NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
1735 |
$6,730 |
$1,291 |
$11,677,161 |
$2,239,969 |
1.66 |
SEPTICEMIA AND DISSEMINATED INFECTIONS |
1643 |
$76,398 |
$20,870 |
$125,522,146 |
$34,289,644 |
7.65 |
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
1103 |
$71,371 |
$20,774 |
$78,721,889 |
$22,913,738 |
7.73 |
VAGINAL DELIVERY |
726 |
$25,264 |
$6,835 |
$18,341,752 |
$4,962,260 |
2.48 |
CESAREAN SECTION WITHOUT STERILIZATION |
514 |
$38,718 |
$11,622 |
$19,901,115 |
$5,973,838 |
3.05 |
HEART FAILURE |
484 |
$57,523 |
$14,937 |
$27,840,995 |
$7,229,392 |
6.12 |
RESPIRATORY FAILURE |
439 |
$60,891 |
$16,148 |
$26,731,105 |
$7,088,856 |
6.18 |
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
376 |
$41,929 |
$10,416 |
$15,765,256 |
$3,916,240 |
4.19 |
KIDNEY AND URINARY TRACT INFECTIONS |
357 |
$46,030 |
$11,600 |
$16,432,768 |
$4,141,251 |
5.23 |
OTHER AFTERCARE AND CONVALESCENCE |
320 |
$49,897 |
$14,917 |
$15,967,141 |
$4,773,349 |
8.08 |
CELLULITIS AND OTHER SKIN INFECTIONS |
307 |
$37,912 |
$9,862 |
$11,638,838 |
$3,027,730 |
4.54 |
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
292 |
$62,603 |
$15,475 |
$18,280,014 |
$4,518,580 |
5.91 |
ACUTE KIDNEY INJURY |
287 |
$57,886 |
$14,900 |
$16,613,335 |
$4,276,374 |
6.12 |
OTHER PNEUMONIA |
279 |
$46,512 |
$11,817 |
$12,976,839 |
$3,296,883 |
5.05 |
DIABETES |
258 |
$41,867 |
$10,475 |
$10,801,618 |
$2,702,509 |
4.26 |
ACUTE MYOCARDIAL INFARCTION |
255 |
$54,152 |
$13,092 |
$13,808,824 |
$3,338,463 |
4.58 |
PERCUTANEOUS CARDIAC INTERVENTION WITH AMI |
246 |
$84,805 |
$17,797 |
$20,862,070 |
$4,378,176 |
3.59 |
PROCEDURES FOR OBESITY |
242 |
$36,246 |
$12,938 |
$8,771,426 |
$3,130,930 |
1.05 |
SCHIZOPHRENIA |
231 |
$68,573 |
$28,242 |
$15,840,455 |
$6,523,988 |
15.63 |
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES |
206 |
$38,944 |
$17,328 |
$8,022,563 |
$3,569,545 |
8.68 |
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS |
197 |
$59,347 |
$13,733 |
$11,691,417 |
$2,705,478 |
5.06 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
197 |
$41,305 |
$10,640 |
$8,137,013 |
$2,096,114 |
4.44 |
SEIZURE |
190 |
$42,910 |
$10,594 |
$8,152,833 |
$2,012,833 |
4.17 |
ALCOHOL ABUSE AND DEPENDENCE |
185 |
$42,781 |
$10,895 |
$7,914,568 |
$2,015,619 |
4.74 |
DIVERTICULITIS AND DIVERTICULOSIS |
179 |
$44,640 |
$11,857 |
$7,990,608 |
$2,122,484 |
4.61 |
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE |
175 |
$142,591 |
$40,994 |
$24,953,503 |
$7,174,006 |
12.59 |
HYPERTENSION |
175 |
$44,273 |
$10,681 |
$7,747,772 |
$1,869,159 |
4.51 |
ALTERATION IN CONSCIOUSNESS |
173 |
$61,224 |
$15,039 |
$10,591,767 |
$2,601,708 |
6.64 |
OTHER DISORDERS OF NERVOUS SYSTEM |
168 |
$78,058 |
$22,760 |
$13,113,796 |
$3,823,725 |
12.22 |
BIPOLAR DISORDERS |
161 |
$43,394 |
$19,196 |
$6,986,401 |
$3,090,579 |
9.57 |
HIP AND FEMUR FRACTURE REPAIR |
161 |
$85,717 |
$25,157 |
$13,800,504 |
$4,050,348 |
6.32 |
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
161 |
$42,672 |
$10,720 |
$6,870,170 |
$1,725,906 |
4.06 |
INTESTINAL OBSTRUCTION |
159 |
$37,208 |
$9,337 |
$5,916,001 |
$1,484,516 |
4.33 |
CHOLECYSTECTOMY |
154 |
$58,274 |
$16,987 |
$8,974,179 |
$2,615,922 |
4.38 |
OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
153 |
$35,104 |
$8,643 |
$5,370,981 |
$1,322,337 |
4.00 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
142 |
$52,970 |
$13,863 |
$7,521,718 |
$1,968,557 |
5.60 |
MAJOR LARGE BOWEL PROCEDURES |
141 |
$83,744 |
$26,501 |
$11,807,928 |
$3,736,594 |
6.46 |
PEPTIC ULCER AND GASTRITIS |
140 |
$58,420 |
$15,532 |
