Clifton Springs Hospital and Clinic

2022 Age Distribution

2022 Patient Race:

White2,513
Black/African American229
Other Race155
Multi-racial40

2022 Payers:

Medicare 1,561
Medicaid 883
Blue Cross/Blue Shield 285
Federal/State/Local/VA 109
Self-Pay 22
Private Health Insurance 72
Miscellaneous/Other 5

Conditions treated in 2022

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY 267 $26,484 $7,163 $7,071,144 $1,912,396 19.98
SCHIZOPHRENIA 218 $16,715 $7,811 $3,643,974 $1,702,807 12.20
SEPTICEMIA AND DISSEMINATED INFECTIONS 191 $28,981 $10,386 $5,535,356 $1,983,737 7.90
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES 157 $10,352 $4,672 $1,625,214 $733,507 6.96
BIPOLAR DISORDERS 147 $12,721 $5,753 $1,869,922 $845,665 8.61
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 101 $8,550 $2,420 $863,524 $244,391 5.50
HEART FAILURE 95 $16,574 $6,589 $1,574,489 $625,978 5.49
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS 81 $19,365 $7,151 $1,568,545 $579,214 5.53
ALCOHOL ABUSE AND DEPENDENCE 56 $12,698 $5,372 $711,085 $300,827 5.11
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 54 $14,157 $5,268 $764,466 $284,485 4.15
LOWER EXTREMITY ARTERIAL PROCEDURES 53 $32,373 $12,437 $1,715,759 $659,138 5.81
CELLULITIS AND OTHER SKIN INFECTIONS 51 $13,281 $5,580 $677,349 $284,585 4.98
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 47 $8,262 $3,683 $388,319 $173,093 5.51
OTHER PNEUMONIA 47 $18,659 $7,421 $876,989 $348,768 6.49
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS 44 $11,186 $4,556 $492,200 $200,468 3.36
NON-HYPOVOLEMIC SODIUM DISORDERS 40 $14,249 $5,881 $569,958 $235,243 5.65
OPEN EXTRACRANIAL VASCULAR PROCEDURES 36 $15,374 $4,302 $553,479 $154,859 1.19
KIDNEY AND URINARY TRACT INFECTIONS 31 $13,960 $5,251 $432,763 $162,782 3.74
INTESTINAL OBSTRUCTION 30 $11,082 $4,600 $332,471 $137,986 3.80
DIABETES 30 $13,454 $5,499 $403,614 $164,964 4.13
RESPIRATORY FAILURE 29 $16,852 $5,878 $488,700 $170,475 4.41
OTHER GASTROENTERITIS, NAUSEA AND VOMITING 29 $12,682 $5,398 $367,773 $156,541 3.48
ALTERATION IN CONSCIOUSNESS 27 $15,489 $6,203 $418,214 $167,469 5.81
ACUTE ANXIETY AND DELIRIUM STATES 26 $10,505 $4,618 $273,118 $120,059 6.50
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION 25 $13,381 $4,246 $334,527 $106,150 3.20
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS 24 $18,462 $8,038 $443,082 $192,916 10.13
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS 24 $16,258 $5,454 $390,200 $130,896 3.88
ACUTE KIDNEY INJURY 23 $17,998 $6,805 $413,962 $156,517 4.83
ELECTIVE HIP JOINT REPLACEMENT 23 $45,430 $18,995 $1,044,897 $436,892 2.74
ELECTIVE KNEE JOINT REPLACEMENT 23 $37,682 $15,167 $866,682 $348,834 2.52
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS 22 $15,197 $6,373 $334,343 $140,199 5.59
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 22 $13,700 $5,548 $301,409 $122,066 3.50
OTHER DIGESTIVE SYSTEM DIAGNOSES 22 $11,637 $4,797 $256,004 $105,544 3.18
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 20 $13,974 $5,855 $279,475 $117,109 4.10
AMPUTATION OF LOWER LIMB EXCEPT TOES 20 $39,204 $17,087 $784,076 $341,739 12.30
OTHER DISORDERS OF NERVOUS SYSTEM 19 $18,493 $7,923 $351,369 $150,529 8.63
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE 19 $25,179 $10,458 $478,393 $198,695 9.68
ACUTE MYOCARDIAL INFARCTION 19 $10,541 $3,733 $200,274 $70,925 2.63
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 18 $14,395 $5,441 $259,114 $97,943 3.33
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT 17 $83,703 $43,481 $1,422,946 $739,174 1.88
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 17 $17,314 $7,595 $294,340 $129,122 6.59
