|
Non-Institutional
Part B Advanced Imaging, excluding place of service = inpatient hospital,
2014 |
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Source: 100% non-institutional Part B claims file
2014, CCW |
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|
Ct head/brain w/o dye |
Ct head/brain w/dye |
Ct head/brain w/o
& w/dye |
Ct orbit/ear/fossa w/o
dye |
Ct maxillofacial w/o
dye |
Ct maxillofacial w/dye |
Ct soft tissue neck
w/o dye |
Ct soft tissue neck
w/dye |
Ct sft tsue nck w/o
& w/dye |
Ct angiography head |
Ct angiography neck |
Mri orbit/face/neck
w/o dye |
Mri orbt/fac/nck w/o
&w/dye |
Mr angiography head
w/o dye |
Mr angiograph head
w/o&w/dye |
Mr angiography neck
w/o dye |
Mr angiography neck
w/dye |
Mr angiograph neck
w/o&w/dye |
Mri brain stem w/o dye |
Mri brain stem w/dye |
Mri brain stem w/o
& w/dye |
Ct thorax w/o dye |
Ct thorax w/dye |
Ct thorax w/o &
w/dye |
Ct angiography chest |
Mri chest w/o dye |
Mri chest w/o &
w/dye |
Mri angio chest w or
w/o dye |
Ct neck spine w/o dye |
Ct neck spine w/dye |
Ct chest spine w/o dye |
Ct chest spine w/dye |
Ct lumbar spine w/o
dye |
Ct lumbar spine w/dye |
Ct lumbar spine w/o
& w/dye |
Mri neck spine w/o dye |
Mri neck spine w/dye |
Mri chest spine w/o
dye |
Mri lumbar spine w/o
dye |
Mri lumbar spine w/dye |
Mri neck spine w/o
& w/dye |
Mri chest spine w/o
& w/dye |
Mri lumbar spine w/o
& w/dye |
Ct pelvis w/o dye |
Ct pelvis w/dye |
Ct pelvis w/o &
w/dye |
Mri pelvis w/o dye |
Mri pelvis w/o &
w/dye |
Ct upper extremity w/o
dye |
Ct upper extremity
w/dye |
Mri upper extremity
w/o dye |
Mri uppr extremity
w/o&w/dye |
Mri joint upr extrem
w/o dye |
Mri joint upr extrem
w/dye |
Mri joint upr extr
w/o&w/dye |
Ct lower extremity w/o
dye |
Ct lower extremity
w/dye |
Ct angio lwr extr
w/o&w/dye |
Mri lower extremity
w/o dye |
Mri lwr extremity
w/o&w/dye |
Mri jnt of lwr extre
w/o dye |
Mri joint of lwr extr
w/dye |
Mri joint lwr extr
w/o&w/dye |
Mr ang lwr ext w or
w/o dye |
Ct abdomen w/o dye |
Ct abdomen w/dye |
Ct abdomen w/o &
w/dye |
Ct angio abd&pelv
w/o&w/dye |
Ct angio abdom w/o
& w/dye |
Ct abd & pelvis
w/o contrast |
Ct abd & pelv
w/contrast |
Ct abd & pelv
1/> regns |
Mri abdomen w/o dye |
Mri abdomen w/dye |
Mri abdomen w/o &
w/dye |
Mri angio abdom w
orw/o dye |
Ct colonography dx |
Cardiac mri for morph
w/dye |
Card mri veloc flow
mapping |
Ct hrt w/o dye w/ca
test |
Ct hrt w/3d image |
Ct angio hrt w/3d
image |
Ct angio abdominal
arteries |
Abscess drainage under
x-ray |
3d render w/intrp
postproces |
3d render w/intrp
postproces |
Cat scan follow-up
study |
Ct scan for
localization |
Ct scan for needle
biopsy |
Ct guide for tissue
ablation |
Ct scan for therapy
guide |
Mri both breasts |
Thyroid imaging
w/blood flow |
Thyroid met imaging
body |
Parathyroid planar
imaging |
Parathyrd planar w/wo
subtrj |
Parathyrd planar
w/spect&ct |
Lymph system imaging |
Hepatobiliary system
imaging |
Hepatobil syst image
w/drug |
Gastric emptying study |
Acute gi blood loss
imaging |
Bone imaging limited
area |
Bone imaging whole
body |
Bone imaging 3 phase |
Bone imaging (3d) |
Ht muscle image spect
sing |
Ht muscle image spect
mult |
Ht musc image planar
mult |
Gated heart planar
single |
Heart image (pet)
multiple |
Lung perfusion imaging |
Lung
ventilat&perfus imaging |
Lung perf&ventilat
diferentl |
Brain imaging (3d) |
Brain imaging (pet) |
K flow/funct image w/o
drug |
K flow/funct image
w/drug |
Tumor imaging (3d) |
Abscess imaging ltd
area |
Abscess imaging whole
body |
Pet image skull-thigh |
Pet image w/ct
skull-thigh |
Pet image w/ct full
body |
Nuclear rx oral admin |
Nuclear rx iv admin |
Cardiovascular stress
test |
Cardiovascular stress
test |
Cardiovascular stress
test |
Cardiovascular stress
test |
|
70450 |
70450 |
70460 |
70460 |
70470 |
70470 |
70480 |
70480 |
70486 |
70486 |
70487 |
70487 |
70490 |
70490 |
70491 |
70491 |
70492 |
70492 |
70496 |
70496 |
70498 |
70498 |
70540 |
70540 |
70543 |
70543 |
70544 |
70544 |
70546 |
70546 |
70547 |
70547 |
70548 |
70548 |
70549 |
70549 |
70551 |
70551 |
70552 |
70552 |
70553 |
70553 |
71250 |
71250 |
71260 |
71260 |
71270 |
71270 |
71275 |
71275 |
71550 |
71550 |
71552 |
71552 |
71555 |
71555 |
72125 |
72125 |
72126 |
72126 |
72128 |
72128 |
72129 |
72129 |
72131 |
72131 |
72132 |
72132 |
72133 |
72133 |
72141 |
72141 |
72142 |
72142 |
72146 |
72146 |
72148 |
72148 |
72149 |
72149 |
72156 |
72156 |
72157 |
72157 |
72158 |
72158 |
72192 |
72192 |
72193 |
72193 |
72194 |
72194 |
72195 |
72195 |
72197 |
72197 |
73200 |
73200 |
73201 |
73201 |
73218 |
73218 |
73220 |
73220 |
73221 |
73221 |
73222 |
73222 |
73223 |
73223 |
73700 |
73700 |
73701 |
73701 |
73706 |
73706 |
73718 |
73718 |
73720 |
73720 |
73721 |
73721 |
73722 |
73722 |
73723 |
73723 |
73725 |
73725 |
74150 |
74150 |
74160 |
74160 |
74170 |
74170 |
74174 |
74174 |
74175 |
74175 |
74176 |
74176 |
74177 |
74177 |
74178 |
74178 |
74181 |
74181 |
74182 |
74182 |
74183 |
74183 |
74185 |
74185 |
74261 |
74261 |
75561 |
75561 |
75565 |
75565 |
75571 |
75571 |
75572 |
75572 |
75574 |
75574 |
75635 |
75635 |
75989 |
75989 |
76376 |
76376 |
76377 |
76377 |
76380 |
76380 |
77011 |
77011 |
77012 |
77012 |
77013 |
77013 |
77014 |
77014 |
77059 |
77059 |
78014 |
78014 |
78018 |
78018 |
78070 |
78070 |
78071 |
78071 |
78072 |
78072 |
78195 |
78195 |
78226 |
78226 |
78227 |
78227 |
78264 |
78264 |
78278 |
78278 |
78300 |
78300 |
78306 |
78306 |
78315 |
78315 |
78320 |
78320 |
78451 |
78451 |
78452 |
78452 |
78454 |
78454 |
78472 |
78472 |
78492 |
78492 |
78580 |
78580 |
78582 |
78582 |
78598 |
78598 |
78607 |
78607 |
78608 |
78608 |
78707 |
78707 |
78708 |
78708 |
78803 |
78803 |
78805 |
78805 |
78806 |
78806 |
78812 |
78812 |
78815 |
78815 |
78816 |
78816 |
79005 |
79005 |
79101 |
79101 |
93015 |
93015 |
93016 |
93016 |
93017 |
93017 |
93018 |
93018 |
|
LINE DGNS NAME |
LINE DGNS CODE |
Total PAYMENT |
Total SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
PAYMENT |
SERVICE |
|
78650 - Chest pain NOS |
78650 |
$129,835,062 |
1,656,554 |
$88,086 |
2,856 |
$637 |
15 |
$1,164 |
24 |
* |
* |
$2,272 |
55 |
* |
* |
$2,065 |
37 |
$6,437 |
110 |
$1,503 |
14 |
$2,603 |
42 |
$7,441 |
98 |
* |
* |
* |
* |
$1,123 |
25 |
|
|
$428 |
11 |
* |
* |
* |
* |
$6,542 |
108 |
* |
* |
$6,245 |
51 |
$1,887,873 |
33,187 |
$3,160,111 |
61,748 |
$478,708 |
5,073 |
$10,094,881 |
128,846 |
$118,913 |
600 |
$66,593 |
259 |
$15,758 |
139 |
$15,755 |
413 |
* |
* |
$11,200 |
244 |
$3,633 |
44 |
$3,031 |
82 |
$409 |
11 |
|
|
$3,144 |
39 |
|
|
$17,299 |
156 |
$2,146 |
27 |
* |
* |
* |
* |
$5,136 |
34 |
* |
* |
$594 |
14 |
$8,813 |
246 |
* |
* |
* |
* |
* |
* |
$840 |
15 |
* |
* |
* |
* |
* |
* |
$1,001 |
11 |
|
|
* |
* |
$823 |
16 |
$30,469 |
457 |
$30,329 |
277 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
$11,214 |
200 |
$28,388 |
548 |
$9,687 |
139 |
$212,323 |
2,369 |
$98,346 |
1,656 |
$98,452 |
1,396 |
$214,818 |
2,828 |
$33,288 |
309 |
$3,124 |
30 |
|
|
$2,571 |
19 |
* |
* |
|
|
$24,578 |
189 |
$2,117 |
93 |
$23,689 |
898 |
$46,275 |
575 |
$1,569,213 |
9,302 |
$17,554 |
158 |
* |
* |
$17,221 |
1,394 |
$132,937 |
2,200 |
$8,204 |
174 |
|
|
$2,379 |
51 |
* |
* |
$5,725 |
157 |
$3,146 |
12 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
$4,965 |
96 |
$11,243 |
152 |
$3,733 |
55 |
|
|
$16,476 |
376 |
$143,865 |
2,465 |
$20,785 |
175 |
$5,951 |
109 |
$1,063,418 |
11,523 |
$82,124,923 |
476,844 |
$203,193 |
4,001 |
$38,796 |
500 |
$7,665,208 |
11,619 |
$29,590 |
1,000 |
$791,018 |
18,974 |
$4,141 |
109 |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
$8,078 |
23 |
* |
* |
|
|
* |
* |
$9,736,398 |
186,726 |
$4,979,090 |
306,045 |
$444,047 |
19,972 |
$3,890,890 |
355,709 |
|
185 - Malign neopl prostate |
185 |
$75,965,274 |
838,764 |
$22,364 |
577 |
$8,408 |
133 |
$28,134 |
404 |
$1,191 |
17 |
$3,359 |
44 |
$1,270 |
18 |
$9,327 |
118 |
$37,872 |
485 |
$12,137 |
100 |
* |
* |
* |
* |
* |
* |
$5,671 |
34 |
$2,014 |
24 |
* |
* |
* |
* |
|
|
* |
* |
$17,426 |
193 |
$856 |
13 |
$137,092 |
907 |
$306,223 |
4,427 |
$963,795 |
16,071 |
$87,557 |
865 |
$16,382 |
159 |
$2,142 |
17 |
$43,367 |
122 |
|
|
$5,203 |
97 |
$1,439 |
20 |
$9,137 |
152 |
$2,055 |
31 |
$15,770 |
286 |
$2,688 |
42 |
$1,417 |
16 |
$11,277 |
145 |
* |
* |
$26,178 |
304 |
$48,549 |
514 |
$1,956 |
22 |
$50,990 |
412 |
$126,263 |
882 |
$160,730 |
1,161 |
$187,360 |
2,725 |
$188,641 |
1,968 |
$70,640 |
589 |
$553,762 |
3,756 |
$2,778,555 |
12,791 |
$1,464 |
21 |
* |
* |
* |
* |
$4,369 |
12 |
$4,214 |
31 |
* |
* |
$3,121 |
23 |
$5,248 |
62 |
$1,533 |
20 |
* |
* |
$2,635 |
22 |
$9,446 |
48 |
$8,554 |
71 |
* |
* |
$14,525 |
67 |
|
|
$12,143 |
183 |
$32,462 |
418 |
$40,203 |
343 |
$8,081 |
56 |
$2,376 |
19 |
$1,235,720 |
12,229 |
$4,128,665 |
35,094 |
$2,630,589 |
14,927 |
$14,085 |
146 |
$2,417 |
19 |
$251,688 |
1,317 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
$22,243 |
1,573 |
$134,470 |
2,142 |
$8,178 |
181 |
$7,920 |
70 |
$26,549 |
471 |
$6,725 |
17 |
$47,528,823 |
623,031 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$9,968 |
347 |
$4,924,160 |
77,333 |
$32,996 |
286 |
$107,315 |
2,095 |
* |
* |
$1,435 |
12 |
|
|
$2,128 |
41 |
|
|
* |
* |
$1,182 |
22 |
* |
* |
* |
* |
* |
* |
$807 |
14 |
$5,559 |
99 |
$30,015 |
335 |
* |
* |
$503 |
17 |
$44,723 |
65 |
$3,251,899 |
4,923 |
$5,072,705 |
5,383 |
$4,655 |
67 |
$376,789 |
4,447 |
$663 |
13 |
* |
* |
|
|
$127 |
11 |
|
