SEPTICEMIA AND DISSEMINATED INFECTIONS |
1663 |
$43,481 |
$25,646 |
$72,308,387 |
$42,649,370 |
7.25 |
NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
1608 |
$4,085 |
$2,692 |
$6,569,329 |
$4,328,198 |
2.03 |
VAGINAL DELIVERY |
1258 |
$10,956 |
$6,783 |
$13,783,216 |
$8,533,350 |
2.38 |
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
770 |
$36,540 |
$16,953 |
$28,136,055 |
$13,053,716 |
7.24 |
HEART FAILURE |
662 |
$24,280 |
$9,373 |
$16,073,319 |
$6,204,922 |
4.74 |
CESAREAN SECTION WITHOUT STERILIZATION |
568 |
$16,981 |
$10,092 |
$9,645,275 |
$5,732,382 |
3.26 |
PERCUTANEOUS CARDIAC INTERVENTION WITH AMI |
542 |
$58,938 |
$12,604 |
$31,944,615 |
$6,831,465 |
2.68 |
RESPIRATORY FAILURE |
483 |
$29,705 |
$15,120 |
$14,347,489 |
$7,302,795 |
5.17 |
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS |
392 |
$113,025 |
$70,498 |
$44,305,777 |
$27,635,292 |
8.52 |
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
366 |
$19,134 |
$7,006 |
$7,003,066 |
$2,564,187 |
3.13 |
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI |
333 |
$68,505 |
$15,129 |
$22,812,000 |
$5,038,061 |
2.82 |
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS |
307 |
$32,560 |
$11,999 |
$9,995,998 |
$3,683,774 |
3.94 |
CELLULITIS AND OTHER SKIN INFECTIONS |
294 |
$19,935 |
$7,469 |
$5,860,928 |
$2,195,990 |
3.87 |
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK |
290 |
$80,572 |
$25,325 |
$23,365,903 |
$7,344,304 |
2.63 |
LOWER EXTREMITY ARTERIAL PROCEDURES |
284 |
$59,549 |
$23,051 |
$16,912,050 |
$6,546,603 |
4.08 |
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES |
272 |
$132,840 |
$30,170 |
$36,132,527 |
$8,206,160 |
2.76 |
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE |
269 |
$90,939 |
$51,180 |
$24,462,647 |
$13,767,358 |
11.86 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
258 |
$19,965 |
$7,613 |
$5,150,949 |
$1,964,078 |
3.69 |
ACUTE MYOCARDIAL INFARCTION |
246 |
$27,424 |
$12,080 |
$6,746,319 |
$2,971,730 |
3.19 |
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS |
242 |
$138,733 |
$82,537 |
$33,573,369 |
$19,974,054 |
8.84 |
SCHIZOPHRENIA |
242 |
$40,478 |
$28,074 |
$9,795,722 |
$6,793,906 |
13.60 |
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES |
241 |
$25,192 |
$17,897 |
$6,071,178 |
$4,313,236 |
7.58 |
OTHER PNEUMONIA |
236 |
$23,828 |
$9,414 |
$5,623,419 |
$2,221,673 |
4.30 |
ACUTE KIDNEY INJURY |
232 |
$28,256 |
$12,507 |
$6,555,475 |
$2,901,660 |
5.15 |
KIDNEY AND URINARY TRACT INFECTIONS |
226 |
$20,722 |
$7,856 |
$4,683,256 |
$1,775,495 |
3.65 |
PROCEDURES FOR OBESITY |
214 |
$35,416 |
$14,061 |
$7,579,085 |
$3,008,976 |
1.54 |
DIABETES |
201 |
$21,455 |
$15,769 |
$4,312,509 |
$3,169,564 |
3.38 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
185 |
$34,730 |
$15,232 |
$6,425,031 |
$2,817,901 |
1.85 |
ALCOHOL ABUSE AND DEPENDENCE |
178 |
$20,230 |
$10,721 |
$3,600,997 |
$1,908,375 |
3.98 |
ELECTIVE KNEE JOINT REPLACEMENT |
172 |
$36,822 |
$12,611 |
$6,333,415 |
$2,169,033 |
1.65 |
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
169 |
$32,052 |
$15,496 |
$5,416,801 |
$2,618,871 |
5.75 |
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS |
169 |
$161,148 |
$107,744 |
$27,233,972 |
$18,208,683 |
13.57 |
MAJOR LARGE BOWEL PROCEDURES |
167 |
$53,369 |
$22,726 |
$8,912,540 |
$3,795,189 |
6.10 |
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK |
167 |
$42,612 |
$10,898 |
$7,116,155 |
$1,819,992 |
2.94 |
DIVERTICULITIS AND DIVERTICULOSIS |
165 |
$21,909 |
$9,611 |