PEPTIC ULCER AND GASTRITIS 16 $20,747 $7,104 $331,945 $113,666 4.63
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 14 $12,227 $4,551 $171,172 $63,718 4.93
CHOLECYSTECTOMY 14 $24,378 $8,259 $341,293 $115,626 3.79
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES 14 $22,254 $9,252 $311,551 $129,531 8.79
FOOT AND TOE PROCEDURES 13 $31,712 $13,129 $412,259 $170,683 10.38
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT 13 $44,937 $18,201 $584,183 $236,613 5.54
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 13 $5,419 $2,229 $70,450 $28,978 3.15
COCAINE ABUSE AND DEPENDENCE 12 $5,771 $2,082 $69,251 $24,989 4.08
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS 12 $19,590 $7,585 $235,079 $91,015 5.92
OPIOID ABUSE AND DEPENDENCE 12 $12,688 $4,971 $152,258 $59,650 5.92
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS 12 $11,542 $5,181 $138,505 $62,169 5.08
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE 12 $55,721 $20,714 $668,648 $248,563 15.25
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS 12 $25,737 $12,043 $308,848 $144,516 13.33
HYPERTENSION 12 $9,461 $4,201 $113,534 $50,408 2.50
POISONING OF MEDICINAL AGENTS 12 $11,494 $4,310 $137,923 $51,717 3.17
PULMONARY EMBOLISM 11 $13,860 $4,956 $152,457 $54,519 3.55
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK 11 $16,613 $6,688 $182,744 $73,566 6.45
SYNCOPE AND COLLAPSE 11 $12,958 $4,858 $142,538 $53,438 3.82
DISORDERS OF GALLBLADDER AND BILIARY TRACT 11 $19,569 $8,089 $215,263 $88,978 7.18
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 11 $17,684 $6,316 $194,528 $69,472 5.73
MAJOR ABDOMINAL VASCULAR PROCEDURES 11 $28,060 $10,458 $308,665 $115,037 4.36
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS 11 $13,995 $6,022 $153,941 $66,240 4.82
PERIPHERAL AND OTHER VASCULAR DISORDERS 11 $15,879 $6,290 $174,671 $69,188 5.09
OTHER DISORDERS OF THE LIVER 10 $26,342 $9,179 $263,420 $91,787 6.40
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE 10 $7,830 $3,063 $78,296 $30,626 2.80
DIVERTICULITIS AND DIVERTICULOSIS 10 $13,098 $4,789 $130,981 $47,891 3.30
INFECTIONS OF UPPER RESPIRATORY TRACT 10 $8,879 $3,552 $88,787 $35,522 3.20
NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM 10 $2,162 $603 $21,618 $6,025 1.80
SKIN ULCERS 9 $19,109 $8,425 $171,982 $75,826 8.44
TRANSIENT ISCHEMIA 9 $11,561 $3,505 $104,045 $31,542 2.33
OTHER DRUG ABUSE AND DEPENDENCE 8 $7,808 $3,503 $62,463 $28,020 4.63
SEIZURE 8 $12,412 $4,160 $99,299 $33,283 2.75
OTHER CIRCULATORY SYSTEM DIAGNOSES 8 $11,328 $5,145 $90,624 $41,162 4.50
INFLAMMATORY BOWEL DISEASE 8 $13,992 $5,937 $111,936 $47,497 4.50
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS 8 $16,706 $6,502 $133,651 $52,014 5.13
ABDOMINAL PAIN 7 $14,661 $7,013 $102,625 $49,093 5.57
RESPIRATORY MALIGNANCY 7 $16,940 $6,849 $118,581 $47,942 6.00
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS 7 $17,685 $7,813 $123,794 $54,691 5.86
COAGULATION AND PLATELET DISORDERS 7 $18,750 $6,741 $131,251 $47,188 5.29
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE 7 $19,410 $7,922 $135,873 $55,457 6.14
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS 7 $11,138 $4,572 $77,963 $32,005 4.57
OTHER MENTAL HEALTH DISORDERS 7 $9,453 $4,376 $66,168 $30,630 5.43
DIGESTIVE MALIGNANCY 7 $25,785 $9,818 $180,496 $68,729 6.71
ALCOHOLIC LIVER DISEASE 7 $13,172 $5,118 $92,206 $35,825 4.14
CHRONIC KIDNEY DISEASE 6 $23,976 $9,558 $143,854 $57,347 8.00
FRACTURE OF FEMUR 6 $13,070 $5,708 $78,419 $34,249 4.83
SHOULDER AND ELBOW JOINT REPLACEMENT 6 $44,984 $19,974 $269,902 $119,841 1.83