41401 - Crnry athrscl natve vssl |
41401 |
$128,989,424 |
832,980 |
$5,089 |
143 |
* |
* |
$840 |
13 |
|
|
* |
* |
|
|
* |
* |
$1,410 |
21 |
* |
* |
$4,745 |
46 |
$21,063 |
178 |
|
|
|
|
$1,485 |
14 |
* |
* |
* |
* |
* |
* |
* |
* |
$1,721 |
16 |
|
|
$2,074 |
16 |
$269,543 |
4,403 |
$160,676 |
2,583 |
$36,378 |
372 |
$295,935 |
3,175 |
* |
* |
|
|
$1,325 |
17 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$1,301 |
22 |
$1,872 |
32 |
$1,766 |
16 |
$30,266 |
254 |
$10,202 |
84 |
$11,547 |
148 |
$13,058 |
158 |
$5,567 |
36 |
|
|
* |
* |
|
|
* |
* |
* |
* |
$30,894 |
235 |
$1,352 |
88 |
$30,872 |
1,153 |
$59,630 |
765 |
$1,448,154 |
8,275 |
$32,414 |
245 |
|
|
$5,060 |
287 |
$7,406 |
122 |
$722 |
18 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
$743,902 |
4,025 |
$83,134,610 |
296,859 |
$40,430 |
486 |
$161,593 |
1,303 |
$27,031,956 |
29,474 |
* |
* |
$1,887 |
40 |
* |
* |
|
|
|
|
|
|
$7,307 |
57 |
|
|
* |
* |
|
|
* |
* |
$2,757 |
18 |
* |
* |
|
|
|
|
$11,796,582 |
225,135 |
$1,814,736 |
111,320 |
$412,231 |
18,146 |
$1,347,066 |
123,182 |
|
7840 - Headache |
7840 |
$44,938,288 |
804,214 |
$19,179,179 |
576,842 |
$168,657 |
2,865 |
$1,509,519 |
20,337 |
$103,757 |
1,403 |
$1,912,581 |
31,437 |
$59,654 |
1,041 |
$20,803 |
318 |
$55,130 |
746 |
$13,895 |
123 |
$787,419 |
9,389 |
$274,221 |
4,059 |
$99,243 |
550 |
$329,270 |
1,496 |
$1,280,281 |
10,264 |
$138,550 |
570 |
$144,116 |
1,126 |
$39,047 |
357 |
$213,804 |
1,138 |
$8,118,017 |
67,885 |
$131,554 |
893 |
$9,684,297 |
59,069 |
$7,942 |
135 |
$8,720 |
144 |
$1,412 |
15 |
$7,446 |
94 |
* |
* |
* |
* |
* |
* |
$220,193 |
5,311 |
$2,477 |
58 |
$3,695 |
106 |
$1,481 |
32 |
$4,629 |
110 |
$1,908 |
40 |
|
|
$116,693 |
1,215 |
$2,820 |
26 |
$5,508 |
67 |
$12,657 |
133 |
* |
* |
$51,187 |
332 |
$9,240 |
75 |
$6,681 |
49 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$1,746 |
14 |
* |
* |
* |
* |
$640 |
16 |
|
|
|
|
* |
* |
* |
* |
$2,921 |
15 |
|
|
|
|
|
|
* |
* |
* |
* |
$1,103 |
13 |
* |
* |
* |
* |
$12,310 |
164 |
$14,990 |
172 |
$3,260 |
21 |
* |
* |
|
|
$2,907 |
12 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$27,932 |
1,659 |
$80,662 |
1,522 |
$18,180 |
257 |
$8,194 |
55 |
$5,331 |
104 |
|
|
$506 |
14 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
$4,635 |
43 |
$4,246 |
88 |
* |
* |
$947 |
17 |
* |
* |
$3,457 |
20 |
|
|
* |
* |
$11,096 |
11 |
|
|
* |
* |
|
|
$3,008 |
47 |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
$1,548 |
27 |
$597 |
36 |
|
|
$387 |
37 |
|
78900 - Abdmnal pain unspcf site |
78900 |
$57,885,026 |
677,342 |
$19,873 |
685 |
* |
* |
$1,770 |
29 |
* |
* |
$1,490 |
24 |
* |
* |
$896 |
11 |
$1,803 |
30 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
$1,783 |
26 |
|
|
$3,794 |
25 |
$76,426 |
1,664 |
$188,252 |
3,789 |
$25,253 |
324 |
$81,049 |
1,203 |
* |
* |
* |
* |
* |
* |
$2,935 |
87 |
* |
* |
$1,757 |
53 |
$452 |
12 |
$6,442 |
191 |
$834 |
18 |
|
|
* |
* |
|
|
$5,081 |
54 |
$7,797 |
90 |
* |
* |
* |
* |
$2,052 |
18 |
$2,642 |
24 |
$145,120 |
2,606 |
$59,973 |
903 |
$23,612 |
182 |
$154,705 |
948 |
$273,787 |
1,452 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
$2,837 |
60 |
$607 |
12 |
$15,377 |
33 |
* |
* |
* |
* |
$5,315 |
43 |
|
|
* |
* |
* |
* |
$566,630 |
8,415 |
$701,096 |
8,947 |
$645,631 |
5,367 |
$680,656 |
6,387 |
$221,333 |
2,422 |
$17,539,159 |
233,088 |
$25,270,407 |
299,644 |
$5,848,968 |
36,992 |
$653,222 |
5,081 |
$47,776 |
208 |
$1,530,716 |
6,429 |
$61,791 |
379 |
$30,382 |
186 |
|
|
|
|
|
|
|
|
* |
* |
$53,668 |
410 |
* |
* |
$55,092 |
3,612 |
$113,395 |
2,150 |
$4,297 |
92 |
|
|
$6,046 |
121 |
* |
* |
$918 |
19 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
$527,853 |
10,713 |
$1,538,535 |
20,997 |
$577,227 |
9,910 |
$1,933 |
55 |
$721 |
16 |
$13,490 |
241 |
$2,300 |
22 |
$1,118 |
18 |
|
|
$26,024 |
103 |
|
|
* |
* |
|
|
* |
* |
$1,838 |
45 |
|
|
|
|
|
|
$2,413 |
42 |
$8,994 |
125 |
$3,952 |
62 |
$730 |
21 |
$1,673 |
36 |
* |
* |
$21,035 |
48 |
|
|
$1,262 |
12 |
|
|
$6,045 |
115 |
$1,626 |
97 |
* |
* |
$1,358 |
119 |
|
78605 - Shortness of breath |
78605 |
$68,959,787 |
662,943 |
$49,148 |
1,592 |
* |
* |
$1,124 |
17 |
* |
* |
$15,768 |
235 |
* |
* |
$16,636 |
271 |
$26,339 |
441 |
$1,504 |
16 |
$2,101 |
24 |
$3,913 |
41 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$3,341 |
42 |
|
|
$3,935 |
33 |
$2,136,152 |
33,303 |
$2,397,113 |
40,965 |
$280,651 |
2,570 |
$8,609,643 |
97,398 |
$7,606 |
33 |
$2,902 |
19 |
$10,570 |
79 |
$3,230 |
80 |
* |
* |
$1,284 |
23 |
* |
* |
$675 |
19 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$894 |
16 |
|
|
* |
* |
* |
* |
|
|
* |
* |
$9,066 |
253 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$28,156 |
419 |
$25,851 |
241 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
$3,656 |
68 |
$5,627 |
92 |
$2,284 |
28 |
$38,879 |
361 |
$10,335 |
127 |
$46,139 |
639 |
$81,200 |
945 |
$12,334 |
92 |
* |
* |
|
|
* |
* |
* |
* |
|
|
$17,625 |
145 |
$543 |
44 |
$7,129 |
238 |
$17,590 |
166 |
$244,749 |
1,316 |
$8,897 |
84 |
* |
* |
$15,394 |
1,107 |
$34,336 |
686 |
$3,905 |
73 |
* |
* |
$857 |
19 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$547 |
18 |
* |
* |
* |
* |
$1,345 |
27 |
* |
* |
|
|
$393,913 |
3,006 |
$39,304,205 |
156,767 |
$25,046 |
498 |
$124,300 |
1,051 |
$5,321,722 |
6,695 |
$58,973 |
1,890 |
$1,600,779 |
34,996 |
$20,466 |
435 |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$8,420 |
39 |
|
|
|
|
* |
* |
$5,542,887 |
104,703 |
$1,239,567 |
74,840 |
$179,613 |
7,901 |
$948,925 |
85,717 |
|
95901 - Head injury NOS |
95901 |
$20,627,459 |
651,392 |
$17,657,469 |
595,637 |
$23,604 |
523 |
$133,119 |
1,816 |
$56,256 |
845 |
$398,893 |
8,515 |
$1,567 |
26 |
$2,840 |
45 |
$2,180 |
29 |
|
|
$45,054 |
687 |
$16,048 |
265 |
$3,454 |
36 |
$7,391 |
26 |
$35,477 |
336 |
$3,381 |
11 |
$5,070 |
38 |
* |
* |
$4,823 |
24 |
$479,667 |
4,828 |
$4,652 |
40 |
$378,528 |
2,646 |
$6,061 |
160 |
$7,206 |
180 |
* |
* |
$2,267 |
28 |
|
|
|
|
|
|
$1,240,595 |
31,563 |
$1,303 |
25 |
$9,993 |
331 |
$449 |
13 |
$9,495 |
291 |
$449 |
12 |
|
|
$12,243 |
152 |
* |
* |
* |
* |
$1,243 |
13 |
|
|
$3,212 |
27 |
* |
* |
* |
* |
$2,631 |
59 |
|
|
|
|
|
|
|
|
$1,204 |
21 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
$1,260 |
30 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
$4,705 |
49 |
* |
* |
$7,739 |
105 |
$10,205 |
142 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$8,944 |
892 |
$35,765 |
911 |
$1,014 |
15 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
79431 - Abnorm electrocardiogram |
79431 |
$62,372,874 |
467,668 |
$1,834 |
52 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$3,764 |
15 |
$15,903 |
59 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$5,081 |
77 |
$5,888 |
94 |
* |
* |
$18,129 |
172 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
$6,589 |
29 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$15,105 |
96 |
$433 |
23 |
$8,214 |
282 |
$17,031 |
113 |
$92,968 |
604 |
$2,743 |
13 |
|
|
$1,933 |
89 |
$11,278 |
160 |
$537 |
14 |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
$447,628 |
2,750 |
$48,700,685 |
178,281 |
$21,508 |
357 |
$31,477 |
267 |
$4,279,706 |
6,042 |
* |
* |
$1,143 |
28 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$6,513,970 |
125,192 |
$1,117,985 |
67,296 |
$197,310 |
8,703 |
$854,031 |
76,860 |
|
7804 - Dizziness and giddiness |
7804 |
$29,376,241 |
428,199 |
$8,568,100 |
256,233 |
$70,491 |
1,178 |
$644,396 |
8,284 |
$135,836 |
1,508 |
$111,444 |
1,719 |
$4,527 |
40 |
$6,045 |
92 |
$16,320 |
253 |
$11,164 |
85 |
$545,102 |
6,283 |
$461,218 |
5,503 |
$29,671 |
160 |
$158,189 |
614 |
$2,526,963 |
21,347 |
$194,598 |
931 |
$806,014 |
5,804 |
$157,923 |
1,868 |
$966,836 |
5,716 |
$5,204,079 |
51,092 |
$78,014 |
565 |
$7,769,342 |
46,528 |
$22,088 |
258 |
$17,161 |
352 |
$1,805 |
26 |
$50,800 |
650 |
* |
* |
* |
* |
* |
* |
$54,961 |
1,341 |
* |
* |
$981 |
25 |
* |
* |
$1,872 |
42 |
|
|
* |
* |
$43,423 |
432 |
* |
* |
$2,923 |
38 |
$3,713 |
47 |
* |
* |
$17,056 |
108 |
$4,105 |
27 |
$2,702 |
17 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
$779 |
13 |
$1,396 |
16 |
* |
* |
$3,899 |
38 |
$1,874 |
19 |
$16,225 |
238 |
$20,441 |
250 |
$2,350 |
18 |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$579 |
17 |
* |
* |
$3,008 |
15 |
* |
* |
|
|
$12,191 |
727 |
$28,902 |
530 |
$1,967 |
30 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$832 |
12 |
* |
* |
* |
* |
$1,825 |
20 |
$420,023 |
1,644 |
* |
* |
* |
* |
$13,217 |
24 |
* |
* |
$6,036 |
145 |
* |
* |
$4,633 |
43 |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$98,901 |
1,848 |
$24,753 |
1,514 |
$3,675 |
159 |
$18,875 |
1,713 |
|
41400 - Cor ath unsp vsl ntv/gft |
41400 |
$53,211,916 |
423,815 |
$4,786 |
129 |
* |
* |
$1,305 |
15 |
* |
* |
* |
* |
|
|
* |
* |
$853 |
12 |
* |
* |
$9,585 |
89 |
$33,513 |
234 |
* |
* |
|
|
$1,508 |
20 |
* |
* |
* |
* |
* |
* |
$2,702 |
17 |
$1,879 |
20 |
|
|
$3,786 |
25 |
$153,501 |
2,474 |
$104,481 |
1,758 |
$24,759 |
235 |
$232,021 |
2,413 |
* |
* |
* |
* |
$1,368 |
12 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$1,461 |
27 |
$822 |
14 |
$1,043 |
11 |
$32,990 |
282 |
$8,313 |
71 |
$11,266 |
145 |
$17,791 |
169 |
$9,109 |
63 |
* |
* |
|
|
* |
* |
$1,767 |
11 |
* |
* |
$28,363 |
213 |
$2,033 |
106 |
$15,378 |
547 |
$24,397 |
281 |
$692,921 |
3,897 |
$19,319 |
131 |
* |
* |
$3,770 |
204 |
$9,300 |
159 |
$518 |