$3,614,932 |
$1,585,857 |
3.54 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
162 |
$63,313 |
$29,901 |
$10,256,683 |
$4,843,882 |
3.81 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
155 |
$28,894 |
$13,719 |
$4,478,636 |
$2,126,490 |
5.01 |
PULMONARY EMBOLISM |
150 |
$24,117 |
$8,706 |
$3,617,585 |
$1,305,957 |
3.50 |
BIPOLAR DISORDERS |
147 |
$30,468 |
$21,394 |
$4,478,769 |
$3,144,851 |
9.27 |
ELECTIVE HIP JOINT REPLACEMENT |
147 |
$35,356 |
$11,062 |
$5,197,370 |
$1,626,165 |
1.61 |
CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION |
146 |
$51,732 |
$17,043 |
$7,552,822 |
$2,488,290 |
1.47 |
MAJOR ABDOMINAL VASCULAR PROCEDURES |
143 |
$99,572 |
$36,046 |
$14,238,789 |
$5,154,631 |
3.31 |
HIP AND FEMUR FRACTURE REPAIR |
138 |
$51,616 |
$18,493 |
$7,122,988 |
$2,552,075 |
5.26 |
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
137 |
$27,954 |
$12,801 |
$3,829,668 |
$1,753,706 |
3.93 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
135 |
$24,449 |
$10,145 |
$3,300,622 |
$1,369,579 |
4.11 |
MAJOR SMALL BOWEL PROCEDURES |
135 |
$67,920 |
$33,975 |
$9,169,222 |
$4,586,688 |
8.97 |
INTESTINAL OBSTRUCTION |
131 |
$20,802 |
$8,284 |
$2,725,055 |
$1,085,204 |
3.70 |
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT |
131 |
$63,378 |
$21,628 |
$8,302,535 |
$2,833,254 |
5.44 |
PEPTIC ULCER AND GASTRITIS |
130 |
$32,319 |
$17,155 |
$4,201,412 |
$2,230,089 |
4.48 |
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
128 |
$25,237 |
$11,146 |
$3,230,375 |
$1,426,708 |
3.93 |
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
123 |
$18,605 |
$6,416 |
$2,288,429 |
$789,180 |
2.97 |
CHOLECYSTECTOMY |
123 |
$41,336 |
$15,939 |
$5,084,289 |
$1,960,503 |
3.36 |
PERIPHERAL AND OTHER VASCULAR DISORDERS |
119 |
$23,116 |
$10,281 |
$2,750,760 |
$1,223,383 |
3.35 |
SYNCOPE AND COLLAPSE |
118 |
$21,993 |
$6,798 |
$2,595,146 |
$802,175 |
2.88 |
OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
114 |
$22,186 |
$8,269 |
$2,529,205 |
$942,634 |
3.46 |
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
112 |
$17,970 |
$5,978 |
$2,012,677 |
$669,561 |
2.39 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
104 |
$24,764 |
$10,430 |
$2,575,488 |
$1,084,671 |
3.95 |
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
97 |
$23,101 |
$8,076 |
$2,240,819 |
$783,361 |
3.55 |
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
94 |
$30,386 |
$11,584 |
$2,856,305 |
$1,088,923 |
3.69 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
94 |
$26,091 |
$10,917 |
$2,452,562 |
$1,026,214 |
3.89 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
92 |
$22,014 |
$7,756 |
$2,025,325 |
$713,530 |
3.84 |
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE |
91 |
$21,623 |
$5,194 |
$1,967,735 |
$472,613 |
1.86 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
90 |
$66,276 |
$28,421 |
$5,964,816 |
$2,557,899 |
9.41 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
89 |
$64,397 |
$30,645 |
$5,731,296 |
$2,727,362 |
8.80 |
HYPERTENSION |
87 |
$22,156 |
$10,734 |
$1,927,611 |
$933,859 |
3.46 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
85 |
$21,886 |
$12,655 |
$1,860,333 |
$1,075,679 |
4.35 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
85 |
$27,617 |
$22,877 |
$2,347,438 |
$1,944,512 |
5.31 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL |
83 |
$53,055 |
$21,117 |
$4,403,530 |
$1,752,746 |
4.18 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
79 |
$17,396 |
$10,860 |
$1,374,251 |
$857,973 |
4.78 |