$8,178,764 |
$2,174,416 |
5.31 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
134 |
$37,282 |
$9,409 |
$4,995,730 |
$1,260,793 |
4.13 |
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
131 |
$52,942 |
$14,095 |
$6,935,371 |
$1,846,403 |
5.76 |
PULMONARY EMBOLISM |
130 |
$45,102 |
$10,970 |
$5,863,204 |
$1,426,121 |
4.23 |
TRANSIENT ISCHEMIA |
126 |
$49,007 |
$11,338 |
$6,174,873 |
$1,428,577 |
4.39 |
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
120 |
$50,066 |
$13,593 |
$6,007,959 |
$1,631,106 |
4.43 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
115 |
$23,177 |
$6,436 |
$2,665,329 |
$740,162 |
2.83 |
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
110 |
$50,309 |
$12,555 |
$5,533,937 |
$1,381,091 |
6.18 |
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
109 |
$64,853 |
$17,850 |
$7,068,965 |
$1,945,644 |
9.81 |
PERIPHERAL AND OTHER VASCULAR DISORDERS |
109 |
$46,458 |
$11,687 |
$5,063,912 |
$1,273,902 |
4.72 |
CESAREAN SECTION WITH STERILIZATION |
105 |
$35,971 |
$10,642 |
$3,776,975 |
$1,117,362 |
2.50 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
101 |
$45,728 |
$11,241 |
$4,618,532 |
$1,135,374 |
5.08 |
ASTHMA |
100 |
$23,747 |
$6,125 |
$2,374,697 |
$612,539 |
2.78 |
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT |
98 |
$79,491 |
$25,469 |
$7,790,074 |
$2,495,952 |
4.86 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
95 |
$50,601 |
$12,396 |
$4,807,117 |
$1,177,649 |
5.05 |
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT |
92 |
$90,338 |
$27,270 |
$8,311,107 |
$2,508,805 |
6.65 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
90 |
$48,538 |
$11,955 |
$4,368,449 |
$1,075,942 |
5.63 |
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI |
89 |
$84,393 |
$18,776 |
$7,510,940 |
$1,671,028 |
4.34 |
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
87 |
$64,162 |
$19,402 |
$5,582,114 |
$1,687,986 |
4.23 |
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE |
86 |
$39,121 |
$8,142 |
$3,364,427 |
$700,206 |
2.86 |
SYNCOPE AND COLLAPSE |
81 |
$50,955 |
$12,215 |
$4,127,355 |
$989,411 |
5.14 |
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK |
79 |
$100,249 |
$35,383 |
$7,919,704 |
$2,795,241 |
4.44 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
79 |
$37,411 |
$9,762 |
$2,955,446 |
$771,230 |
3.61 |
MAJOR SMALL BOWEL PROCEDURES |
76 |
$120,641 |
$35,897 |
$9,168,695 |
$2,728,178 |
10.61 |
ALCOHOLIC LIVER DISEASE |
76 |
$56,099 |
$14,744 |
$4,263,531 |
$1,120,534 |
5.57 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
76 |
$16,874 |
$4,033 |
$1,282,427 |
$306,474 |
3.39 |
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS |
75 |
$65,937 |
$17,484 |
$4,945,293 |
$1,311,285 |
6.76 |
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE |
75 |
$65,578 |
$17,639 |
$4,918,358 |
$1,322,907 |
5.51 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
73 |
$57,570 |
$15,361 |
$4,202,595 |
$1,121,324 |
6.27 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
73 |
$110,570 |
$33,781 |
$8,071,620 |
$2,466,029 |
8.19 |
OTHER RESPIRATORY AND CHEST PROCEDURES |
73 |
$76,167 |
$22,640 |
$5,560,179 |
$1,652,731 |
5.37 |
OTHER INFECTIOUS AND PARASITIC DISEASES |
72 |
$49,337 |
$12,107 |
$3,552,289 |
$871,735 |
5.31 |
DISORDERS OF GALLBLADDER AND BILIARY TRACT |
70 |
$51,499 |
$13,637 |
$3,604,921 |
$954,562 |
4.97 |
ELECTIVE KNEE JOINT REPLACEMENT |
67 |
$55,653 |
$18,740 |
$3,728,762 |
$1,255,549 |
2.43 |
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
63 |
$49,522 |
$13,036 |
$3,119,895 |
$821,254 |