VERTIGO AND OTHER LABYRINTH DISORDERS 6 $14,508 $6,037 $87,048 $36,223 5.33
OTHER ESOPHAGEAL DISORDERS 6 $16,337 $6,344 $98,022 $38,061 4.50
OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES 6 $30,620 $11,708 $183,722 $70,248 5.67
SICKLE CELL ANEMIA CRISIS 6 $9,766 $3,670 $58,598 $22,022 1.50
OTHER COMPLICATIONS OF TREATMENT 6 $12,839 $4,535 $77,035 $27,207 2.33
GASTROINTESTINAL VASCULAR INSUFFICIENCY 5 $20,010 $7,601 $100,048 $38,003 7.00
OTHER INFECTIOUS AND PARASITIC DISEASES 5 $22,007 $10,979 $110,035 $54,895 8.80
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT 5 $34,133 $11,990 $170,667 $59,951 4.80
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS 5 $13,788 $5,485 $68,940 $27,423 3.00
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS 5 $61,367 $18,293 $306,833 $91,464 15.00
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION 5 $15,383 $5,499 $76,913 $27,497 3.60
HIP AND FEMUR FRACTURE REPAIR 5 $33,328 $12,755 $166,639 $63,774 5.40
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES 5 $29,142 $10,005 $145,709 $50,025 2.80
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE 5 $39,460 $15,008 $197,299 $75,039 11.80
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS 5 $9,381 $3,276 $46,905 $16,382 2.60
ANTEPARTUM WITHOUT O.R. PROCEDURE 4 $17,804 $8,592 $71,215 $34,367 10.75
MIGRAINE AND OTHER HEADACHES 4 $15,701 $5,476 $62,802 $21,903 3.00
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES 4 $60,262 $22,497 $241,046 $89,989 15.00
FRACTURE OF PELVIS OR DISLOCATION OF HIP 4 $13,139 $4,685 $52,557 $18,741 3.00
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 4 $23,947 $8,535 $95,789 $34,141 5.50
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 4 $38,328 $15,068 $153,312 $60,270 5.25
CESAREAN SECTION WITHOUT STERILIZATION 4 $15,209 $3,899 $60,834 $15,594 2.75
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES 4 $33,891 $14,444 $135,562 $57,775 15.75
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL 3 $17,760 $4,928 $53,279 $14,783 2.67
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 3 $18,614 $7,744 $55,841 $23,233 7.67
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 3 $18,204 $6,599 $54,613 $19,798 1.67
INTERSTITIAL AND ALVEOLAR LUNG DISEASES 3 $15,220 $6,147 $45,661 $18,440 5.67
MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE 3 $21,093 $8,325 $63,279 $24,975 5.00
DISORDERS OF PERSONALITY AND IMPULSE CONTROL 3 $69,483 $33,924 $208,450 $101,773 56.67
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA 3 $26,620 $9,846 $79,859 $29,537 9.67
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE 3 $9,528 $3,384 $28,583 $10,151 2.00
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES 3 $37,565 $15,096 $112,696 $45,288 12.33
CONNECTIVE TISSUE DISORDERS 3 $14,617 $7,173 $43,852 $21,520 7.00
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES 3 $9,837 $3,904 $29,511 $11,711 2.33
FEVER AND INFLAMMATORY CONDITIONS 3 $12,451 $4,778 $37,352 $14,335 3.33
CHEST PAIN 3 $8,484 $2,968 $25,452 $8,903 2.33
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE 3 $30,156 $15,220 $90,469 $45,660 10.33
VAGINAL DELIVERY 3 $6,889 $1,867 $20,668 $5,602 2.33
EYE INFECTIONS AND OTHER EYE DISORDERS 2 $12,987 $4,698 $25,974 $9,396 3.00
RENAL DIALYSIS ACCESS DEVICE PROCEDURES 2 $30,297 $10,507 $60,594 $21,014 6.50
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 2 $15,266 $3,953 $30,531 $7,905 1.00
MAJOR LARGE BOWEL PROCEDURES 2 $24,592 $7,498 $49,183 $14,996 1.50
PERITONEAL ADHESIOLYSIS 2 $37,408 $13,134 $74,815 $26,267 9.50
CARDIAC ARREST AND SHOCK 2 $29,227 $10,425 $58,453 $20,849 7.50
ACUTE BRONCHITIS AND RELATED SYMPTOMS 2 $11,272 $5,375 $22,544 $10,749 3.50