12 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
$281,561 |
1,809 |
$34,710,616 |
143,830 |
$23,423 |
384 |
$97,761 |
867 |
$9,657,744 |
10,610 |
* |
* |
$1,668 |
40 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$4,639,639 |
87,908 |
$1,195,067 |
72,534 |
$251,996 |
10,894 |
$895,831 |
81,143 |
|
1629 - Mal neo bronch/lung NOS |
1629 |
$71,272,557 |
418,617 |
$90,255 |
2,284 |
$102,330 |
1,706 |
$368,752 |
5,109 |
* |
* |
$4,947 |
78 |
$2,135 |
29 |
$56,010 |
739 |
$220,517 |
3,141 |
$21,765 |
184 |
$2,538 |
30 |
$2,486 |
28 |
$1,395 |
15 |
$18,663 |
119 |
$5,494 |
47 |
* |
* |
* |
* |
|
|
* |
* |
$161,289 |
1,758 |
$46,622 |
458 |
$3,902,054 |
26,795 |
$3,403,183 |
53,766 |
$7,833,034 |
112,558 |
$424,259 |
3,989 |
$175,243 |
1,918 |
$5,313 |
32 |
$28,546 |
130 |
* |
* |
$5,359 |
97 |
$1,287 |
21 |
$7,186 |
147 |
$3,220 |
36 |
$6,137 |
153 |
$3,003 |
43 |
$913 |
14 |
$10,225 |
144 |
$1,247 |
13 |
$18,239 |
243 |
$16,124 |
202 |
$1,070 |
15 |
$63,260 |
543 |
$135,753 |
1,058 |
$103,681 |
839 |
$4,563 |
88 |
$6,059 |
87 |
* |
* |
$7,402 |
68 |
$45,746 |
235 |
$1,351 |
28 |
* |
* |
* |
* |
$3,411 |
19 |
$2,868 |
39 |
* |
* |
$4,947 |
33 |
$7,666 |
75 |
$2,809 |
32 |
* |
* |
$2,202 |
18 |
$5,515 |
42 |
$3,631 |
35 |
|
|
$9,932 |
53 |
* |
* |
$100,451 |
1,883 |
$596,674 |
9,237 |
$128,071 |
1,119 |
$7,027 |
58 |
$2,582 |
25 |
$544,028 |
6,238 |
$4,172,002 |
35,566 |
$878,237 |
4,673 |
$7,362 |
75 |
$2,165 |
14 |
$91,232 |
479 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
$4,755 |
101 |
$43,197 |
3,634 |
$42,576 |
733 |
$3,666 |
94 |
$12,749 |
143 |
$113,248 |
2,354 |
$23,186 |
135 |
$1,793,920 |
32,608 |
$4,940 |
28 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$652 |
15 |
* |
* |
* |
* |
* |
* |
* |
* |
$895 |
33 |
$475,939 |
8,236 |
$7,493 |
56 |
$9,818 |
210 |
* |
* |
$4,589 |
44 |
* |
* |
$2,179 |
30 |
* |
* |
$4,647 |
127 |
$20,215 |
451 |
$12,990 |
316 |
|
|
$8,777 |
18 |
* |
* |
* |
* |
$4,634 |
77 |
* |
* |
* |
* |
$507,213 |
1,436 |
$42,571,709 |
86,137 |
$1,705,519 |
2,782 |
* |
* |
* |
* |
* |
* |
$884 |
55 |
* |
* |
$700 |
64 |
|
72210 - Lumbar disc displacement |
72210 |
$46,214,797 |
386,861 |
$818 |
23 |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$2,256 |
26 |
* |
* |
$3,540 |
22 |
$1,064 |
12 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
$13,061 |
167 |
$5,010 |
65 |
$7,773 |
130 |
$4,097 |
63 |
$2,221,068 |
36,821 |
$735,984 |
10,876 |
$63,657 |
625 |
$111,674 |
1,051 |
* |
* |
$71,588 |
726 |
$33,741,827 |
279,108 |
$128,215 |
999 |
$20,339 |
148 |
$29,158 |
225 |
$8,815,826 |
51,361 |
$7,132 |
95 |
* |
* |
* |
* |
$39,250 |
225 |
$16,238 |
77 |
* |
* |
|
|
* |
* |
|
|
$3,158 |
26 |
* |
* |
|
|
$809 |
12 |
|
|
|
|
$2,382 |
15 |
* |
* |
$11,448 |
92 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$4,708 |
61 |
$4,540 |
41 |
$2,397 |
12 |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$32,367 |
1,866 |
$89,732 |
1,580 |
$404 |
12 |
* |
* |
$12,945 |
162 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$6,214 |
83 |
* |
* |
$4,117 |
54 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
78097 - Altered mental status |
78097 |
$12,917,754 |
360,289 |
$10,289,970 |
325,711 |
$24,695 |
551 |
$159,530 |
2,723 |
$1,490 |
26 |
$14,975 |
338 |
* |
* |
$1,964 |
36 |
$2,690 |
51 |
* |
* |
$105,310 |
1,529 |
$64,717 |
1,175 |
$886 |
17 |
$1,584 |
11 |
$94,021 |
1,469 |
$5,735 |
62 |
$13,588 |
309 |
$6,838 |
122 |
$29,638 |
266 |
$953,095 |
12,527 |
$9,290 |
98 |
$861,726 |
6,970 |
$11,219 |
292 |
$10,581 |
248 |
* |
* |
$16,908 |
235 |
|
|
* |
* |
|
|
$136,140 |
3,521 |
$573 |
14 |
$1,997 |
65 |
* |
* |
$2,205 |
72 |
* |
* |
* |
* |
$2,059 |
28 |
|
|
* |
* |
$1,057 |
17 |
* |
* |
$2,695 |
17 |
* |
* |
* |
* |
$634 |
18 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
$607 |
11 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$1,510 |
18 |
* |
* |
$34,204 |
492 |
$27,123 |
382 |
$1,558 |
18 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$3,101 |
374 |
$10,637 |
308 |
$397 |
11 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
$1,026 |
12 |
|
|
|
|
|
|
* |
* |
$1,715 |
41 |
|
|
$1,519 |
27 |
$5,655 |
12 |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$554 |
34 |
|
|
$340 |
31 |
|
79319 - Ot nonsp ab fnd lung fld |
79319 |
$28,110,546 |
346,600 |
$6,635 |
192 |
* |
* |
$1,624 |
26 |
* |
* |
$1,882 |
22 |
* |
* |
$6,341 |
94 |
$27,115 |
381 |
$2,579 |
20 |
$774 |
11 |
$2,255 |
26 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
$1,128 |
14 |
* |
* |
$8,067 |
61 |
$12,548,061 |
181,306 |
$7,592,435 |
110,771 |
$791,398 |
6,863 |
$1,383,745 |
16,122 |
$12,340 |
72 |
$34,606 |
135 |
$1,779 |
14 |
$3,742 |
86 |
* |
* |
$3,717 |
61 |
$552 |
13 |
$433 |
12 |
* |
* |
|
|
* |
* |
|
|
$1,401 |
11 |
* |
* |
|
|
* |
* |
$1,397 |
14 |
* |
* |
$676 |
11 |
$3,899 |
111 |
|
|
* |
* |
$1,368 |
13 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
$8,521 |
125 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$11,886 |
188 |
$33,598 |
526 |
$14,303 |
143 |
$28,932 |
250 |
$8,958 |
114 |
$146,252 |
1,722 |
$601,307 |
5,417 |
$93,770 |
574 |
* |
* |
* |
* |
$7,563 |
52 |
|
|
* |
* |
$1,351 |
13 |
* |
* |
$1,112 |
35 |
$6,293 |
49 |
$5,423 |
42 |
$4,004 |
30 |
* |
* |
$84,793 |
7,018 |
$86,832 |
1,596 |
$14,060 |
322 |
* |
* |
$97,920 |
2,104 |
* |
* |
$2,402 |
39 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
$7,096 |
136 |
* |
* |
* |
* |
* |
* |
$3,428 |
28 |
* |
* |
* |
* |
* |
* |
$1,792 |
52 |
$23,734 |
555 |
$1,138 |
21 |
|
|
|
|
|
|
* |
* |
$575 |
13 |
* |
* |
$634 |
12 |
$53,248 |
138 |
$4,139,747 |
8,445 |
$179,370 |
337 |
|
|
|
|
* |
* |
$323 |
20 |
* |
* |
$233 |
22 |
|
95909 - Face & neck injury |
95909 |
$11,572,865 |
296,974 |
$352,044 |
12,692 |
$3,716 |
92 |
$2,970 |
45 |
$114,731 |
2,033 |
$2,053,680 |
46,718 |
$9,857 |
193 |
$20,040 |
385 |
$20,576 |
383 |
$2,719 |
30 |
$8,782 |
141 |
$64,619 |
1,143 |
$3,181 |
20 |
$8,839 |
37 |
$1,695 |
16 |
|
|
$1,555 |
28 |
$936 |
12 |
$2,516 |
34 |
$7,754 |
81 |
|
|
$8,249 |
54 |
$1,469 |
45 |
$1,631 |
40 |
* |
* |
$1,034 |
14 |
|
|
* |
* |
|
|
$8,519,401 |
224,669 |
$14,402 |
328 |
$7,690 |
250 |
$460 |
12 |
$5,707 |
188 |
* |
* |
* |
* |
$201,410 |
2,557 |
* |
* |
$1,197 |
16 |
* |
* |
|
|
$29,943 |
254 |
|
|
* |
* |
$770 |
19 |
* |
* |
|
|
|
|
|
|
$521 |
11 |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$2,541 |
37 |
$3,027 |
44 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$17,547 |
2,146 |
$75,656 |
2,207 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
72252 - Lumb/lumbosac disc degen |
72252 |
$33,711,126 |
292,785 |
$1,364 |
37 |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$4,037 |
37 |
* |
* |
$3,832 |
23 |
$1,542 |
30 |
$2,189 |
46 |
* |
* |
$1,160 |
16 |
|
|
|
|
|
|
$17,243 |
337 |
$3,911 |
50 |
$20,444 |
385 |
$4,753 |
67 |
$2,604,046 |
43,063 |
$452,306 |
6,810 |
$62,267 |
598 |
$78,306 |
794 |
* |
* |
$75,155 |
746 |
$24,127,709 |
198,892 |
$76,502 |
613 |
$19,626 |
134 |
$31,992 |
239 |
$5,594,663 |
32,464 |
$21,042 |
376 |
$1,773 |
27 |
* |
* |
$119,776 |
628 |
$34,253 |
173 |
* |
* |
|
|
|
|
* |
* |
$3,763 |
32 |
|
|
* |
* |
$4,527 |
78 |
* |
* |
* |
* |
$2,326 |
15 |
* |
* |
$27,926 |
213 |
* |
* |
* |
* |
* |
* |
$691 |
12 |
* |
* |
* |
* |
$2,278 |
16 |
* |
* |
$19,420 |
230 |
$23,995 |
247 |
$9,927 |
57 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$2,155 |
16 |
* |
* |
$25,478 |
1,438 |
$63,903 |
1,154 |
$3,928 |
105 |
* |
* |
$30,796 |
578 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,857 |
81 |
$70,140 |
1,130 |
$14,539 |
166 |
$41,588 |
632 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
7231 - Cervicalgia |
7231 |
$20,289,990 |
292,754 |
$160,969 |
6,017 |
$1,387 |
29 |
$5,401 |
91 |
$2,536 |
26 |
$9,225 |
186 |
$1,615 |
28 |
$196,925 |
2,954 |
$482,595 |
6,938 |
$78,311 |
677 |
$31,426 |
406 |
$160,828 |
2,416 |
$48,362 |
256 |
$137,922 |
580 |
$9,241 |
78 |
* |
* |
$24,825 |
200 |
$5,154 |
57 |
$41,352 |
249 |
$40,838 |
423 |
* |
* |
$45,378 |
328 |
$5,465 |
126 |
$9,777 |
185 |
$2,291 |
21 |
$6,024 |
73 |
$4,473 |
28 |
$6,375 |
22 |
* |
* |
$7,328,054 |
176,050 |
$131,906 |
1,986 |
$17,235 |
443 |
$1,868 |
48 |
$26,209 |
542 |
$5,067 |
99 |
* |
* |
$9,237,505 |
73,924 |
$52,699 |
334 |
$60,117 |
658 |
$109,368 |
1,004 |
$2,080 |
13 |
$1,410,474 |
7,920 |
$21,071 |
159 |
$29,975 |
181 |
$747 |
14 |
|
|
|
|
$1,575 |
11 |
* |
* |
$1,997 |
34 |
* |
* |
$6,041 |
27 |
$6,483 |
29 |
$27,531 |
231 |
* |
* |
$3,499 |
13 |
* |
* |
|
|
|
|
* |
* |
|
|
$2,958 |
22 |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$3,514 |
48 |
$6,608 |
73 |
$1,549 |
12 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
$27,496 |
2,060 |
$87,491 |
2,253 |
$881 |
24 |
|
|
$16,121 |
251 |
|
|
|
|
|
|
$837 |
12 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
$3,235 |
75 |
$48,419 |
849 |
$4,714 |
49 |
$77,836 |
756 |
* |
* |
$5,792 |
27 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$823 |
16 |
$837 |
51 |
* |
* |
$681 |
62 |
|
79311 - Solitary pulmonry nodule |
79311 |
$36,613,701 |
290,044 |
$3,569 |
88 |
$3,670 |
39 |
$3,024 |
45 |
|
|
$1,136 |
17 |
* |
* |
$9,764 |
142 |
$29,823 |
400 |
$2,057 |
19 |
$1,966 |
19 |
$3,725 |
28 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
$1,990 |
17 |
* |
* |
$22,180 |
164 |
$9,627,725 |
139,887 |
$5,181,178 |
73,968 |
$669,097 |
5,753 |
$672,371 |
7,684 |
$4,461 |
31 |
$12,675 |