5.46 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS |
63 |
$56,103 |
$15,394 |
$3,534,464 |
$969,815 |
6.56 |
LOWER EXTREMITY ARTERIAL PROCEDURES |
63 |
$90,652 |
$27,784 |
$5,711,096 |
$1,750,362 |
6.48 |
FOOT AND TOE PROCEDURES |
62 |
$94,175 |
$27,480 |
$5,838,869 |
$1,703,762 |
8.37 |
MAJOR CHEST AND RESPIRATORY TRAUMA |
61 |
$43,118 |
$10,379 |
$2,630,170 |
$633,131 |
4.30 |
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
61 |
$126,930 |
$36,789 |
$7,742,742 |
$2,244,126 |
10.74 |
ELECTIVE HIP JOINT REPLACEMENT |
60 |
$56,270 |
$19,190 |
$3,376,203 |
$1,151,378 |
2.37 |
RESPIRATORY MALIGNANCY |
59 |
$90,729 |
$24,091 |
$5,353,002 |
$1,421,371 |
9.17 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
56 |
$44,237 |
$11,818 |
$2,477,267 |
$661,821 |
4.71 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
56 |
$53,385 |
$13,763 |
$2,989,572 |
$770,752 |
5.55 |
SICKLE CELL ANEMIA CRISIS |
56 |
$84,010 |
$21,879 |
$4,704,585 |
$1,225,248 |
11.71 |
INTRACRANIAL HEMORRHAGE |
54 |
$71,812 |
$20,258 |
$3,877,821 |
$1,093,953 |
5.93 |
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
53 |
$48,813 |
$12,218 |
$2,587,112 |
$647,562 |
5.30 |
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION |
52 |
$54,545 |
$13,795 |
$2,836,345 |
$717,339 |
5.56 |
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
50 |
$56,997 |
$15,501 |
$2,849,831 |
$775,026 |
6.52 |
DIGESTIVE MALIGNANCY |
50 |
$70,985 |
$18,983 |
$3,549,260 |
$949,146 |
6.86 |
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
48 |
$31,606 |
$8,583 |
$1,517,107 |
$411,974 |
2.56 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
48 |
$23,074 |
$5,602 |
$1,107,529 |
$268,893 |
2.60 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS |
47 |
$227,566 |
$71,015 |
$10,695,585 |
$3,337,711 |
17.89 |
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
46 |
$21,674 |
$5,179 |
$997,005 |
$238,248 |
2.24 |
NERVOUS SYSTEM MALIGNANCY |
46 |
$66,157 |
$16,105 |
$3,043,209 |
$740,826 |
7.22 |
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
45 |
$33,696 |
$7,684 |
$1,516,302 |
$345,785 |
3.38 |
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
45 |
$54,918 |
$17,573 |
$2,471,324 |
$790,776 |
3.02 |
MIGRAINE AND OTHER HEADACHES |
44 |
$40,809 |
$9,124 |
$1,795,578 |
$401,455 |
3.84 |
INFLAMMATORY BOWEL DISEASE |
44 |
$47,804 |
$13,364 |
$2,103,361 |
$588,012 |
5.07 |
OTHER DISORDERS OF THE LIVER |
43 |
$55,279 |
$14,452 |
$2,377,007 |
$621,420 |
5.65 |
URETHRAL AND TRANSURETHRAL PROCEDURES |
43 |
$59,879 |
$16,745 |
$2,574,799 |
$720,054 |
5.14 |
BRONCHIOLITIS AND RSV PNEUMONIA |
43 |
$24,566 |
$6,452 |
$1,056,341 |
$277,426 |
3.00 |
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS |
42 |
$46,278 |
$11,088 |
$1,943,671 |
$465,684 |
4.57 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES |
42 |
$50,192 |
$14,252 |
$2,108,074 |
$598,601 |
4.76 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
42 |
$112,953 |
$32,083 |
$4,744,016 |
$1,347,480 |
11.38 |
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
41 |
$135,382 |
$40,057 |
$5,550,643 |
$1,642,330 |
8.93 |
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS |
40 |
$60,343 |
$15,609 |
$2,413,717 |
$624,342 |
6.15 |
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA |
39 |
$99,796 |
$28,122 |
$3,892,038 |
$1,096,768 |
9.03 |
POISONING OF MEDICINAL AGENTS |
39 |
$53,689 |
$13,421 |
$2,093,885 |
$523,429 |
5.03 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDIT |
39 |
$31,136 |
$8,231 |
$1,214,320 |
$321,011 |
5.49 |
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA |
39 |
$37,114 |
$11,961 |
$1,447,452 |
$466,474 |
2.08 |
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES |
39 |
$90,449 |
$28,262 |
$3,527,506 |
$1,102,232 |
5.18 |
OTHER ESOPHAGEAL DISORDERS |
38 |
$63,187 |
$16,252 |
$2,401,092 |
$617,588 |
6.53 |
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES |
38 |
$32,244 |
$7,902 |
$1,225,256 |
$300,264 |
3.45 |
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES |
37 |
$60,950 |
$16,832 |
$2,255,135 |
$622,774 |
7.32 |
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY |
36 |
$77,916 |
$19,057 |
$2,804,987 |
$686,039 |
8.00 |
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE |
36 |
$72,131 |
$18,403 |
$2,596,724 |
$662,506 |
7.19 |
COAGULATION AND PLATELET DISORDERS |
36 |
$60,418 |
$19,361 |
$2,175,039 |
$696,984 |
5.00 |
MAJOR ABDOMINAL VASCULAR PROCEDURES |
36 |
$110,279 |
$37,789 |
$3,970,027 |
$1,360,397 |
3.61 |
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK |
35 |
$42,270 |
$10,404 |
$1,479,459 |
$364,145 |
4.37 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
35 |
$37,881 |
$10,044 |
$1,325,845 |
$351,532 |
3.74 |
OPIOID ABUSE AND DEPENDENCE |
35 |
$34,556 |
$10,803 |
$1,209,446 |
$378,107 |
4.97 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
34 |
$54,420 |
$13,384 |
$1,850,268 |
$455,071 |
6.44 |
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE |
32 |
$43,897 |
$11,492 |
$1,404,695 |
$367,732 |
4.44 |
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
32 |
$82,724 |
$24,899 |
$2,647,182 |
$796,762 |
8.09 |
DEFIBRILLATOR IMPLANTS |
31 |
$220,716 |
$81,770 |
$6,842,204 |
$2,534,870 |
7.52 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES |
31 |
$60,640 |
$18,056 |
$1,879,841 |
$559,727 |
4.45 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
31 |
$43,546 |
$11,100 |
$1,349,925 |
$344,102 |
8.71 |
OTHER DRUG ABUSE AND DEPENDENCE |
31 |
$38,670 |
$15,370 |
$1,198,761 |
$476,477 |
7.94 |
CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION |
30 |
$117,799 |
$36,602 |
$3,533,955 |
$1,098,074 |
9.00 |
MAJOR ESOPHAGEAL DISORDERS |
30 |
$69,837 |
$18,816 |
$2,095,107 |
$564,477 |
6.63 |
SKIN ULCERS |
29 |
$39,865 |
$10,416 |
$1,156,090 |
$302,075 |
4.38 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
29 |
$54,029 |
$15,910 |
$1,566,832 |
$461,400 |
3.17 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL |
29 |
$62,143 |
$20,035 |
$1,802,137 |
$581,017 |
3.93 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS |
28 |
$55,100 |
$13,893 |
$1,542,809 |
$389,004 |
5.96 |
CHRONIC KIDNEY DISEASE |
28 |
$59,205 |
$16,016 |
$1,657,743 |
$448,438 |
6.14 |
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE |
28 |
$51,286 |
$13,738 |
$1,436,016 |
$384,663 |
5.36 |
INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION |
28 |
$65,253 |
$19,034 |
$1,827,082 |
$532,958 |
6.00 |
EYE INFECTIONS AND OTHER EYE DISORDERS |
26 |
$32,884 |
$7,334 |
$854,992 |
$190,687 |
3.00 |
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE |
25 |
$51,416 |
$13,954 |
$1,285,403 |
$348,852 |
6.36 |
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
25 |
$51,094 |
$13,509 |
$1,277,344 |
$337,715 |
5.88 |
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT |
25 |
$85,130 |
$29,158 |
$2,128,250 |
$728,940 |
3.88 |
CONNECTIVE TISSUE DISORDERS |
24 |
$64,019 |
$16,474 |
$1,536,467 |
$395,369 |
6.42 |
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE |
24 |
$49,626 |
$12,756 |
$1,191,033 |
$306,155 |
4.71 |
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY |
24 |
$65,971 |
$20,304 |
