER COMPLICATIONS OF TREATMENT |
1 |
$14,986 |
$4,959 |
$14,986 |
$4,959 |
2.00 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
1 |
$72,938 |
$26,603 |
$72,938 |
$26,603 |
5.00 |
KNEE JOINT REPLACEMENT |
1 |
$44,403 |
$14,275 |
$44,403 |
$14,275 |
2.00 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
1 |
$20,961 |
$5,497 |
$20,961 |
$5,497 |
3.00 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
1 |
$13,418 |
$4,103 |
$13,418 |
$4,103 |
2.00 |
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING IN |
1 |
$5 |
$1 |
$5 |
$1 |
1.00 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
1 |
$22,937 |
$7,866 |
$22,937 |
$7,866 |
1.00 |
OTHER DRUG ABUSE & DEPENDENCE |
1 |
$13,989 |
$7,844 |
$13,989 |
$7,844 |
7.00 |
HIV W MAJOR HIV RELATED CONDITION |
1 |
$25,806 |
$9,495 |
$25,806 |
$9,495 |
5.00 |
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS |
1 |
$46,753 |
$12,238 |
$46,753 |
$12,238 |
6.00 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
1 |
$5,282 |
$1,818 |
$5,282 |
$1,818 |
1.00 |
NEPHRITIS & NEPHROSIS |
1 |
$44,708 |
$13,443 |
$44,708 |
$13,443 |
7.00 |
ALLERGIC REACTIONS |
1 |
$25,363 |
$9,681 |
$25,363 |
$9,681 |
3.00 |
OPIOID ABUSE & DEPENDENCE |
1 |
$35,486 |
$20,712 |
$35,486 |
$20,712 |
18.00 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
1 |
$51,324 |
$17,230 |
$51,324 |
$17,230 |
9.00 |
VERTIGO & OTHER LABYRINTH DISORDERS |
1 |
$16,039 |
$3,675 |
$16,039 |
$3,675 |
1.00 |
ANTEPARTUM W O.R. PROCEDURE |
1 |
$9,291 |
$4,732 |
$9,291 |
$4,732 |
2.00 |