61 |
$1,456 |
12 |
$2,615 |
58 |
* |
* |
$3,838 |
62 |
$674 |
14 |
$452 |
11 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$1,337 |
30 |
* |
* |
* |
* |
$2,151 |
18 |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
$2,385 |
34 |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
$11,315 |
198 |
$31,830 |
470 |
$15,115 |
140 |
$15,330 |
118 |
$5,382 |
62 |
$118,627 |
1,329 |
$398,139 |
3,450 |
$108,119 |
616 |
* |
* |
* |
* |
$7,796 |
52 |
* |
* |
* |
* |
* |
* |
* |
* |
$1,215 |
47 |
$4,990 |
40 |
$5,121 |
39 |
$4,504 |
31 |
* |
* |
$52,858 |
3,500 |
$41,293 |
784 |
$34,863 |
740 |
* |
* |
$601,379 |
12,837 |
$10,379 |
63 |
$6,828 |
137 |
* |
* |
$1,463 |
18 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
$7,329 |
121 |
* |
* |
* |
* |
|
|
$1,534 |
11 |
|
|
* |
* |
* |
* |
$462 |
17 |
$3,724 |
76 |
$2,271 |
52 |
|
|
* |
* |
* |
* |
* |
* |
$1,244 |
24 |
|
|
* |
* |
$311,371 |
738 |
$17,942,051 |
34,605 |
$601,287 |
1,087 |
* |
* |
|
|
* |
* |
$291 |
18 |
* |
* |
$273 |
23 |
|
7242 - Lumbago |
7242 |
$30,526,601 |
260,307 |
$11,054 |
361 |
|
|
* |
* |
$947 |
11 |
$641 |
12 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
$7,979 |
71 |
* |
* |
$6,888 |
35 |
$5,015 |
103 |
$6,210 |
148 |
$2,822 |
29 |
$7,236 |
93 |
* |
* |
* |
* |
* |
* |
$24,775 |
514 |
$3,995 |
64 |
$49,214 |
949 |
$8,958 |
154 |
$2,614,334 |
48,656 |
$324,906 |
4,319 |
$73,008 |
528 |
$84,689 |
793 |
* |
* |
$221,188 |
2,092 |
$20,214,369 |
151,532 |
$123,337 |
792 |
$20,357 |
132 |
$77,652 |
516 |
$4,668,298 |
25,025 |
$56,270 |
1,039 |
$3,930 |
57 |
$2,309 |
18 |
$445,500 |
2,331 |
$108,399 |
477 |
* |
* |
|
|
* |
* |
|
|
$7,887 |
57 |
* |
* |
* |
* |
$9,011 |
142 |
* |
* |
* |
* |
$6,738 |
53 |
$1,960 |
11 |
$64,679 |
502 |
* |
* |
$4,238 |
19 |
|
|
$2,963 |
44 |
$1,617 |
25 |
$2,480 |
17 |
$9,726 |
106 |
$3,831 |
44 |
$204,392 |
2,605 |
$79,353 |
966 |
$32,047 |
193 |
$2,006 |
14 |
|
|
$3,986 |
16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,282 |
18 |
|
|
$36,422 |
1,788 |
$66,556 |
1,190 |
$2,905 |
75 |
* |
* |
$101,132 |
1,527 |
* |
* |
$608 |
18 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
$27,259 |
559 |
$364,688 |
6,025 |
$59,718 |
672 |
$243,044 |
2,659 |
* |
* |
$1,556 |
12 |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$1,645 |
29 |
$1,300 |
35 |
|
|
$5,020 |
12 |
* |
* |
* |
* |
* |
* |
* |
* |
$155 |
11 |
|
|
$119 |
12 |
|
4139 - Angina pectoris NEC/NOS |
4139 |
$42,344,720 |
256,201 |
$2,763 |
83 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$1,181 |
16 |
|
|
* |
* |
$5,181 |
74 |
$7,405 |
75 |
$1,193 |
13 |
$23,268 |
205 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
$2,438 |
17 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
$2,741 |
27 |
$229 |
14 |
$4,009 |
147 |
$3,802 |
52 |
$96,967 |
619 |
$1,308 |
14 |
|
|
$250 |
13 |
$4,481 |
61 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$400,201 |
2,074 |
$26,598,797 |
93,320 |
$24,501 |
448 |
$23,975 |
175 |
$10,126,582 |
11,002 |
* |
* |
$1,139 |
29 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$3,952,792 |
74,343 |
$519,913 |
31,318 |
$144,720 |
6,508 |
$394,886 |
35,554 |
|
78659 - Chest pain NEC |
78659 |
$23,207,790 |
251,521 |
$19,388 |
606 |
* |
* |
* |
* |
|
|
$791 |
17 |
|
|
* |
* |
$1,161 |
17 |
|
|
* |
* |
$761 |
14 |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$1,659 |
23 |
|
|
$2,559 |
21 |
$165,277 |
2,665 |
$281,475 |
4,779 |
$40,550 |
453 |
$611,731 |
6,877 |
$18,495 |
85 |
$13,357 |
44 |
$2,176 |
13 |
$2,763 |
70 |
|
|
$1,274 |
27 |
* |
* |
$691 |
19 |
* |
* |
|
|
$799 |
12 |
|
|
$2,343 |
24 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$449 |
13 |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$1,054 |
18 |
$1,962 |
15 |
|
|
|
|
* |
* |
|
|
|
|
|
|
$1,701 |
25 |
$5,703 |
119 |
$1,376 |
17 |
$16,334 |
185 |
$9,418 |
146 |
$16,500 |
224 |
$28,905 |
350 |
$5,239 |
52 |
* |
* |
|
|
* |
* |
* |
* |
|
|
$3,577 |
27 |
$173 |
14 |
$3,745 |
158 |
$4,228 |
58 |
$131,957 |
971 |
$1,985 |
14 |
|
|
$3,672 |
239 |
$10,620 |
171 |
$488 |
11 |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$1,344 |
22 |
$3,764 |
38 |
* |
* |
|
|
$1,701 |
32 |
$13,281 |
187 |
$2,194 |
16 |
* |
* |
$181,009 |
1,422 |
$16,243,652 |
73,642 |
$12,766 |
250 |
$25,511 |
188 |
$1,498,868 |
2,196 |
$1,975 |
63 |
$42,587 |
980 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
$2,206,314 |
41,897 |
$821,750 |
50,071 |
$99,141 |
4,435 |
$635,601 |
57,489 |
|
1749 - Malign neopl breast NOS |
1749 |
$48,963,193 |
250,927 |
$48,188 |
1,241 |
$56,373 |
809 |
$111,797 |
1,635 |
$792 |
11 |
$4,886 |
63 |
$2,602 |
29 |
$39,027 |
510 |
$166,082 |
2,224 |
$10,556 |
103 |
$3,002 |
27 |
$2,602 |
22 |
$851 |
12 |
$22,700 |
139 |
$5,241 |
45 |
* |
* |
* |
* |
* |
* |
$2,469 |
13 |
$48,785 |
514 |
$9,494 |
98 |
$846,238 |
5,920 |
$699,150 |
10,415 |
$2,723,554 |
41,673 |
$148,869 |
1,464 |
$58,413 |
556 |
$9,292 |
65 |
$59,416 |
212 |
* |
* |
$4,433 |
95 |
$1,935 |
24 |
$5,689 |
115 |
$1,783 |
30 |
$6,121 |
132 |
$2,746 |
34 |
* |
* |
$13,464 |
162 |
* |
* |
$18,831 |
251 |
$27,881 |
320 |
$1,691 |
20 |
$78,313 |
646 |
$129,510 |
1,029 |
$121,187 |
993 |
$6,341 |
121 |
$6,487 |
80 |
* |
* |
$15,306 |
107 |
$70,785 |
396 |
$2,637 |
39 |
$517 |
13 |
$1,535 |
16 |
$9,345 |
46 |
$5,770 |
62 |
* |
* |
$10,540 |
52 |
$8,114 |
86 |
$2,294 |
32 |
* |
* |
$4,960 |
37 |
$11,269 |
65 |
$6,792 |
62 |
* |
* |
$14,469 |
102 |
* |
* |
$30,091 |
517 |
$192,022 |
2,699 |
$72,228 |
637 |
$18,908 |
136 |
$2,164 |
19 |
$424,148 |
4,639 |
$3,506,798 |
29,451 |
$799,146 |
4,468 |
$11,326 |
86 |
$1,949 |
16 |
$135,538 |
719 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$801 |
16 |
$17,445 |
1,417 |
$95,447 |
1,701 |
$2,019 |
52 |
$3,422 |
27 |
$23,756 |
451 |
* |
* |
$657,734 |
10,697 |
$3,707,960 |
17,860 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$887,558 |
15,886 |
* |
* |
* |
* |
* |
* |
* |
* |
$3,530 |
138 |
$1,736,172 |
29,465 |
$25,816 |
205 |
$37,201 |
788 |
* |
* |
$4,694 |
34 |
* |
* |
$96,583 |
1,530 |
* |
* |
* |
* |
$2,406 |
53 |
* |
* |
|
|
$10,725 |
13 |
|
|
* |
* |
$2,742 |
67 |
* |
* |
* |
* |
$311,492 |
755 |
$28,526,946 |
50,814 |
$1,941,630 |
2,545 |
* |
* |
$1,035 |
13 |
* |
* |
$372 |
22 |
* |
* |
$261 |
24 |
|
7802 - Syncope and collapse |
7802 |
$12,482,048 |
239,812 |
$4,685,085 |
147,498 |
$18,291 |
362 |
$176,404 |
2,513 |
$5,460 |
87 |
$40,218 |
905 |
* |
* |
$6,956 |
74 |
$6,197 |
106 |
$2,146 |
23 |
$170,650 |
1,888 |
$162,530 |
1,786 |
$2,249 |
20 |
$5,788 |
32 |
$536,314 |
5,730 |
$36,475 |
209 |
$155,859 |
1,587 |
$35,746 |
438 |
$203,476 |
1,292 |
$1,195,897 |
13,633 |
$12,515 |
117 |
$1,222,785 |
8,803 |
$18,445 |
435 |
$59,000 |
1,289 |
$3,867 |
74 |
$229,761 |
3,062 |
* |
* |
* |
* |
* |
* |
$209,321 |
5,374 |
* |
* |
$3,596 |
118 |
* |
* |
$4,872 |
151 |
* |
* |
* |
* |
$8,641 |
125 |
* |
* |
$1,710 |
23 |
$2,689 |
38 |
|
|
$3,496 |
29 |
$1,019 |
11 |
* |
* |
$1,542 |
37 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$1,043 |
25 |
$1,438 |
20 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$1,340 |
28 |
* |
* |
$10,837 |
125 |
$3,881 |
71 |
$30,283 |
442 |
$36,469 |
515 |
$2,669 |
33 |
* |
* |
|
|
* |
* |
|
|
|
|
$11,951 |
91 |
$207 |
17 |
$449 |
19 |
* |
* |
$7,820 |
54 |
* |
* |
|
|
$3,421 |
288 |
$12,083 |
303 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$318 |
11 |
* |
* |
* |
* |
$28,642 |
251 |
$2,296,565 |
11,470 |
$3,115 |
55 |
$1,896 |
27 |
$131,826 |
211 |
$1,359 |
48 |
$39,565 |
951 |
* |
* |
$1,327 |
15 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$341,154 |
6,475 |
$149,871 |
9,092 |
$16,610 |
737 |
$116,905 |
10,569 |
|
5920 - Calculus of kidney |
5920 |
$22,824,852 |
237,290 |
$827 |
27 |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$22,166 |
369 |
$19,301 |
337 |
$4,101 |
46 |
$6,081 |
78 |
|
|
|
|
|
|
* |
* |
* |
* |
$592 |
17 |
* |
* |
$3,591 |
86 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$16,363 |
273 |
$4,028 |
64 |
$4,151 |
42 |
$2,385 |
12 |
$6,304 |
35 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$233,379 |
3,582 |
$116,137 |
1,558 |
$275,923 |
2,450 |
$75,691 |
634 |
$29,674 |
289 |
$13,248,757 |
154,701 |
$2,775,610 |
32,221 |
$5,643,038 |
33,789 |
$13,926 |
96 |
$2,207 |
11 |
$55,377 |
257 |
* |
* |
$3,816 |
34 |
|
|
|
|
* |
* |
|
|
|
|
$9,512 |
79 |
$1,285 |
25 |
$36,858 |
2,372 |
$136,831 |
2,648 |
$3,741 |
88 |
|
|
$1,806 |
40 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$1,500 |
12 |
* |
* |
* |
* |
$1,455 |
11 |
|
|
|
|
|
|
$1,384 |
15 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
$15,415 |
227 |
$46,327 |
739 |
* |
* |
|
|
* |
* |
|
|
$5,314 |
26 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
72402 - Spin sten,lumbr wo claud |
72402 |
$24,924,019 |
220,280 |
$1,093 |
32 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
$3,995 |
41 |
|
|
$3,316 |
20 |
$925 |
16 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
$8,353 |
147 |
$7,358 |
100 |
$8,608 |
152 |
$8,901 |
112 |
$1,787,191 |
29,422 |
$599,766 |
8,693 |
$42,517 |
390 |
$79,944 |
793 |
* |
* |
$45,637 |
420 |
$17,337,177 |
147,344 |
$56,997 |
457 |
$17,137 |
121 |
$17,436 |
136 |
$4,661,806 |
27,641 |
$4,522 |
82 |
|
|
* |
* |
$40,427 |
207 |
$13,490 |
52 |
* |
* |
|
|
|
|
|
|
$1,454 |
12 |
* |
* |
|
|
$779 |
14 |
|
|
|
|
$2,334 |
12 |
* |
* |
$8,640 |
73 |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$5,035 |