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 2 $42,104 $15,455 $84,208 $30,910 8.50
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 2 $21,211 $6,921 $42,422 $13,842 2.00
ASTHMA 2 $10,942 $3,391 $21,884 $6,781 2.00
OTHER SMALL AND LARGE BOWEL PROCEDURES 2 $19,685 $7,117 $39,369 $14,233 5.00
CESAREAN SECTION WITH STERILIZATION 2 $14,983 $4,544 $29,966 $9,087 2.00
VIRAL ILLNESS 2 $36,878 $12,043 $73,755 $24,085 7.00
BRONCHIOLITIS AND RSV PNEUMONIA 2 $9,564 $3,566 $19,127 $7,132 3.00
INTRACRANIAL HEMORRHAGE 1 $20,031 $8,918 $20,031 $8,918 10.00
MALIGNANT BREAST DISORDERS 1 $6,423 $2,022 $6,423 $2,022 1.00
OTHER ENDOCRINE DISORDERS 1 $3,701 $1,667 $3,701 $1,667 2.00
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 1 $57,933 $17,787 $57,933 $17,787 7.00
OTHER CIRCULATORY SYSTEM PROCEDURES 1 $26,502 $7,828 $26,502 $7,828 4.00
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY 1 $26,161 $11,721 $26,161 $11,721 12.00
TONSIL AND ADENOID PROCEDURES 1 $12,814 $2,877 $12,814 $2,877 2.00
ANAL AND PERINEAL PROCEDURES 1 $107,976 $36,949 $107,976 $36,949 31.00
URETHRAL AND TRANSURETHRAL PROCEDURES 1 $10,731 $3,248 $10,731 $3,248 1.00
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE 1 $26,573 $9,337 $26,573 $9,337 4.00
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 1 $7,136 $2,954 $7,136 $2,954 3.00
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE 1 $24,667 $10,796 $24,667 $10,796 11.00
NERVOUS SYSTEM MALIGNANCY 1 $5,617 $1,587 $5,617 $1,587 1.00
HAND AND WRIST PROCEDURES 1 $16,454 $4,649 $16,454 $4,649 3.00
KIDNEY AND URINARY TRACT MALIGNANCY 1 $19,338 $7,097 $19,338 $7,097 7.00
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $29,157 $11,911 $29,157 $11,911 11.00
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES 1 $15,975 $7,727 $15,975 $7,727 9.00
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS 1 $17,001 $7,014 $17,001 $7,014 5.00
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY 1 $16,409 $8,508 $16,409 $8,508 10.00
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS 1 $13,209 $4,908 $13,209 $4,908 3.00
OTHER RESPIRATORY AND CHEST PROCEDURES 1 $23,658 $5,946 $23,658 $5,946 2.00
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES 1 $15,232 $4,120 $15,232 $4,120 1.00
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS 1 $74,055 $20,697 $74,055 $20,697 3.00
MAJOR CHEST AND RESPIRATORY TRAUMA 1 $9,031 $2,647 $9,031 $2,647 2.00
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION 1 $16,092 $4,058 $16,092 $4,058 1.00
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES 1 $15,770 $4,683 $15,770 $4,683 2.00
ORGANIC MENTAL HEALTH DISTURBANCES 1 $22,085 $8,534 $22,085 $8,534 7.00
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR 1 $17,306 $5,442 $17,306 $5,442 2.00
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 1 $17,081 $5,241 $17,081 $5,241 2.00
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS 1 $35,367 $12,646 $35,367 $12,646 9.00
MAJOR SMALL BOWEL PROCEDURES 1 $18,865 $6,998 $18,865 $6,998 6.00
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 1 $10,207 $5,619 $10,207 $5,619 2.00
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 1 $10,396 $3,396 $10,396 $3,396 2.00
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 1 $16,431 $7,524 $16,431 $7,524 8.00
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION 1 $15,128 $4,195 $15,128 $4,195 3.00
OTHER AFTERCARE AND CONVALESCENCE 1 $12,731 $7,194 $12,731 $7,194 10.00
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $21,790 $5,306 $21,790 $5,306 1.00
ALLERGIC REACTIONS 1 $5,696 $2,603 $5,696 $2,603 1.00