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
78 |
$72,803 |
$30,238 |
$5,678,639 |
$2,358,544 |
8.63 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
77 |
$18,371 |
$7,194 |
$1,414,585 |
$553,943 |
2.68 |
DISORDERS OF GALLBLADDER AND BILIARY TRACT |
77 |
$32,400 |
$15,178 |
$2,494,785 |
$1,168,726 |
4.04 |
OTHER RESPIRATORY AND CHEST PROCEDURES |
70 |
$65,185 |
$30,791 |
$4,562,968 |
$2,155,390 |
5.39 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
68 |
$46,339 |
$21,938 |
$3,151,040 |
$1,491,813 |
7.81 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS |
67 |
$31,667 |
$12,930 |
$2,121,689 |
$866,300 |
7.55 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
67 |
$11,717 |
$5,742 |
$785,067 |
$384,686 |
2.27 |
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
66 |
$20,963 |
$7,716 |
$1,383,528 |
$509,272 |
3.27 |
ALCOHOLIC LIVER DISEASE |
66 |
$43,659 |
$26,965 |
$2,881,494 |
$1,779,681 |
6.76 |
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
63 |
$25,107 |
$9,883 |
$1,581,762 |
$622,631 |
4.38 |
FOOT AND TOE PROCEDURES |
62 |
$39,602 |
$17,141 |
$2,455,345 |
$1,062,712 |
6.05 |
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES |
61 |
$101,009 |
$47,633 |
$6,161,571 |
$2,905,608 |
5.11 |
DEFIBRILLATOR IMPLANTS |
60 |
$111,711 |
$36,405 |
$6,702,665 |
$2,184,309 |
6.83 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS |
56 |
$158,271 |
$182,982 |
$8,863,148 |
$10,247,004 |
17.41 |
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY |
56 |
$46,208 |
$20,392 |
$2,587,644 |
$1,141,970 |
2.80 |
ABDOMINAL PAIN |
55 |
$25,092 |
$9,309 |
$1,380,058 |
$511,979 |
3.56 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES |
54 |
$34,628 |
$13,937 |
$1,869,930 |
$752,603 |
5.48 |
CHEST PAIN |
54 |
$14,479 |
$4,428 |
$781,875 |
$239,131 |
1.46 |
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS |
52 |
$32,706 |
$16,445 |
$1,700,708 |
$855,138 |
5.19 |
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE |
51 |
$66,925 |
$32,237 |
$3,413,164 |
$1,644,079 |
8.43 |
ALTERATION IN CONSCIOUSNESS |
50 |
$25,139 |
$10,986 |
$1,256,942 |
$549,303 |
4.76 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES |
47 |
$36,094 |
$14,835 |
$1,696,434 |
$697,260 |
2.51 |
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
47 |
$71,487 |
$40,573 |
$3,359,868 |
$1,906,909 |
8.04 |
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT |
46 |
$49,969 |
$18,091 |
$2,298,578 |
$832,202 |
4.87 |
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT |
46 |
$81,292 |
$26,194 |
$3,739,442 |
$1,204,904 |
4.11 |
OTHER DISORDERS OF THE LIVER |
44 |
$36,349 |
$18,585 |
$1,599,354 |
$817,726 |
4.98 |
SEIZURE |
44 |
$18,403 |
$8,077 |
$809,733 |
$355,408 |
2.68 |
OTHER COMPLICATIONS OF TREATMENT |
42 |
$27,807 |
$10,799 |
$1,167,877 |
$453,544 |
4.36 |
POISONING OF MEDICINAL AGENTS |
42 |
$32,018 |
$23,690 |
$1,344,762 |
$994,965 |
4.79 |
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE |
41 |
$374,165 |
$395,345 |
$15,340,775 |
$16,209,147 |
47.37 |
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
40 |
$17,430 |
$13,238 |
$697,191 |
$529,508 |
2.45 |
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
39 |
$40,042 |
$15,824 |
$1,561,640 |
$617,132 |
8.03 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS |
39 |
$24,636 |
$9,880 |
$960,819 |
$385,307 |
3.79 |
INFLAMMATORY BOWEL DISEASE |
38 |
$24,425 |
$9,470 |
$928,164 |
$359,860 |
4.39 |
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS |
38 |