64 |
$2,830 |
35 |
$2,205 |
15 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,540 |
12 |
* |
* |
$28,695 |
1,455 |
$49,682 |
978 |
$520 |
12 |
* |
* |
$50,228 |
858 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$12,079 |
231 |
$1,222 |
21 |
$10,181 |
110 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
43491 - Crbl art ocl NOS w infrc |
43491 |
$13,462,459 |
215,841 |
$3,428,504 |
103,266 |
$21,799 |
465 |
$144,775 |
2,198 |
$2,913 |
33 |
$3,891 |
78 |
* |
* |
$2,766 |
47 |
$9,027 |
160 |
$2,677 |
44 |
$631,526 |
8,640 |
$418,447 |
6,791 |
$10,708 |
82 |
$38,217 |
199 |
$1,379,785 |
16,933 |
$114,983 |
741 |
$398,224 |
4,815 |
$87,814 |
1,667 |
$522,205 |
3,862 |
$3,400,343 |
43,011 |
$32,643 |
333 |
$2,672,011 |
20,343 |
$2,682 |
59 |
$2,052 |
48 |
$966 |
14 |
$7,277 |
73 |
* |
* |
* |
* |
* |
* |
$13,073 |
326 |
* |
* |
* |
* |
|
|
$555 |
14 |
|
|
* |
* |
$9,515 |
132 |
|
|
$1,331 |
15 |
$2,465 |
28 |
|
|
$4,433 |
36 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$1,321 |
12 |
* |
* |
$4,225 |
60 |
$3,950 |
57 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
$1,948 |
14 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
$2,860 |
241 |
$12,274 |
314 |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
$50,105 |
193 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$5,695 |
47 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$8,166 |
154 |
$2,155 |
126 |
$411 |
17 |
$1,742 |
153 |
|
56210 - Dvrtclo colon w/o hmrhg |
56210 |
$20,365,310 |
215,160 |
$723 |
22 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$19,745 |
325 |
$41,151 |
734 |
$3,681 |
53 |
$9,161 |
131 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
$1,010 |
27 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$1,142 |
14 |
|
|
* |
* |
|
|
* |
* |
$115,334 |
2,176 |
$78,922 |
1,117 |
$32,911 |
293 |
$123,280 |
702 |
$226,415 |
1,075 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
$2,945 |
54 |
* |
* |
* |
* |
* |
* |
* |
* |
$6,650 |
51 |
* |
* |
* |
* |
|
|
$94,059 |
1,417 |
$98,534 |
1,280 |
$89,753 |
816 |
$195,474 |
1,750 |
$37,238 |
378 |
$6,430,991 |
81,016 |
$9,269,007 |
99,103 |
$2,964,689 |
17,969 |
$23,812 |
169 |
$1,205 |
12 |
$140,426 |
573 |
$1,646 |
12 |
$265,823 |
1,890 |
|
|
|
|
|
|
* |
* |
* |
* |
$21,779 |
188 |
* |
* |
$14,794 |
938 |
$41,642 |
770 |
$435 |
12 |
|
|
* |
* |
|
|
$489 |
14 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,237 |
11 |
$1,248 |
22 |
$462 |
12 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$7,498 |
34 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
78609 - Respiratory abnorm NEC |
78609 |
$17,667,451 |
206,416 |
$23,198 |
725 |
* |
* |
* |
* |
* |
* |
$18,229 |
242 |
* |
* |
$11,887 |
199 |
$20,641 |
351 |
$1,417 |
17 |
* |
* |
$1,582 |
15 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$1,425 |
22 |
|
|
$2,745 |
18 |
$717,600 |
11,336 |
$599,718 |
10,030 |
$58,248 |
594 |
$1,809,409 |
20,218 |
* |
* |
* |
* |
$10,246 |
44 |
$1,703 |
41 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$1,537 |
40 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$5,657 |
79 |
$9,810 |
84 |
|
|
|
|
* |
* |
|
|
|
|
|
|
$2,387 |
28 |
$2,873 |
45 |
* |
* |
$10,112 |
90 |
$1,861 |
23 |
$17,216 |
236 |
$25,776 |
299 |
$4,601 |
30 |
* |
* |
|
|
* |
* |
* |
* |
|
|
$12,011 |
106 |
$405 |
32 |
$2,292 |
90 |
$2,756 |
36 |
$28,739 |
169 |
$1,458 |
11 |
$682 |
14 |
$12,435 |
714 |
$6,484 |
152 |
$1,452 |
35 |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
$372 |
12 |
* |
* |
|
|
$132,029 |
950 |
$10,213,703 |
47,686 |
$8,232 |
165 |
$13,555 |
160 |
$953,064 |
1,471 |
$17,003 |
495 |
$423,787 |
8,893 |
$6,697 |
112 |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
$1,448,531 |
27,159 |
$529,352 |
32,251 |
$78,307 |
3,453 |
$414,230 |
37,444 |
|
7213 - Lumbosacral spondylosis |
7213 |
$20,385,226 |
203,016 |
$966 |
31 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$1,514 |
20 |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
$2,171 |
24 |
|
|
$1,790 |
16 |
$2,112 |
30 |
$3,320 |
54 |
* |
* |
$916 |
11 |
* |
* |
* |
* |
|
|
$27,190 |
577 |
$3,615 |
52 |
$13,369 |
286 |
$3,697 |
64 |
$1,817,973 |
34,437 |
$313,502 |
5,085 |
$37,199 |
382 |
$76,159 |
795 |
* |
* |
$44,648 |
509 |
$13,923,424 |
129,197 |
$45,020 |
499 |
$26,711 |
234 |
$27,685 |
270 |
$3,498,628 |
22,965 |
$19,578 |
370 |
$2,266 |
39 |
$1,068 |
13 |
$91,971 |
530 |
$27,665 |
139 |
* |
* |
|
|
|
|
* |
* |
$1,741 |
17 |
|
|
* |
* |
$2,718 |
44 |
* |
* |
|
|
* |
* |
* |
* |
$15,205 |
129 |
* |
* |
* |
* |
|
|
$965 |
19 |
$1,286 |
14 |
$1,511 |
14 |
$2,168 |
20 |
$785 |
11 |
$31,940 |
440 |
$28,949 |
317 |
$9,361 |
70 |
$1,523 |
11 |
|
|
$2,704 |
13 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,989 |
18 |
|
|
$12,953 |
844 |
$69,015 |
1,194 |
$2,547 |
69 |
* |
* |
$24,970 |
498 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$4,832 |
137 |
$71,210 |
1,376 |
$13,926 |
203 |
$68,767 |
929 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
78909 - Abdmnal pain oth spcf st |
78909 |
$16,145,510 |
200,981 |
$8,739 |
286 |
|
|
* |
* |
* |
* |
$1,003 |
19 |
* |
* |
* |
* |
$998 |
14 |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$884 |
14 |
|
|
$1,268 |
12 |
$18,363 |
395 |
$34,108 |
696 |
$3,978 |
66 |
$25,996 |
365 |
* |
* |
* |
* |
|
|
$1,699 |
47 |
* |
* |
$1,647 |
45 |
* |
* |
$6,069 |
161 |
* |
* |
* |
* |
* |
* |
* |
* |
$6,871 |
59 |
$11,175 |
126 |
* |
* |
* |
* |
$2,453 |
20 |
$4,607 |
32 |
$129,264 |
2,609 |
$67,246 |
994 |
$15,980 |
162 |
$181,334 |
1,102 |
$149,093 |
753 |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
$5,965 |
120 |
$1,070 |
17 |
* |
* |
$4,828 |
30 |
* |
* |
$23,327 |
178 |
* |
* |
* |
* |
* |
* |
$103,776 |
1,726 |
$139,824 |
1,897 |
$103,049 |
871 |
$96,644 |
964 |
$23,943 |
291 |
$7,774,641 |
108,371 |
$5,164,637 |
62,430 |
$1,473,083 |
9,599 |
$73,563 |
634 |
* |
* |
$214,003 |
958 |
$9,500 |
52 |
$2,665 |
18 |
|
|
|
|
|
|
|
|
|
|
$6,377 |
60 |
* |
* |
$8,605 |
667 |
$35,019 |
690 |
$819 |
13 |
|
|
$2,377 |
47 |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
$39,086 |
732 |
$101,566 |
1,492 |
$23,502 |
439 |
* |
* |
$813 |
21 |
$10,580 |
203 |
$5,807 |
69 |
$563 |
11 |
|
|
$2,853 |
17 |
|
|
|
|
|
|
* |
* |
$1,909 |
42 |
|
|
|
|
|
|
$2,629 |
40 |
$14,856 |
245 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$484 |
28 |
* |
* |
$370 |
32 |
|
51889 - Other lung disease NEC |
51889 |
$18,415,346 |
200,651 |
$4,823 |
138 |
$711 |
14 |
$1,653 |
20 |
* |
* |
$2,112 |
23 |
* |
* |
$5,697 |
81 |
$22,869 |
317 |
$2,870 |
22 |
* |
* |
$863 |
13 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$8,349 |
56 |
$7,807,792 |
103,616 |
$4,219,809 |
58,881 |
$773,369 |
6,030 |
$873,022 |
9,718 |
$11,559 |
55 |
$19,586 |
86 |
* |
* |
$2,166 |
50 |
* |
* |
$1,530 |
28 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$1,215 |
11 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$1,344 |
35 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
$2,717 |
41 |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$7,978 |
116 |
$17,757 |
244 |
$10,615 |
89 |
$13,941 |
71 |
$2,201 |
25 |
$71,704 |
746 |
$230,453 |
1,770 |
$81,871 |
394 |
* |
* |
|
|
$5,549 |
22 |
* |
* |
|
|
$1,833 |
13 |
* |
* |
$1,201 |
43 |
$4,192 |
30 |
$12,628 |
65 |
$2,627 |
19 |
* |
* |
$70,435 |
3,739 |
$92,756 |
1,484 |
$9,304 |
206 |
|
|
$217,789 |
4,599 |
$2,732 |
16 |
$4,518 |
80 |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$4,018 |
58 |
* |
* |
* |
* |
* |
* |
$2,968 |
23 |
* |
* |
* |
* |
* |
* |
$910 |
31 |
$29,603 |
583 |
$2,886 |
46 |
|
|
|
|
* |
* |
|
|
$422 |
11 |
* |
* |
* |
* |
$64,732 |
142 |
$3,537,019 |
6,461 |
$146,185 |
257 |
* |
* |
|
|
* |
* |
$254 |
15 |
* |
* |
$208 |
18 |
|
4371 - Ac cerebrovasc insuf NOS |
4371 |
$14,229,689 |
200,637 |
$4,204,544 |
126,108 |
$25,994 |
453 |
$182,204 |
2,408 |
$2,938 |
40 |
$9,622 |
154 |
* |
* |
* |
* |
$1,570 |
27 |
* |
* |
$73,713 |
846 |
$28,772 |
434 |
$19,751 |
106 |
$106,666 |
446 |
$176,217 |
1,700 |
$19,388 |
123 |
$21,623 |
281 |
$21,246 |
183 |
$30,323 |
282 |
$3,924,013 |
35,015 |
$48,854 |
343 |
$5,298,353 |
30,754 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
$8,050 |
206 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$3,298 |
40 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
$8,004 |
410 |
$10,635 |
267 |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$3,911 |
11 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
20280 - Oth lymp unsp xtrndl org |
20280 |
$36,936,634 |
181,831 |
$21,591 |
525 |
$27,386 |
341 |
$34,088 |
500 |
$2,730 |
35 |
$12,705 |
205 |
$17,923 |
254 |
$120,017 |
1,853 |
$864,946 |
12,868 |
$34,396 |
378 |
$1,187 |
12 |
* |
* |
$5,125 |
48 |
$84,901 |
445 |
$1,071 |
12 |
* |
* |
* |
* |
* |
* |
* |
* |
$15,963 |
179 |
$2,785 |
26 |
$362,119 |
2,521 |
$512,751 |
7,928 |
$2,548,652 |
40,795 |
$93,574 |
1,026 |
$17,184 |
169 |
$3,206 |
20 |
$11,767 |
32 |
|
|
$1,751 |
31 |
$1,344 |
21 |
$1,762 |
35 |
$953 |
19 |
$1,920 |
43 |
$1,114 |
17 |
* |
* |
$4,282 |
55 |
* |
* |
$5,919 |
78 |
$10,973 |
122 |
* |
* |
$30,393 |
267 |
$49,175 |
403 |
$56,308 |
438 |
$4,478 |
64 |
$5,877 |
81 |
$2,249 |
17 |
$10,443 |
66 |
$41,203 |
229 |
$1,193 |
23 |
* |
* |
* |
* |
$6,622 |
31 |
$1,820 |
21 |
* |
* |
$3,466 |
19 |
$2,273 |
36 |
$3,836 |
61 |
|
|
$3,601 |
28 |
$15,830 |
91 |
$4,132 |
37 |
|
|
$6,574 |
41 |
|
|