$1,583,297 |
$487,304 |
4.75 |
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE |
23 |
$447,066 |
$135,837 |
$10,282,513 |
$3,124,261 |
36.70 |
PERITONEAL ADHESIOLYSIS |
23 |
$72,665 |
$21,398 |
$1,671,293 |
$492,159 |
6.78 |
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
22 |
$33,520 |
$12,505 |
$737,450 |
$275,106 |
6.09 |
OTHER COMPLICATIONS OF TREATMENT |
22 |
$59,143 |
$16,759 |
$1,301,138 |
$368,695 |
6.45 |
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
22 |
$74,218 |
$21,552 |
$1,632,786 |
$474,150 |
6.09 |
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR |
22 |
$79,391 |
$21,500 |
$1,746,591 |
$472,993 |
6.86 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
22 |
$40,321 |
$10,215 |
$887,051 |
$224,722 |
4.59 |
OPEN CRANIOTOMY EXCEPT TRAUMA |
21 |
$145,733 |
$40,316 |
$3,060,391 |
$846,637 |
12.24 |
ANAL PROCEDURES |
21 |
$48,414 |
$13,887 |
$1,016,692 |
$291,619 |
3.76 |
VERTIGO AND OTHER LABYRINTH DISORDERS |
20 |
$39,732 |
$9,000 |
$794,639 |
$180,001 |
3.75 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR |
20 |
$140,999 |
$40,746 |
$2,819,974 |
$814,924 |
14.55 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
20 |
$125,544 |
$36,129 |
$2,510,887 |
$722,572 |
11.75 |
MAJOR RESPIRATORY AND CHEST PROCEDURES |
20 |
$80,877 |
$25,290 |
$1,617,540 |
$505,803 |
3.75 |
CHEST PAIN |
20 |
$29,555 |
$6,271 |
$591,108 |
$125,426 |
2.85 |
INTERSTITIAL AND ALVEOLAR LUNG DISEASES |
19 |
$48,524 |
$12,107 |
$921,948 |
$230,039 |
4.42 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION |
18 |
$72,478 |
$18,893 |
$1,304,600 |
$340,077 |
13.89 |
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION |
18 |
$41,549 |
$8,932 |
$747,878 |
$160,773 |
3.67 |
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
18 |
$155,915 |
$43,964 |
$2,806,476 |
$791,356 |
14.06 |
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE |
18 |
$98,750 |
$29,263 |
$1,777,492 |
$526,741 |
9.56 |
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES |
18 |
$87,645 |
$24,873 |
$1,577,608 |
$447,712 |
8.83 |
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES |
17 |
$90,472 |
$25,387 |
$1,538,025 |
$431,582 |
7.88 |
HAND AND WRIST PROCEDURES |
17 |
$43,053 |
$12,243 |
$731,902 |
$208,137 |
3.59 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS |
17 |
$52,025 |
$13,732 |
$884,426 |
$233,442 |
5.88 |
ACUTE BRONCHITIS AND RELATED SYMPTOMS |
16 |
$33,812 |
$7,834 |
$540,994 |
$125,344 |
3.44 |
ABDOMINAL PAIN |
16 |
$36,837 |
$8,777 |
$589,398 |
$140,428 |
4.06 |
CARDIAC STRUCTURAL AND VALVULAR DISORDERS |
16 |
$71,557 |
$18,391 |
$1,144,915 |
$294,254 |
7.63 |
VIRAL ILLNESS |
16 |
$33,468 |
$8,119 |
$535,481 |
$129,910 |
3.44 |
FRACTURE OF FEMUR |
15 |
$25,516 |
$6,103 |
$382,741 |
$91,552 |
2.60 |
OTHER SMALL AND LARGE BOWEL PROCEDURES |
15 |
$89,929 |
$26,356 |
$1,348,938 |
$395,341 |
8.47 |
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES |
15 |
$56,764 |
$16,141 |
$851,456 |
$242,120 |
4.87 |
OTHER SIGNIFICANT HIP AND FEMUR SURGERY |
15 |
$120,864 |
$37,841 |
$1,812,958 |
$567,610 |
7.60 |
FEVER AND INFLAMMATORY CONDITIONS |
14 |
$34,222 |
$7,929 |
$479,102 |
$111,000 |
3.43 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
14 |
$42,149 |
$12,701 |
$590,082 |
$177,815 |
3.43 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
14 |
$31,397 |
$9,430 |
$439,551 |
$132,020 |
1.71 |
CARDIAC ARREST AND SHOCK |
14 |
$45,856 |
$11,618 |
$641,982 |
$162,649 |
3.00 |
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
14 |
$114,673 |
$31,744 |
$1,605,422 |
$444,412 |
10.43 |