$181,459 |
$106,461 |
$6,895,452 |
$4,045,531 |
12.89 |
SKIN ULCERS |
38 |
$22,775 |
$8,508 |
$865,431 |
$323,311 |
4.32 |
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK |
37 |
$23,815 |
$8,190 |
$881,163 |
$303,014 |
4.22 |
SHOULDER AND ELBOW JOINT REPLACEMENT |
36 |
$50,333 |
$15,533 |
$1,811,984 |
$559,194 |
1.75 |
FRACTURE OF FEMUR |
35 |
$23,128 |
$9,112 |
$809,474 |
$318,936 |
4.83 |
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
33 |
$21,600 |
$8,977 |
$712,812 |
$296,227 |
2.21 |
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE |
33 |
$39,061 |
$17,540 |
$1,289,027 |
$578,806 |
5.58 |
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE |
33 |
$633,838 |
$597,237 |
$20,916,663 |
$19,708,827 |
58.39 |
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
31 |
$131,383 |
$72,780 |
$4,072,877 |
$2,256,166 |
13.90 |
OTHER CHEMOTHERAPY |
31 |
$38,351 |
$13,296 |
$1,188,873 |
$412,186 |
4.94 |
DIGESTIVE MALIGNANCY |
31 |
$29,479 |
$13,097 |
$913,859 |
$406,012 |
4.26 |
INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION |
30 |
$40,235 |
$15,264 |
$1,207,042 |
$457,923 |
1.83 |
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE |
29 |
$43,919 |
$18,239 |
$1,273,641 |
$528,917 |
8.14 |
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES |
28 |
$36,443 |
$15,013 |
$1,020,400 |
$420,377 |
5.75 |
OTHER DISORDERS OF NERVOUS SYSTEM |
28 |
$23,895 |
$8,083 |
$669,060 |
$226,336 |
3.71 |
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
28 |
$53,676 |
$25,526 |
$1,502,941 |
$714,721 |
6.54 |
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES |
28 |
$70,619 |
$35,879 |
$1,977,343 |
$1,004,621 |
8.07 |
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS |
27 |
$48,254 |
$24,341 |
$1,302,865 |
$657,212 |
5.93 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR |
27 |
$43,085 |
$17,712 |
$1,163,285 |
$478,222 |
5.52 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
27 |
$25,648 |
$16,029 |
$692,486 |
$432,775 |
6.37 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
27 |
$25,637 |
$18,332 |
$692,191 |
$494,971 |
2.81 |
MAJOR ESOPHAGEAL DISORDERS |
26 |
$23,333 |
$10,585 |
$606,656 |
$275,220 |
3.19 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDIT |
26 |
$33,286 |
$18,445 |
$865,427 |
$479,563 |
6.38 |
OPIOID ABUSE AND DEPENDENCE |
26 |
$22,600 |
$13,379 |
$587,596 |
$347,841 |
4.96 |
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
26 |
$19,414 |
$12,363 |
$504,756 |
$321,437 |
6.04 |
OTHER SMALL AND LARGE BOWEL PROCEDURES |
25 |
$51,005 |
$22,564 |
$1,275,137 |
$564,110 |
5.76 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
25 |
$20,220 |
$6,725 |
$505,507 |
$168,135 |
3.48 |
CHRONIC KIDNEY DISEASE |
25 |
$25,261 |
$9,423 |
$631,515 |
$235,576 |
4.28 |
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
24 |
$18,426 |
$7,383 |
$442,228 |
$177,201 |
4.13 |
OTHER DRUG ABUSE AND DEPENDENCE |
24 |
$20,125 |
$13,001 |
$483,001 |
$312,028 |
6.21 |
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES |
24 |
$64,393 |
$20,569 |
$1,545,429 |
$493,658 |
2.38 |
OTHER ESOPHAGEAL DISORDERS |
23 |
$29,189 |
$12,011 |
$671,344 |
$276,261 |
4.09 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION |
23 |
$68,258 |
$43,168 |
$1,569,934 |
$992,855 |
14.87 |
COAGULATION AND PLATELET DISORDERS |
23 |
$70,481 |
$29,825 |
$1,621,060 |
$685,974 |
5.91 |
CARDIAC STRUCTURAL AND VALVULAR DISORDERS |
23 |
$26,559 |
$11,039 |
$610,854 |
$253,888 |
3.78 |
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY |
23 |
$39,170 |
$17,584 |
$900,900 |
$404,440 |
2.30 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
23 |
$16,411 |
$10,986 |
$377,447 |
$252,680 |
5.17 |
PERITONEAL ADHESIOLYSIS |
23 |
$44,612 |
$18,970 |
$1,026,081 |
$436,305 |
5.74 |
RESPIRATORY MALIGNANCY |
22 |
$40,383 |
$15,859 |
$888,427 |
$348,887 |
7.14 |
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS |
22 |
$19,430 |
$6,673 |
$427,455 |
$146,800 |
2.55 |
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION |
21 |
$39,182 |
$13,553 |
$822,823 |
$284,615 |
3.67 |
MAJOR CHEST AND RESPIRATORY TRAUMA |
21 |
$23,979 |
$9,996 |
$503,557 |
$209,914 |
3.95 |
URETHRAL AND TRANSURETHRAL PROCEDURES |
21 |
$36,817 |
$14,297 |
$773,166 |
$300,247 |
4.48 |
FEVER AND INFLAMMATORY CONDITIONS |
21 |
$18,671 |
$6,288 |
$392,089 |
$132,057 |
2.52 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY |
21 |
$16,115 |
$9,598 |
$338,423 |
$201,549 |
4.14 |
VERTIGO AND OTHER LABYRINTH DISORDERS |
21 |
$16,902 |
$4,717 |
$354,949 |
$99,049 |
1.81 |
OTHER INFECTIOUS AND PARASITIC DISEASES |
20 |
$22,047 |
$7,741 |
$440,932 |
$154,813 |
3.55 |
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
20 |
$70,507 |
$30,038 |
$1,410,137 |
$600,751 |
9.90 |
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
20 |
$22,878 |
$7,350 |
$457,553 |
$147,003 |
2.85 |
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES |
20 |
$39,804 |
$16,125 |
$796,082 |
$322,508 |
4.60 |
OTHER AFTERCARE AND CONVALESCENCE |
20 |
$11,352 |
$4,080 |
$227,046 |
$81,598 |
2.20 |
ASTHMA |
19 |
$13,298 |
$5,413 |
$252,653 |
$102,844 |
2.37 |
TRANSIENT ISCHEMIA |
19 |
$22,378 |
$6,028 |
$425,188 |
$114,523 |
1.42 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS |
19 |
$16,338 |
$6,334 |
$310,420 |
$120,347 |
3.05 |
ACUTE ANXIETY AND DELIRIUM STATES |
19 |
$12,104 |
$5,980 |
$229,985 |
$113,615 |
2.68 |
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
19 |
$83,504 |
$49,140 |
$1,586,579 |
$933,654 |
9.16 |
CARDIAC ARREST AND SHOCK |
18 |
$41,706 |
$36,742 |
$750,701 |
$661,356 |
4.28 |
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
18 |
$55,836 |
$19,690 |
$1,005,045 |
$354,417 |
5.22 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
17 |
$57,907 |
$36,681 |
$984,416 |
$623,583 |
12.88 |
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE |
17 |
$27,129 |
$14,062 |
$461,197 |
$239,051 |
4.18 |
ALLERGIC REACTIONS |
17 |
$18,626 |
$18,855 |
$316,636 |
$320,534 |
2.82 |
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES |
17 |
$30,699 |
$11,515 |
$521,879 |
$195,757 |
1.59 |
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES |
16 |
$62,641 |
$25,187 |
$1,002,262 |
$402,998 |
9.75 |
COCAINE ABUSE AND DEPENDENCE |
16 |
$30,535 |
$25,011 |
$488,552 |
$400,181 |
8.00 |
CESAREAN SECTION WITH STERILIZATION |
16 |
$17,008 |
$10,030 |
$272,129 |
$160,478 |
3.31 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
16 |
$36,748 |
$13,975 |
$587,970 |
$223,602 |
3.50 |
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES |
15 |
$36,320 |
$15,580 |
$544,801 |
$233,705 |
1.40 |
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA |
15 |
$58,110 |
$25,649 |
$871,655 |
$384,740 |
7.53 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
15 |
$25,802 |
$9,199 |
$387,028 |
$137,987 |
3.40 |
OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
15 |
$41,999 |
$16,953 |
$629,980 |
$254,296 |
5.20 |
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C |
15 |
$13,316 |
$7,741 |
$199,747 |