$19,566 |
306 |
$81,849 |
1,088 |
$26,916 |
239 |
$4,516 |
28 |
* |
* |
$618,501 |
7,068 |
$4,862,054 |
39,357 |
$726,712 |
3,775 |
$7,239 |
57 |
* |
* |
$54,053 |
272 |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$13,325 |
940 |
$16,490 |
248 |
$799 |
18 |
* |
* |
$82,620 |
1,720 |
* |
* |
$211,765 |
3,552 |
$5,234 |
21 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$791 |
18 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$38,547 |
641 |
$1,769 |
20 |
$1,539 |
21 |
|
|
$1,734 |
16 |
* |
* |
$18,238 |
304 |
|
|
|
|
$1,007 |
24 |
|
|
|
|
* |
* |
* |
* |
$567 |
12 |
* |
* |
|
|
* |
* |
$272,209 |
747 |
$23,412,496 |
46,262 |
$1,378,717 |
2,509 |
* |
* |
$1,823 |
22 |
* |
* |
* |
* |
|
|
* |
* |
|
7224 - Cervical disc degen |
7224 |
$15,509,598 |
168,936 |
$10,031 |
388 |
* |
* |
* |
* |
* |
* |
$2,393 |
53 |
* |
* |
$28,436 |
411 |
$67,879 |
861 |
$15,836 |
137 |
$2,491 |
33 |
$18,455 |
208 |
$9,176 |
60 |
$22,882 |
108 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$6,966 |
84 |
|
|
$8,884 |
60 |
$1,465 |
27 |
$1,163 |
19 |
* |
* |
* |
* |
$2,912 |
19 |
$3,443 |
13 |
|
|
$2,778,500 |
56,781 |
$189,212 |
2,781 |
$6,780 |
135 |
$2,476 |
38 |
$20,380 |
350 |
$4,278 |
76 |
* |
* |
$10,204,632 |
90,224 |
$32,859 |
273 |
$39,909 |
436 |
$69,777 |
678 |
* |
* |
$1,779,845 |
11,294 |
$37,677 |
251 |
$24,103 |
181 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
$2,182 |
11 |
$3,210 |
14 |
$8,030 |
68 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$1,150 |
11 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$16,350 |
1,180 |
$54,474 |
1,153 |
$1,001 |
27 |
* |
* |
$2,476 |
34 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$422 |
12 |
$13,055 |
236 |
$2,849 |
29 |
$11,555 |
182 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
7210 - Cervical spondylosis |
7210 |
$13,482,051 |
163,187 |
$16,709 |
652 |
* |
* |
* |
* |
* |
* |
$4,378 |
91 |
* |
* |
$42,851 |
655 |
$121,039 |
1,571 |
$21,287 |
206 |
$4,162 |
55 |
$24,901 |
302 |
$12,532 |
76 |
$32,985 |
157 |
$1,622 |
11 |
|
|
* |
* |
* |
* |
* |
* |
$10,375 |
120 |
|
|
$11,700 |
87 |
$1,116 |
20 |
$1,257 |
24 |
* |
* |
* |
* |
$3,294 |
23 |
$4,762 |
24 |
* |
* |
$2,776,790 |
60,846 |
$181,843 |
2,849 |
$5,844 |
139 |
$2,837 |
56 |
$12,504 |
270 |
$5,608 |
110 |
* |
* |
$8,234,663 |
78,790 |
$31,171 |
300 |
$40,145 |
494 |
$70,553 |
716 |
* |
* |
$1,615,267 |
11,100 |
$30,105 |
250 |
$26,623 |
203 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$2,888 |
17 |
$2,029 |
21 |
$4,288 |
45 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$765 |
11 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$10,806 |
817 |
$49,803 |
1,095 |
$798 |
22 |
|
|
$4,679 |
95 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,172 |
40 |
$28,251 |
486 |
$3,735 |
48 |
$23,915 |
293 |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
78651 - Precordial pain |
78651 |
$20,433,011 |
161,721 |
$771 |
25 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$21,345 |
356 |
$34,473 |
527 |
$4,722 |
62 |
$96,500 |
881 |
$2,115 |
12 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$1,941 |
23 |
$962 |
16 |
$1,049 |
16 |
$1,791 |
27 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
$636 |
26 |
$14,705 |
84 |
$108,670 |
689 |
* |
* |
|
|
$1,939 |
96 |
$6,828 |
93 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
$2,102 |
35 |
* |
* |
* |
* |
$250,754 |
1,251 |
$15,154,619 |
56,265 |
$2,192 |
41 |
$2,860 |
30 |
$1,699,789 |
2,014 |
* |
* |
$2,248 |
51 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,230,121 |
42,559 |
$417,993 |
25,431 |
$55,737 |
2,426 |
$316,151 |
28,685 |
|
42731 - Atrial fibrillation |
42731 |
$18,217,725 |
154,928 |
$30,391 |
811 |
* |
* |
$2,001 |
24 |
* |
* |
$775 |
12 |
|
|
* |
* |
* |
* |
|
|
$3,745 |
41 |
$3,556 |
38 |
|
|
* |
* |
$4,841 |
33 |
* |
* |
* |
* |
* |
* |
* |
* |
$14,450 |
151 |
|
|
$10,400 |
65 |
$27,032 |
486 |
$42,258 |
756 |
$6,045 |
79 |
$414,704 |
3,620 |
* |
* |
* |
* |
$103,795 |
692 |
$2,231 |
54 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$7,176 |
56 |
$4,483 |
40 |
$5,819 |
71 |
$6,578 |
74 |
$1,175 |
13 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$123,112 |
1,054 |
$2,521 |
158 |
$1,876 |
75 |
$549,991 |
5,553 |
$205,984 |
1,758 |
$5,158 |
26 |
* |
* |
$10,483 |
837 |
$19,736 |
464 |
$1,114 |
28 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$80,379 |
600 |
$11,762,132 |
48,322 |
$6,721 |
120 |
$43,020 |
385 |
$2,290,476 |
2,517 |
* |
* |
$10,699 |
226 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$1,640,220 |
31,061 |
$397,066 |
23,937 |
$65,007 |
2,819 |
$310,576 |
27,872 |
|
71945 - Joint pain-pelvis |
71945 |
$14,712,699 |
144,182 |
$18,157 |
624 |
* |
* |
* |
* |
* |
* |
$855 |
20 |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$2,970 |
75 |
$4,326 |
103 |
$10,268 |
185 |
$1,344 |
22 |
|
|
|
|
|
|
$11,047 |
278 |
* |
* |
$1,032 |
29 |
* |
* |
$31,400 |
641 |
$3,581 |
44 |
* |
* |
$2,163 |
25 |
|
|
$4,921 |
50 |
$172,893 |
1,704 |
* |
* |
* |
* |
$2,767 |
18 |
$39,403 |
281 |
$1,087,489 |
23,263 |
$84,707 |
1,193 |
$22,622 |
231 |
$2,187,519 |
12,654 |
$482,953 |
2,189 |
$3,478 |
57 |
* |
* |
$2,926 |
14 |
* |
* |
$21,939 |
164 |
$3,335 |
21 |
* |
* |
$1,265,720 |
22,831 |
$41,491 |
651 |
$2,455 |
16 |
$188,271 |
1,055 |
$58,913 |
293 |
$6,649,855 |
49,409 |
$365,048 |
2,013 |
$478,324 |
2,339 |
* |
* |
$788 |
11 |
* |
* |
* |
* |
$2,327 |
24 |
* |
* |
$78,083 |
1,043 |
$65,055 |
784 |
$36,270 |
165 |
$1,862 |
13 |
* |
* |
$4,878 |
25 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$3,851 |
27 |
* |
* |
$10,929 |
878 |
$50,275 |
1,137 |
$1,499 |
30 |
* |
* |
$105,019 |
1,351 |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
$49,625 |
1,156 |
$336,463 |
6,078 |
$639,638 |
7,667 |
$49,407 |
772 |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$15,489 |
360 |
$5,968 |
157 |
|
|
$1,103 |
12 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
7842 - Swelling in head & neck |
7842 |
$11,953,745 |
142,225 |
$1,026,326 |
32,404 |
$30,251 |
597 |
$135,418 |
1,918 |
$80,454 |
1,237 |
$670,128 |
13,650 |
$215,007 |
3,744 |
$798,067 |
10,684 |
$3,207,798 |
39,747 |
$770,217 |
5,948 |
$44,627 |
451 |
$76,286 |
768 |
$301,143 |
1,593 |
$1,644,891 |
6,850 |
$85,836 |
612 |
$37,303 |
120 |
$46,808 |
256 |
$8,840 |
73 |
$71,157 |
278 |
$330,130 |
2,595 |
$61,602 |
507 |
$1,663,459 |
10,547 |
$27,899 |
479 |
$99,925 |
1,521 |
$15,852 |
120 |
$6,723 |
74 |
$4,351 |
19 |
$8,838 |
29 |
* |
* |
$62,610 |
1,605 |
$2,715 |
44 |
$449 |
11 |
* |
* |
* |
* |
* |
* |
|
|
$16,483 |
163 |
$1,553 |
17 |
* |
* |
$1,743 |
16 |
* |
* |
$29,203 |
200 |
$2,252 |
16 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$954 |
15 |
* |
* |
* |
* |
$4,051 |
17 |
$1,604 |
14 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$2,574 |
11 |
* |
* |
|
|
* |
* |
|
|
$699 |
12 |
$1,830 |
31 |
$1,070 |
11 |
* |
* |
* |
* |
$5,427 |
59 |
$22,598 |
221 |
$8,992 |
44 |
* |
* |
|
|
$1,752 |
12 |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$7,878 |
523 |
$39,989 |
754 |
$1,955 |
31 |
$2,728 |
26 |
$33,931 |
706 |
|
|
$2,584 |
62 |
* |
* |
$7,564 |
166 |
* |
* |
$3,553 |
56 |
$892 |
19 |
$1,166 |
14 |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$3,078 |
60 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$196,769 |
440 |
$13,762 |
28 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
4414 - Abdom aortic aneurysm |
4414 |
$16,011,769 |
139,655 |
$753 |
30 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$1,414 |
20 |
$3,698 |
29 |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$145,273 |
2,623 |
$132,179 |
2,473 |
$34,235 |
561 |
$660,006 |
7,735 |
$3,080 |
17 |
* |
* |
$7,510 |
64 |
* |
* |
* |
* |
* |
* |
* |
* |
$3,449 |
85 |
* |
* |
* |
* |
|
|
|
|
* |
* |
$33,143 |
361 |
* |
* |
|
|
* |
* |
$7,262 |
52 |
$12,919 |
277 |
$5,712 |
86 |
$4,888 |
64 |
$5,431 |
41 |
$7,818 |
57 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,673 |
34 |
$2,543 |
35 |
$14,994 |
87 |
* |
* |
|
|
* |
* |
|
|
|
|
$9,613 |
38 |
$180,197 |
2,927 |
$150,701 |
2,186 |
$114,405 |
1,249 |
$7,717,758 |
50,453 |
$982,651 |
8,348 |
$1,880,210 |
23,408 |
$1,483,205 |
16,949 |
$825,782 |
6,890 |
$27,676 |
234 |
* |
* |
$75,275 |
378 |
$173,669 |
1,029 |
* |
* |
$1,496 |
12 |
* |
* |
* |
* |
* |
* |
$2,183 |
21 |
$1,086,515 |
7,517 |
* |
* |
$5,032 |
422 |
$22,980 |
594 |
* |
* |
|
|
$1,954 |
42 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
$913 |
14 |
$139,361 |
720 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$8,516 |
34 |
|
|
|
|
|
|
$18,330 |
349 |
$7,894 |
484 |
$1,048 |
47 |
$6,426 |
579 |
|
920 - Contusion face/scalp/nck |
920 |
$4,314,928 |
132,879 |
$3,128,722 |
106,421 |
$7,049 |
162 |
$16,363 |
241 |
$45,949 |
784 |
$664,760 |
14,762 |
$3,247 |
66 |
$4,178 |
82 |
$4,839 |
88 |
* |
* |
$8,073 |
124 |
$6,170 |
108 |
$1,253 |
15 |
* |
* |
$1,514 |
21 |
* |
* |
* |
* |
* |
* |
* |
* |
$33,944 |
418 |
* |
* |
$36,897 |
269 |
$1,828 |
55 |
$1,812 |
45 |
* |
* |
* |
* |
|
|
|
|
|
|
$320,271 |
8,362 |
* |
* |
$1,686 |
55 |
* |
* |
$2,363 |
73 |
* |
* |
|
|
$1,637 |
26 |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$1,250 |
31 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
$394 |
11 |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,646 |
38 |
$3,350 |
46 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$2,224 |
259 |