COCAINE ABUSE AND DEPENDENCE |
14 |
$34,837 |
$9,613 |
$487,718 |
$134,584 |
4.29 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS |
13 |
$82,726 |
$24,762 |
$1,075,436 |
$321,904 |
7.62 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
13 |
$11,554 |
$3,315 |
$150,204 |
$43,101 |
1.23 |
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C |
13 |
$32,191 |
$9,250 |
$418,478 |
$120,251 |
3.00 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
13 |
$28,185 |
$13,647 |
$366,399 |
$177,416 |
6.54 |
OTHER CHEMOTHERAPY |
13 |
$47,228 |
$14,061 |
$613,959 |
$182,799 |
4.77 |
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES |
13 |
$78,685 |
$21,667 |
$1,022,901 |
$281,667 |
6.92 |
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
13 |
$57,508 |
$16,351 |
$747,607 |
$212,565 |
5.08 |
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS |
13 |
$142,886 |
$40,691 |
$1,857,520 |
$528,988 |
11.62 |
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
13 |
$32,317 |
$10,028 |
$420,122 |
$130,367 |
2.08 |
ALLERGIC REACTIONS |
13 |
$28,547 |
$7,782 |
$371,114 |
$101,169 |
2.46 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
12 |
$77,474 |
$19,940 |
$929,684 |
$239,274 |
8.25 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
12 |
$50,152 |
$12,363 |
$601,819 |
$148,350 |
4.83 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
12 |
$45,524 |
$11,755 |
$546,285 |
$141,062 |
9.00 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS |
12 |
$72,857 |
$20,223 |
$874,278 |
$242,670 |
6.75 |
THYROID DISORDERS |
12 |
$36,446 |
$7,897 |
$437,354 |
$94,758 |
3.17 |
INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES |
12 |
$130,521 |
$49,930 |
$1,566,250 |
$599,155 |
3.83 |
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES |
12 |
$89,544 |
$27,797 |
$1,074,531 |
$333,563 |
6.75 |
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES |
12 |
$39,251 |
$10,886 |
$471,016 |
$130,627 |
3.33 |
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
11 |
$40,665 |
$9,381 |
$447,320 |
$103,196 |
3.82 |
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
11 |
$27,535 |
$6,172 |
$302,890 |
$67,892 |
2.73 |
TRANSURETHRAL PROSTATECTOMY |
11 |
$53,968 |
$15,577 |
$593,648 |
$171,350 |
3.18 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
11 |
$58,346 |
$15,754 |
$641,807 |
$173,292 |
10.64 |
SPINAL DISORDERS AND INJURIES |
10 |
$85,941 |
$24,449 |
$859,414 |
$244,494 |
12.40 |
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
10 |
$80,597 |
$23,133 |
$805,965 |
$231,333 |
5.50 |
SPINAL PROCEDURES |
9 |
$107,488 |
$29,253 |
$967,396 |
$263,281 |
10.11 |
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES |
9 |
$104,540 |
$28,366 |
$940,861 |
$255,293 |
7.33 |
DENTAL DISEASES AND DISORDERS |
9 |
$31,673 |
$8,101 |
$285,059 |
$72,905 |
3.22 |
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT |
9 |
$156,605 |
$55,247 |
$1,409,446 |
$497,221 |
8.67 |
CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA |
9 |
$48,418 |
$10,484 |
$435,761 |
$94,354 |
4.67 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
9 |
$89,334 |
$23,754 |
$804,005 |
$213,787 |
16.78 |
INBORN ERRORS OF METABOLISM |
8 |
$75,022 |
$27,268 |
$600,177 |
$218,146 |
5.50 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY |
8 |
$16,860 |
$4,257 |
$134,879 |
$34,056 |
3.00 |
SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES |
8 |
$101,822 |
$30,139 |
$814,578 |
$241,115 |
9.50 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
8 |
$110,600 |
$29,156 |
$884,801 |
$233,244 |
9.50 |