$116,117 |
2.47 |
EXTERNAL HEART ASSIST SYSTEMS |
15 |
$289,287 |
$137,004 |
$4,339,309 |
$2,055,057 |
9.20 |
DISORDERS OF PERSONALITY AND IMPULSE CONTROL |
14 |
$17,017 |
$11,917 |
$238,231 |
$166,832 |
5.07 |
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE |
14 |
$24,437 |
$8,619 |
$342,120 |
$120,660 |
4.14 |
SPINAL PROCEDURES |
14 |
$53,512 |
$21,440 |
$749,171 |
$300,158 |
2.86 |
MAJOR MALE PELVIC PROCEDURES |
14 |
$35,849 |
$15,354 |
$501,881 |
$214,949 |
1.93 |
OTHER MENTAL HEALTH DISORDERS |
13 |
$23,997 |
$14,072 |
$311,958 |
$182,938 |
6.85 |
ANAL PROCEDURES |
12 |
$35,178 |
$15,630 |
$422,130 |
$187,562 |
4.42 |
INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES |
12 |
$72,729 |
$37,563 |
$872,742 |
$450,756 |
5.17 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
11 |
$19,403 |
$6,712 |
$213,432 |
$73,837 |
3.00 |
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
11 |
$264,771 |
$165,406 |
$2,912,478 |
$1,819,466 |
56.27 |
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
11 |
$35,468 |
$14,560 |
$390,144 |
$160,163 |
2.82 |
OTHER ENDOCRINE DISORDERS |
11 |
$33,504 |
$20,006 |
$368,545 |
$220,068 |
5.36 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
11 |
$14,304 |
$4,763 |
$157,349 |
$52,389 |
2.00 |
HIV WITH MAJOR HIV RELATED CONDITION |
11 |
$37,067 |
$20,300 |
$407,739 |
$223,297 |
6.09 |
THYROID DISORDERS |
11 |
$35,855 |
$29,602 |
$394,410 |
$325,626 |
5.00 |
UNGROUPABLE |
11 |
$14,553 |
$6,539 |
$160,078 |
$71,928 |
2.55 |
OTHER SIGNIFICANT HIP AND FEMUR SURGERY |
10 |
$71,626 |
$29,675 |
$716,260 |
$296,753 |
7.20 |
MAJOR RESPIRATORY AND CHEST PROCEDURES |
10 |
$77,343 |
$31,762 |
$773,427 |
$317,624 |
4.30 |
OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES |
10 |
$48,951 |
$20,869 |
$489,511 |
$208,687 |
5.80 |
MIGRAINE AND OTHER HEADACHES |
10 |
$15,724 |
$4,386 |
$157,239 |
$43,858 |
1.40 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
9 |
$37,838 |
$15,790 |
$340,540 |
$142,110 |
5.33 |
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT |
9 |
$44,546 |
$18,430 |
$400,916 |
$165,867 |
3.00 |
OTHER BLADDER PROCEDURES |
9 |
$92,406 |
$34,350 |
$831,655 |
$309,147 |
6.22 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
9 |
$30,111 |
$13,737 |
$270,995 |
$123,629 |
2.22 |
ACUTE BRONCHITIS AND RELATED SYMPTOMS |
9 |
$16,838 |
$4,752 |
$151,539 |
$42,766 |
1.67 |
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR |
8 |
$34,718 |
$14,093 |
$277,741 |
$112,745 |
6.13 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS |
8 |
$57,867 |
$26,117 |
$462,937 |
$208,932 |
8.63 |
ORGANIC MENTAL HEALTH DISTURBANCES |
8 |
$17,677 |
$8,792 |
$141,413 |
$70,338 |
4.88 |
ACUTE AND SUBACUTE ENDOCARDITIS |
8 |
$37,180 |
$16,722 |
$297,438 |
$133,779 |
6.50 |
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK |
8 |
$232,557 |
$74,880 |
$1,860,456 |
$599,038 |
6.25 |
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
8 |
$14,157 |
$5,377 |
$113,257 |
$43,012 |
2.13 |
INTERSTITIAL AND ALVEOLAR LUNG DISEASES |
8 |
$30,905 |
$11,692 |
$247,241 |
$93,539 |
6.13 |
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS |
7 |
$58,407 |
$43,323 |
$408,848 |
$303,258 |
9.86 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
7 |
$27,058 |
$10,807 |
$189,405 |
$75,649 |
4.29 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
7 |
$10,864 |
$5,584 |
$76,045 |
$39,086 |
1.71 |
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES |
7 |
$51,467 |
$16,461 |
$360,272 |
$115,224 |