$12,510 |
317 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
78079 - Malaise and fatigue NEC |
78079 |
$5,766,264 |
132,673 |
$3,071,507 |
98,092 |
$8,552 |
185 |
$52,914 |
853 |
$1,106 |
19 |
$8,984 |
162 |
* |
* |
$2,243 |
41 |
$7,351 |
118 |
$1,244 |
16 |
$88,227 |
1,298 |
$67,967 |
1,209 |
$1,937 |
16 |
$6,297 |
26 |
$78,012 |
1,229 |
$5,832 |
41 |
$17,143 |
304 |
$5,961 |
95 |
$23,210 |
242 |
$508,591 |
6,846 |
$5,274 |
52 |
$458,492 |
3,668 |
$35,809 |
696 |
$58,376 |
1,029 |
$4,731 |
59 |
$54,933 |
700 |
$3,440 |
24 |
$5,042 |
22 |
* |
* |
$56,336 |
1,370 |
$1,195 |
23 |
$5,293 |
148 |
$1,335 |
31 |
$13,409 |
343 |
$1,750 |
43 |
* |
* |
$58,858 |
729 |
$1,187 |
11 |
$30,040 |
411 |
$41,383 |
521 |
* |
* |
$34,409 |
299 |
$27,331 |
258 |
$26,387 |
219 |
$2,342 |
55 |
$1,239 |
21 |
* |
* |
$5,224 |
39 |
$5,544 |
35 |
* |
* |
* |
* |
$3,596 |
21 |
$4,708 |
21 |
$8,170 |
52 |
* |
* |
* |
* |
$1,530 |
30 |
$842 |
14 |
* |
* |
$5,425 |
24 |
$6,304 |
19 |
$4,576 |
39 |
* |
* |
* |
* |
* |
* |
$1,592 |
28 |
$3,111 |
47 |
$1,906 |
24 |
$10,304 |
70 |
$1,639 |
26 |
$86,581 |
1,196 |
$132,931 |
1,356 |
$22,018 |
135 |
$2,648 |
21 |
* |
* |
$5,351 |
31 |
* |
* |
|
|
* |
* |
|
|
$392 |
14 |
* |
* |
$5,831 |
28 |
$3,380 |
24 |
|
|
$2,605 |
203 |
$4,479 |
112 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
$3,435 |
71 |
|
|
$302 |
13 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$1,724 |
12 |
* |
* |
* |
* |
$2,273 |
55 |
* |
* |
* |
* |
$3,412 |
28 |
$358,981 |
1,635 |
* |
* |
* |
* |
$25,912 |
40 |
$381 |
13 |
$7,439 |
168 |
|
|
$1,631 |
13 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
$7,476 |
16 |
* |
* |
* |
* |
|
|
$83,473 |
1,579 |
$27,487 |
1,712 |
$4,188 |
179 |
$21,795 |
2,006 |
|
V714 - Observ-accident NEC |
V714 |
$4,695,254 |
131,087 |
$1,803,375 |
62,792 |
$6,495 |
152 |
$8,022 |
126 |
$11,417 |
206 |
$167,689 |
3,897 |
$2,160 |
49 |
$2,025 |
44 |
$1,226 |
24 |
* |
* |
$7,860 |
134 |
$12,512 |
205 |
* |
* |
* |
* |
$4,313 |
33 |
* |
* |
* |
* |
* |
* |
* |
* |
$35,119 |
373 |
* |
* |
$28,788 |
217 |
$48,194 |
1,494 |
$97,970 |
2,600 |
$2,088 |
40 |
$27,418 |
384 |
* |
* |
|
|
|
|
$1,492,716 |
39,053 |
$7,160 |
182 |
$106,006 |
3,507 |
$12,533 |
336 |
$137,769 |
4,452 |
$11,980 |
321 |
* |
* |
$24,195 |
302 |
* |
* |
$9,500 |
110 |
$28,858 |
306 |
* |
* |
$3,415 |
27 |
$2,048 |
16 |
$4,461 |
35 |
$49,116 |
1,155 |
$485 |
11 |
* |
* |
$4,316 |
38 |
* |
* |
$10,283 |
196 |
* |
* |
$2,525 |
14 |
|
|
$14,084 |
100 |
* |
* |
* |
* |
$33,871 |
785 |
* |
* |
* |
* |
$4,361 |
30 |
* |
* |
$20,917 |
153 |
* |
* |
|
|
|
|
$1,989 |
44 |
$1,527 |
29 |
* |
* |
$2,733 |
31 |
* |
* |
$120,286 |
1,752 |
$276,124 |
4,028 |
$5,586 |
62 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$2,807 |
337 |
$32,799 |
828 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$267 |
11 |
$1,893 |
49 |
$1,974 |
17 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
34889 - Brain conditions NEC |
34889 |
$10,804,824 |
130,896 |
$2,210,965 |
64,783 |
$35,639 |
697 |
$212,567 |
3,085 |
$7,839 |
90 |
$8,148 |
167 |
$1,869 |
30 |
* |
* |
$6,814 |
100 |
$808 |
12 |
$107,292 |
1,268 |
$27,150 |
435 |
$8,355 |
51 |
$92,263 |
478 |
$112,709 |
1,062 |
$19,532 |
92 |
$10,749 |
132 |
$7,189 |
77 |
$17,425 |
90 |
$2,181,964 |
20,292 |
$116,202 |
1,092 |
$5,520,549 |
35,410 |
$929 |
20 |
$5,016 |
91 |
* |
* |
$1,106 |
14 |
|
|
* |
* |
|
|
$8,167 |
211 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$7,035 |
72 |
* |
* |
$1,107 |
15 |
$1,772 |
24 |
* |
* |
$10,801 |
84 |
$5,273 |
39 |
$2,150 |
18 |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$1,162 |
16 |
$6,463 |
71 |
$2,165 |
18 |
* |
* |
|
|
$1,790 |
14 |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
$3,631 |
299 |
$10,387 |
221 |
* |
* |
$1,758 |
29 |
* |
* |
|
|
$1,244 |
32 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$2,770 |
48 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
$2,738 |
36 |
$6,290 |
45 |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$15,045 |
36 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
71946 - Joint pain-l/leg |
71946 |
$17,436,690 |
130,882 |
$7,028 |
229 |
|
|
* |
* |
* |
* |
$907 |
22 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$1,597 |
14 |
|
|
* |
* |
$514 |
13 |
$667 |
11 |
* |
* |
* |
* |
|
|
|
|
* |
* |
$3,694 |
87 |
|
|
$656 |
14 |
|
|
$3,251 |
46 |
* |
* |
|
|
$4,220 |
40 |
|
|
$1,649 |
12 |
$38,002 |
300 |
|
|
* |
* |
* |
* |
$6,458 |
35 |
$3,833 |
75 |
* |
* |
* |
* |
$12,145 |
68 |
$2,329 |
13 |
$2,931 |
33 |
* |
* |
$4,748 |
21 |
* |
* |
$50,378 |
339 |
$3,671 |
19 |
* |
* |
$692,749 |
9,466 |
$74,142 |
793 |
$4,243 |
29 |
$314,238 |
1,534 |
$75,192 |
327 |
$14,529,403 |
98,909 |
$111,580 |
488 |
$282,479 |
1,137 |
$3,821 |
11 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$1,946 |
23 |
$2,088 |
28 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$4,225 |
34 |
* |
* |
$11,203 |
599 |
$29,504 |
522 |
* |
* |
|
|
$13,815 |
164 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$53,335 |
1,150 |
$145,552 |
2,557 |
$849,107 |
10,000 |
$34,437 |
518 |
|
|
$3,832 |
14 |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$35,768 |
847 |
$13,898 |
289 |
|
|
* |
* |
* |
* |
|
|
* |
* |
$961 |
18 |
$296 |
17 |
|
|
$197 |
17 |
|
57420 - Cholelithiasis NOS |
57420 |
$11,212,361 |
129,334 |
$814 |
30 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$724 |
13 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$38,613 |
690 |
$50,641 |
886 |
$7,485 |
85 |
$26,250 |
309 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
$985 |
29 |
* |
* |
|
|
|
|
|
|
* |
* |
$1,491 |
18 |
|
|
* |
* |
* |
* |
* |
* |
$4,592 |
95 |
$2,436 |
44 |
* |
* |
$5,438 |
41 |
$22,831 |
164 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$141,484 |
2,332 |
$170,679 |
2,370 |
$204,580 |
1,920 |
$135,729 |
1,305 |
$36,170 |
424 |
$3,726,333 |
50,093 |
$3,819,416 |
45,562 |
$1,295,023 |
8,800 |
$370,077 |
3,441 |
$7,088 |
72 |
$682,777 |
3,459 |
$6,029 |
39 |
$5,783 |
47 |
|
|
* |
* |
|
|
* |
* |
* |
* |
$16,475 |
151 |
|
|
$15,396 |
1,210 |
$25,927 |
545 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$159,972 |
2,650 |
$221,513 |
2,439 |
$743 |
18 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$8,695 |
37 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
$170 |
16 |
|
4359 - Trans cereb ischemia NOS |
4359 |
$10,309,901 |
128,911 |
$1,584,243 |
45,447 |
$17,735 |
311 |
$165,542 |
2,207 |
$1,047 |
12 |
$1,946 |
33 |
|
|
$1,813 |
31 |
$3,835 |
69 |
$2,210 |
25 |
$383,712 |
4,454 |
$354,697 |
4,063 |
$6,483 |
45 |
$25,419 |
103 |
$1,594,063 |
16,569 |
$147,074 |
667 |
$429,320 |
4,529 |
$96,518 |
1,382 |
$672,678 |
4,239 |
$2,499,671 |
27,608 |
$25,532 |
209 |
$2,162,988 |
14,735 |
$1,243 |
25 |
$2,007 |
24 |
* |
* |
$5,475 |
55 |
* |
* |
|
|
* |
* |
$3,433 |
78 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
$5,304 |
73 |
* |
* |
* |
* |
$1,933 |
25 |
|
|
$2,930 |
18 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
$1,734 |
19 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$2,746 |
13 |
|
|
$3,908 |
209 |
$22,239 |
608 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$58,217 |
240 |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
$2,717 |
25 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$12,052 |
228 |
$3,949 |
238 |
$359 |
16 |
$3,131 |
279 |
|
5119 - Pleural effusion NOS |
5119 |
$7,798,420 |
126,036 |
$3,654 |
116 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$3,264 |
54 |
$7,690 |
114 |
* |
* |
* |
* |
$920 |
13 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$2,891,524 |
52,963 |
$2,440,145 |
41,919 |
$203,033 |
2,268 |
$1,516,547 |
18,855 |
$11,791 |
76 |
$11,326 |
61 |
$6,725 |
31 |
$4,109 |
101 |
|
|
$2,535 |
69 |
* |
* |
$1,006 |
23 |
* |
* |
|
|
* |
* |
|
|
$2,388 |
33 |
* |
* |
|
|
* |
* |
$3,964 |
29 |
* |
* |
* |
* |
$3,998 |
110 |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$9,089 |
137 |
$2,245 |
19 |
|
|
|
|
* |
* |
|
|
|
|
|
|
$9,640 |
159 |
$17,094 |
257 |
$6,926 |
63 |
$17,904 |
129 |
$3,947 |
42 |
$125,639 |
1,623 |
$202,145 |
2,068 |
$41,702 |
261 |
$3,258 |
31 |
* |
* |
$8,740 |
57 |
* |
* |
* |
* |
$6,184 |
45 |
* |
* |
* |
* |
$1,706 |
21 |
$4,405 |
37 |
$2,468 |
25 |
$59,447 |
1,238 |
$15,740 |
1,443 |
$20,135 |
423 |
$2,765 |
69 |
|
|
$6,584 |
135 |
* |
* |
$559 |
16 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
$656 |
11 |
|
|
* |
* |
|
|
$4,113 |
30 |
|
|
* |
* |
* |
* |
$909 |
31 |
$16,657 |
364 |
$1,080 |
12 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
$85,828 |
391 |
$5,702 |
25 |
|
|
|
|
* |
* |
$300 |
18 |
|
|
$236 |
21 |
|
1539 - Malignant neo colon NOS |
1539 |
$22,177,580 |
124,473 |
$11,440 |
284 |
$17,096 |
186 |
$20,168 |
265 |
* |
* |
* |
* |
* |
* |
$9,659 |
113 |
$34,002 |
434 |
$3,334 |
29 |
* |
* |
* |
* |
* |
* |
$2,630 |
12 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$6,516 |
81 |
$1,982 |
20 |
$98,625 |
710 |
$282,148 |
4,489 |
$1,814,383 |
31,299 |
$81,248 |
933 |
$12,115 |
133 |
* |
* |
$4,314 |
30 |
* |
* |
$707 |
12 |
* |
* |
$579 |
12 |
* |
* |
$1,503 |
34 |
* |
* |
* |
* |
$2,294 |
20 |
|
|
$3,187 |
35 |
$4,952 |
54 |
* |
* |
$5,353 |
50 |
$13,897 |
109 |
$20,278 |
151 |
$4,638 |
82 |
$7,942 |
102 |
$2,407 |
19 |
$15,391 |
107 |
$99,483 |
659 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$1,654 |
16 |
* |
* |
|
|
|
|
$2,490 |
11 |
$1,408 |