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE |
8 |
$494,818 |
$149,211 |
$3,958,541 |
$1,193,690 |
38.38 |
ACUTE ANXIETY AND DELIRIUM STATES |
8 |
$32,088 |
$10,350 |
$256,703 |
$82,798 |
4.75 |
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
7 |
$152,557 |
$44,107 |
$1,067,897 |
$308,750 |
8.86 |
OPEN CRANIOTOMY FOR TRAUMA |
7 |
$129,060 |
$34,853 |
$903,418 |
$243,972 |
10.29 |
MALIGNANT BREAST DISORDERS |
7 |
$68,464 |
$16,415 |
$479,247 |
$114,907 |
7.57 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
7 |
$20,370 |
$5,236 |
$142,589 |
$36,651 |
2.14 |
KIDNEY AND URINARY TRACT MALIGNANCY |
7 |
$81,805 |
$21,142 |
$572,637 |
$147,991 |
8.86 |
HIV WITH MAJOR HIV RELATED CONDITION |
7 |
$51,402 |
$13,147 |
$359,813 |
$92,032 |
4.43 |
OTHER ENDOCRINE DISORDERS |
7 |
$45,283 |
$10,250 |
$316,984 |
$71,751 |
4.57 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
7 |
$71,034 |
$18,040 |
$497,238 |
$126,282 |
6.86 |
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES |
7 |
$39,704 |
$12,331 |
$277,930 |
$86,315 |
2.14 |
ACUTE LEUKEMIA |
7 |
$87,538 |
$20,397 |
$612,768 |
$142,779 |
8.86 |
UNGROUPABLE |
6 |
$31,354 |
$6,897 |
$188,121 |
$41,379 |
2.67 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
6 |
$30,837 |
$8,229 |
$185,021 |
$49,374 |
3.67 |
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK |
5 |
$103,271 |
$35,846 |
$516,356 |
$179,229 |
4.80 |
EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES |
5 |
$30,196 |
$7,533 |
$150,981 |
$37,664 |
3.40 |
ACUTE AND SUBACUTE ENDOCARDITIS |
5 |
$69,433 |
$17,744 |
$347,163 |
$88,718 |
8.40 |
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES |
5 |
$128,131 |
$33,238 |
$640,653 |
$166,190 |
11.20 |
OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
5 |
$59,763 |
$19,270 |
$298,813 |
$96,352 |
3.80 |
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
4 |
$70,957 |
$17,908 |
$283,828 |
$71,633 |
6.25 |
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY |
4 |
$43,956 |
$15,412 |
$175,823 |
$61,649 |
2.00 |
MAJOR SKIN DISORDERS |
4 |
$44,851 |
$12,404 |
$179,405 |
$49,615 |
5.75 |
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS |
4 |
$80,651 |
$21,873 |
$322,602 |
$87,493 |
7.25 |
OTHER BLADDER PROCEDURES |
4 |
$46,493 |
$13,219 |
$185,970 |
$52,877 |
3.75 |
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES |
4 |
$23,222 |
$5,494 |
$92,888 |
$21,975 |
2.25 |
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES |
4 |
$69,381 |
$16,903 |
$277,522 |
$67,613 |
3.50 |
OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES |
4 |
$145,855 |
$42,883 |
$583,420 |
$171,533 |
14.50 |
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES |
4 |
$50,982 |
$15,656 |
$203,928 |
$62,623 |
3.25 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION |
4 |
$19,371 |
$5,095 |
$77,484 |
$20,381 |
3.00 |
MAJOR BILIARY TRACT PROCEDURES |
3 |
$101,223 |
$30,698 |
$303,670 |
$92,094 |
7.67 |
MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE |
3 |
$87,610 |
$23,692 |
$262,829 |
$71,077 |
14.33 |
CARDIOMYOPATHY |
3 |
$36,462 |
$9,171 |
$109,386 |
$27,512 |
4.00 |
ANTEPARTUM WITH O.R. PROCEDURE |
3 |
$32,439 |
$8,928 |
$97,318 |
$26,784 |
2.00 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY |
3 |
$117,041 |
$31,962 |
$351,123 |
$95,885 |
20.00 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES |
3 |
$240,026 |
$68,967 |
$720,079 |
$206,902 |
26.33 |
NEPHRITIS AND NEPHROSIS |
3 |
$73,331 |
$20,920 |
$219,993 |
$62,760 |
6.67 |
OTHER MENTAL HEALTH DISORDERS |
3 |
$45,458 |
$15,232 |
$136,373 |
$45,697 |
6.33 |