4.43 |
BEHAVIORAL DISORDERS |
6 |
$13,542 |
$8,781 |
$81,251 |
$52,685 |
4.50 |
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
6 |
$39,557 |
$13,283 |
$237,343 |
$79,695 |
3.67 |
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION |
6 |
$17,302 |
$6,091 |
$103,813 |
$36,545 |
1.33 |
CONNECTIVE TISSUE DISORDERS |
6 |
$24,207 |
$8,173 |
$145,242 |
$49,035 |
3.33 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
6 |
$168,835 |
$103,903 |
$1,013,012 |
$623,420 |
34.50 |
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY |
5 |
$40,245 |
$16,646 |
$201,226 |
$83,232 |
3.60 |
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
5 |
$58,164 |
$42,999 |
$290,822 |
$214,995 |
5.00 |
SICKLE CELL ANEMIA CRISIS |
5 |
$32,831 |
$12,436 |
$164,154 |
$62,180 |
7.80 |
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
5 |
$37,374 |
$14,998 |
$186,870 |
$74,988 |
5.20 |
INTRACRANIAL HEMORRHAGE |
5 |
$25,154 |
$10,412 |
$125,771 |
$52,062 |
3.80 |
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY |
5 |
$19,967 |
$16,157 |
$99,833 |
$80,787 |
3.00 |
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE |
5 |
$31,312 |
$10,474 |
$156,558 |
$52,371 |
4.60 |
PENIS, TESTES AND SCROTAL PROCEDURES |
5 |
$43,838 |
$18,138 |
$219,188 |
$90,688 |
3.00 |
NERVOUS SYSTEM MALIGNANCY |
5 |
$38,173 |
$14,613 |
$190,863 |
$73,064 |
7.80 |
SPLENECTOMY |
5 |
$116,783 |
$42,082 |
$583,915 |
$210,408 |
10.00 |
DENTAL DISEASES AND DISORDERS |
5 |
$10,017 |
$3,402 |
$50,084 |
$17,008 |
2.00 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
5 |
$100,669 |
$61,627 |
$503,347 |
$308,133 |
20.40 |
BRONCHIOLITIS AND RSV PNEUMONIA |
5 |
$41,831 |
$19,543 |
$209,153 |
$97,715 |
6.40 |
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
4 |
$27,272 |
$11,016 |
$109,089 |
$44,062 |
2.75 |
ANTEPARTUM WITH O.R. PROCEDURE |
4 |
$46,330 |
$19,489 |
$185,320 |
$77,957 |
7.25 |
CARDIOMYOPATHY |
4 |
$11,674 |
$4,197 |
$46,695 |
$16,786 |
2.25 |
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA |
4 |
$37,467 |
$15,684 |
$149,867 |
$62,735 |
3.00 |
VIRAL ILLNESS |
4 |
$15,628 |
$5,196 |
$62,512 |
$20,785 |
2.25 |
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES |
4 |
$74,073 |
$30,290 |
$296,293 |
$121,160 |
10.00 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
4 |
$18,153 |
$6,414 |
$72,612 |
$25,654 |
3.25 |
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
4 |
$102,660 |
$69,698 |
$410,640 |
$278,792 |
8.75 |
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES |
4 |
$20,992 |
$9,473 |
$83,968 |
$37,890 |
4.50 |
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) |
3 |
$781,313 |
$608,635 |
$2,343,939 |
$1,825,905 |
36.33 |
ADRENAL PROCEDURES |
3 |
$29,168 |
$11,877 |
$87,503 |
$35,630 |
1.00 |
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
3 |
$266,414 |
$164,929 |
$799,241 |
$494,786 |
56.33 |
TRANSURETHRAL PROSTATECTOMY |
3 |
$33,073 |
$13,403 |
$99,218 |
$40,209 |
4.00 |
HAND AND WRIST PROCEDURES |
3 |
$34,442 |
$14,345 |
$103,327 |
$43,034 |
3.00 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS |
3 |
$35,633 |
$11,271 |
$106,900 |
$33,814 |
4.33 |
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C |
3 |
$18,876 |
$10,406 |
$56,627 |
$31,219 |
2.67 |
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES |
3 |
$25,097 |
$10,392 |
$75,291 |
$31,176 |
1.00 |
KIDNEY AND URINARY TRACT MALIGNANCY |
3 |
$47,057 |
$17,041 |
$141,170 |
$51,122 |
8.00 |
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES |
3 |
$58,607 |
$18,210 |
$175,822 |
$54,631 |
5.67 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY |
3 |
$24,029 |
$14,855 |
$72,086 |
$44,565 |
6.00 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY |
3 |
$182,019 |
$110,288 |
$546,057 |
$330,863 |
37.33 |
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES |
3 |
$30,033 |
$17,941 |
$90,100 |
$53,823 |
4.67 |
SPINAL DISORDERS AND INJURIES |
3 |
$11,590 |
$3,640 |
$34,770 |
$10,921 |
1.00 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
3 |
$37,242 |
$15,355 |
$111,725 |
$46,064 |
3.67 |
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES |
2 |
$81,792 |
$37,721 |
$163,584 |
$75,441 |
10.50 |
ANOXIC AND OTHER SEVERE BRAIN DAMAGE |
2 |
$21,205 |
$16,310 |
$42,409 |
$32,619 |
2.00 |
MALIGNANT BREAST DISORDERS |
2 |
$23,475 |
$9,294 |
$46,949 |
$18,588 |
4.00 |
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY |
2 |
$44,608 |
$18,760 |
$89,215 |
$37,519 |
1.00 |
EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES |
2 |
$18,029 |
$5,654 |
$36,058 |
$11,308 |
2.50 |
NEPHRITIS AND NEPHROSIS |
2 |
$20,294 |
$8,351 |
$40,587 |
$16,701 |
3.50 |
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS |
2 |
$40,737 |
$17,043 |
$81,474 |
$34,086 |
3.00 |
ACUTE LEUKEMIA |
2 |
$10,053 |
$4,207 |
$20,105 |
$8,413 |
1.50 |
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE |
2 |
$74,384 |
$29,973 |
$148,768 |
$59,946 |
19.00 |
PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK |
2 |
$59,413 |
$10,771 |
$118,825 |
$21,542 |
1.50 |
VIRAL MENINGITIS |
2 |
$26,698 |
$9,023 |
$53,396 |
$18,045 |
4.00 |
PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS |
2 |
$12,376 |
$7,594 |
$24,752 |
$15,188 |
2.50 |
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION |
2 |
$227,764 |
$143,197 |
$455,528 |
$286,394 |
48.00 |
OPEN CRANIOTOMY EXCEPT TRAUMA |
2 |
$48,381 |
$24,706 |
$96,761 |
$49,412 |
2.00 |
MAJOR BILIARY TRACT PROCEDURES |
2 |
$47,184 |
$19,541 |
$94,368 |
$39,081 |
6.00 |
EYE INFECTIONS AND OTHER EYE DISORDERS |
2 |
$19,643 |
$4,574 |
$39,285 |
$9,147 |
1.50 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION |
2 |
$2,814 |
$1,818 |
$5,628 |
$3,635 |
1.50 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION |
1 |
$62,860 |
$39,259 |
$62,860 |
$39,259 |
14.00 |
CYSTIC FIBROSIS - PULMONARY DISEASE |
1 |
$27,746 |
$10,199 |
$27,746 |
$10,199 |
6.00 |
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES |
1 |
$48,472 |
$30,106 |
$48,472 |
$30,106 |
4.00 |
INBORN ERRORS OF METABOLISM |
1 |
$29,944 |
$41,377 |
$29,944 |
$41,377 |
5.00 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
1 |
$12,299 |
$5,063 |
$12,299 |
$5,063 |
3.00 |
CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA |
1 |
$7,901 |
$1,719 |
$7,901 |
$1,719 |
1.00 |
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES |
1 |
$45,836 |
$18,749 |
$45,836 |
$18,749 |
1.00 |
NEONATAL AFTERCARE |
1 |
$33,347 |
$21,361 |
$33,347 |
$21,361 |
7.00 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION |
1 |
$124,007 |
$77,257 |
$124,007 |
$77,257 |
25.00 |
OTHER OPEN CRANIOTOMY |
1 |
$41,058 |
$16,283 |
$41,058 |
$16,283 |
4.00 |
GASTRIC FUNDOPLICATION |
1 |
$107,965 |
$44,470 |
$107,965 |
$44,470 |
18.00 |
MASTECTOMY PROCEDURES |
1 |
$29,913 |
$12,102 |
$29,913 |
$12,102 |
1.00 |
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS |
1 |
$27,855 |
$9,665 |
$27,855 |
$9,665 |
5.00 |
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION |
1 |
$93,379 |
$58,573 |
$93,379 |
$58,573 |
19.00 |