OTHER OPEN CRANIOTOMY |
3 |
$139,225 |
$42,073 |
$417,675 |
$126,220 |
10.67 |
MAJOR MALE PELVIC PROCEDURES |
3 |
$46,470 |
$15,748 |
$139,410 |
$47,244 |
1.67 |
PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK |
3 |
$169,024 |
$61,000 |
$507,072 |
$183,000 |
5.67 |
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES |
2 |
$42,993 |
$15,141 |
$85,986 |
$30,282 |
2.00 |
SHOULDER AND ELBOW JOINT REPLACEMENT |
2 |
$162,963 |
$49,585 |
$325,925 |
$99,169 |
11.50 |
ORBIT AND EYE PROCEDURES |
2 |
$45,753 |
$12,800 |
$91,506 |
$25,600 |
3.50 |
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA |
2 |
$133,462 |
$36,889 |
$266,923 |
$73,777 |
8.00 |
EATING DISORDERS |
2 |
$17,564 |
$4,314 |
$35,127 |
$8,628 |
2.50 |
PENIS, TESTES AND SCROTAL PROCEDURES |
2 |
$63,567 |
$20,556 |
$127,133 |
$41,112 |
4.00 |
EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT |
2 |
$25,393 |
$5,446 |
$50,786 |
$10,892 |
1.50 |
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT |
2 |
$23,954 |
$5,360 |
$47,907 |
$10,719 |
2.00 |
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES |
2 |
$87,218 |
$25,964 |
$174,436 |
$51,928 |
5.50 |
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
2 |
$75,818 |
$18,613 |
$151,636 |
$37,226 |
6.50 |
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS |
2 |
$24,895 |
$5,839 |
$49,790 |
$11,678 |
2.00 |
NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRT |
2 |
$3,604 |
$814 |
$7,208 |
$1,628 |
1.00 |
DISORDERS OF PERSONALITY AND IMPULSE CONTROL |
2 |
$42,952 |
$20,611 |
$85,904 |
$41,221 |
11.00 |
NEONATAL AFTERCARE |
2 |
$87,231 |
$23,069 |
$174,462 |
$46,137 |
17.50 |
ORGANIC MENTAL HEALTH DISTURBANCES |
1 |
$108,274 |
$26,333 |
$108,274 |
$26,333 |
20.00 |
TONSIL AND ADENOID PROCEDURES |
1 |
$25,583 |
$7,812 |
$25,583 |
$7,812 |
1.00 |
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY |
1 |
$30,842 |
$10,743 |
$30,842 |
$10,743 |
1.00 |
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C |
1 |
$27,330 |
$7,601 |
$27,330 |
$7,601 |
2.00 |
MAJOR BLADDER PROCEDURES |
1 |
$220,415 |
$60,161 |
$220,415 |
$60,161 |
20.00 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY |
1 |
$11,065 |
$1,937 |
$11,065 |
$1,937 |
2.00 |
MAJOR CRANIAL OR FACIAL BONE PROCEDURES |
1 |
$48,327 |
$16,217 |
$48,327 |
$16,217 |
2.00 |
EXTERNAL HEART ASSIST SYSTEMS |
1 |
$140,355 |
$47,135 |
$140,355 |
$47,135 |
1.00 |
BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA |
1 |
$77,269 |
$20,691 |
$77,269 |
$20,691 |
13.00 |
MASTECTOMY PROCEDURES |
1 |
$35,505 |
$11,710 |
$35,505 |
$11,710 |
1.00 |
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION |
1 |
$217,905 |
$57,787 |
$217,905 |
$57,787 |
42.00 |
VENTRICULAR SHUNT PROCEDURES |
1 |
$48,555 |
$16,106 |
$48,555 |
$16,106 |
2.00 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION |
1 |
$63,427 |
$16,924 |
$63,427 |
$16,924 |
12.00 |
ADRENAL PROCEDURES |
1 |
$43,167 |
$15,050 |
$43,167 |
$15,050 |
2.00 |
HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS |
1 |
$60,889 |
$15,471 |
$60,889 |
$15,471 |
5.00 |
OTHER MAJOR HEAD AND NECK PROCEDURES |
1 |
$42,340 |
$14,247 |
$42,340 |
$14,247 |
2.00 |
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES |
1 |
$75,495 |
$19,395 |
$75,495 |
$19,395 |
5.00 |
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES |
1 |
$23,632 |
$8,086 |
$23,632 |
$8,086 |
3.00 |
SPLENECTOMY |
1 |
$101,983 |
$26,271 |
$101,983 |
$26,271 |
9.00 |
RADIOTHERAPY |
1 |
$30,212 |
$7,200 |
$30,212 |
$7,200 |
4.00 |
BEHAVIORAL DISORDERS |
1 |
$406,963 |
$105,691 |
$406,963 |
$105,691 |
96.00 |