14 |
|
|
* |
* |
|
|
$17,590 |
277 |
$88,222 |
1,193 |
$49,997 |
516 |
$4,661 |
41 |
$3,905 |
36 |
$549,399 |
6,273 |
$4,768,425 |
41,640 |
$1,032,402 |
6,050 |
$18,662 |
173 |
$3,486 |
30 |
$301,557 |
1,769 |
* |
* |
$6,235 |
47 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$10,416 |
856 |
$19,119 |
307 |
$839 |
20 |
* |
* |
$12,096 |
242 |
$5,220 |
29 |
$81,460 |
1,312 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$68,830 |
1,198 |
$2,255 |
18 |
$2,205 |
35 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$401 |
16 |
$702 |
11 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$2,895 |
63 |
|
|
* |
* |
$143,168 |
346 |
$11,933,429 |
20,794 |
$462,182 |
676 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
1623 - Mal neo upper lobe lung |
1623 |
$15,657,026 |
124,333 |
$4,241 |
87 |
$9,934 |
148 |
$31,195 |
316 |
* |
* |
* |
* |
* |
* |
$8,964 |
102 |
$31,916 |
378 |
$2,611 |
16 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
$7,794 |
68 |
$1,948 |
12 |
$185,282 |
1,094 |
$357,534 |
5,018 |
$889,925 |
10,522 |
$57,588 |
405 |
$11,093 |
104 |
* |
* |
$4,896 |
25 |
|
|
$965 |
15 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$1,247 |
11 |
* |
* |
* |
* |
* |
* |
* |
* |
$4,930 |
38 |
$6,473 |
50 |
$4,036 |
33 |
* |
* |
$1,485 |
12 |
|
|
* |
* |
$5,374 |
25 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$16,249 |
265 |
$67,337 |
949 |
$24,408 |
155 |
* |
* |
|
|
$66,159 |
659 |
$349,581 |
2,446 |
$85,470 |
404 |
* |
* |
|
|
$6,360 |
25 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$4,278 |
316 |
$12,339 |
195 |
* |
* |
$11,193 |
157 |
$27,579 |
586 |
$6,769 |
45 |
$5,758,901 |
88,155 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$27,959 |
353 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$319 |
11 |
$1,613 |
35 |
$818 |
19 |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
$52,466 |
197 |
$7,205,646 |
10,525 |
$302,025 |
345 |
* |
* |
|
|
|
|
* |
* |
|
|
$125 |
12 |
|
78009 - Other alter consciousnes |
78009 |
$4,312,126 |
123,066 |
$3,387,888 |
109,253 |
$5,652 |
134 |
$33,547 |
587 |
$1,334 |
20 |
$14,098 |
343 |
* |
* |
$1,258 |
22 |
$1,812 |
35 |
* |
* |
$41,154 |
595 |
$26,817 |
468 |
* |
* |
* |
* |
$34,137 |
510 |
$3,192 |
29 |
$7,377 |
128 |
$1,319 |
37 |
$10,949 |
78 |
$274,722 |
3,654 |
$2,382 |
25 |
$248,575 |
2,008 |
$5,830 |
165 |
$9,535 |
235 |
* |
* |
$11,133 |
157 |
* |
* |
* |
* |
|
|
$126,751 |
3,322 |
$477 |
12 |
$3,176 |
104 |
$535 |
14 |
$3,166 |
105 |
* |
* |
|
|
$1,071 |
17 |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$1,323 |
15 |
$775 |
12 |
$21,223 |
307 |
$22,594 |
321 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$1,362 |
166 |
$3,662 |
111 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$1,514 |
13 |
|
|
|
|
|
|
* |
* |
$1,345 |
32 |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$257 |
15 |
|
|
$187 |
17 |
|
71941 - Joint pain-shlder |
71941 |
$16,185,169 |
122,686 |
$13,037 |
437 |
* |
* |
* |
* |
* |
* |
$1,077 |
23 |
|
|
$1,090 |
15 |
$3,092 |
45 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
$1,543 |
18 |
|
|
$1,498 |
13 |
$13,441 |
248 |
$14,158 |
250 |
$1,268 |
18 |
$14,904 |
204 |
$25,313 |
135 |
$15,751 |
68 |
* |
* |
$26,510 |
577 |
$1,158 |
18 |
$2,920 |
65 |
* |
* |
$1,237 |
28 |
* |
* |
|
|
$100,500 |
1,011 |
* |
* |
$12,552 |
122 |
$8,811 |
85 |
|
|
$9,835 |
66 |
$2,253 |
20 |
* |
* |
$656 |
15 |
* |
* |
|
|
* |
* |
* |
* |
$738,204 |
10,063 |
$226,958 |
2,481 |
$176,468 |
1,050 |
$60,057 |
300 |
$13,091,718 |
93,246 |
$848,959 |
4,826 |
$395,818 |
1,729 |
$5,323 |
84 |
$1,857 |
22 |
* |
* |
$6,389 |
34 |
* |
* |
$74,465 |
594 |
$5,951 |
29 |
$3,733 |
16 |
|
|
* |
* |
* |
* |
* |
* |
$1,220 |
14 |
$1,024 |
14 |
$2,087 |
30 |
$2,975 |
40 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$11,111 |
613 |
$36,568 |
704 |
* |
* |
* |
* |
$66,140 |
795 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
$4,985 |
124 |
$77,041 |
1,337 |
$46,947 |
552 |
$4,131 |
73 |
|
|
$9,435 |
68 |
|
|
|
|
|
|
* |
* |
$1,467 |
25 |
|
|
|
|
|
|
|
|
|
|
* |
* |
$4,141 |
70 |
$2,809 |
46 |
|
|
* |
* |
|
|
|
|
* |
* |
$2,038 |
39 |
$1,416 |
86 |
* |
* |
$1,128 |
101 |
|
7866 - Chest swelling/mass/lump |
7866 |
$10,778,580 |
122,594 |
$4,995 |
138 |
$2,756 |
51 |
$10,046 |
144 |
|
|
$1,156 |
14 |
* |
* |
$14,905 |
163 |
$30,510 |
405 |
$16,091 |
77 |
* |
* |
$931 |
12 |
* |
* |
$3,835 |
28 |
|
|
|
|
|
|
|
|
* |
* |
$3,618 |
39 |
* |
* |
$77,231 |
548 |
$2,464,464 |
34,790 |
$2,633,474 |
37,579 |
$642,300 |
4,555 |
$307,815 |
3,421 |
$69,789 |
367 |
$182,101 |
777 |
$1,828 |
15 |
$1,198 |
27 |
* |
* |
$2,185 |
41 |
$833 |
12 |
$385 |
11 |
* |
* |
|
|
* |
* |
|
|
$4,269 |
44 |
* |
* |
* |
* |
$1,491 |
18 |
$16,265 |
120 |
$1,911 |
22 |
* |
* |
$712 |
15 |
|
|
* |
* |
* |
* |
$1,331 |
19 |
* |
* |
* |
* |
$2,764 |
13 |
* |
* |
* |
* |
* |
* |
* |
* |
$1,261 |
16 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
$6,051 |
96 |
$19,268 |
289 |
$8,793 |
71 |
$4,119 |
35 |
$1,154 |
15 |
$42,272 |
441 |
$149,336 |
1,393 |
$148,736 |
527 |
* |
* |
|
|
$7,616 |
43 |
* |
* |
* |
* |
$17,875 |
140 |
$348 |
20 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$21,506 |
1,308 |
$78,776 |
1,203 |
$7,715 |
194 |
* |
* |
$1,196,870 |
25,992 |
$13,257 |
81 |
$8,520 |
163 |
$4,653 |
25 |
$895 |
21 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$17,449 |
361 |
* |
* |
* |
* |
|
|
$1,810 |
20 |
|
|
|
|
* |
* |
$1,545 |
41 |
$6,369 |
136 |
$5,586 |
105 |
|
|
|
|
|
|
|
|
$1,449 |
22 |
* |
* |
|
|
$61,119 |
181 |
$2,362,633 |
5,912 |
$79,137 |
186 |
|
|
|
|
* |
* |
$649 |
39 |
* |
* |
$625 |
53 |
|
5932 - Cyst of kidney, acquired |
5932 |
$15,452,521 |
121,159 |
$465 |
15 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$18,671 |
314 |
$34,701 |
571 |
$5,556 |
69 |
$8,385 |
96 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$774 |
18 |
* |
* |
* |
* |
* |
* |
|
|
$1,675 |
18 |
$8,603 |
89 |
* |
* |
* |
* |
* |
* |
$2,783 |
18 |
$6,644 |
112 |
$8,235 |
119 |
$1,991 |
20 |
$32,365 |
193 |
$102,856 |
616 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$189,917 |
2,662 |
$249,092 |
3,060 |
$831,923 |
6,712 |
$93,003 |
780 |
$40,845 |
361 |
$2,464,446 |
27,579 |
$3,174,210 |
32,485 |
$4,685,798 |
26,055 |
$526,503 |
3,570 |
$31,689 |
164 |
$2,740,706 |
11,400 |
$18,308 |
119 |
$2,691 |
21 |
|
|
|
|
|
|
|
|
|
|
$16,129 |
114 |
* |
* |
$32,662 |
1,783 |
$72,962 |
1,252 |
$1,616 |
40 |
|
|
$22,674 |
498 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
$1,405 |
22 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,299 |
41 |
$10,762 |
141 |
* |
* |
|
|
* |
* |
* |
* |
$8,178 |
32 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
7220 - Cervical disc displacmnt |
7220 |
$13,706,302 |
119,419 |
$1,331 |
52 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$2,282 |
33 |
$3,409 |
46 |
* |
* |
* |
* |
$729 |
13 |
$3,713 |
19 |
$7,724 |
31 |
* |
* |
|
|
|
|
* |
* |
* |
* |
$4,659 |
42 |
|
|
$7,753 |
54 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
$648,404 |
10,744 |
$176,344 |
2,549 |
$1,225 |
24 |
$1,116 |
22 |
$10,423 |
167 |
$3,409 |
60 |
* |
* |
$10,839,517 |
92,172 |
$31,793 |
290 |
$29,926 |
334 |
$71,585 |
640 |
* |
* |
$1,793,545 |
10,935 |
$13,280 |
112 |
$19,167 |
127 |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
$5,304 |
42 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$8,172 |
532 |
$20,682 |
367 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$810 |
12 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3319 - Cereb degeneration NOS |
3319 |
$8,174,148 |
118,116 |
$2,653,784 |
78,293 |
$21,933 |
355 |
$201,537 |
2,690 |
$2,956 |
36 |
$4,732 |
95 |
* |
* |
* |
* |
$1,453 |
20 |
* |
* |
$28,484 |
316 |
$6,893 |
107 |
$7,165 |
51 |
$57,975 |
227 |
$51,211 |
402 |
$4,964 |
22 |
$6,677 |
51 |
$2,992 |
23 |
$14,005 |
71 |
$2,316,946 |
20,007 |
$20,657 |
166 |
$2,533,288 |
14,023 |
$428 |
11 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$5,548 |
135 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$2,221 |
27 |
* |
* |
* |
* |
* |
* |
|
|
$1,593 |
13 |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$1,025 |
15 |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,814 |
260 |
$20,287 |
369 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$4,535 |
30 |
$198,044 |
301 |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5738 - Liver disorders NEC |
5738 |
$13,825,881 |
117,675 |
$532 |
17 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$1,478 |
23 |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
$1,105 |
12 |
$32,350 |
508 |
$98,968 |
1,742 |
$9,764 |
111 |
$10,691 |
140 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
$930 |
19 |
$6,080 |
117 |
* |
* |
$13,306 |
86 |
$72,066 |
523 |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$134,116 |
2,061 |
$409,996 |
5,669 |
$764,584 |
7,180 |
$65,739 |
565 |
$38,470 |
384 |
$1,197,692 |
14,441 |
$3,843,374 |
38,917 |
$1,779,304 |
10,957 |
$384,052 |
2,841 |
$55,891 |
338 |
$4,329,363 |
21,092 |
$7,421 |
46 |
$2,208 |
14 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$8,424 |
74 |
* |
* |
$17,284 |
1,137 |
$26,861 |
493 |
$2,769 |
70 |
* |
* |
$337,417 |
7,229 |
$38,914 |
239 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$3,475 |
65 |
$4,551 |
63 |
|
|
* |
* |
|
|
$4,969 |
78 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
$5,381 |
99 |
* |
* |
* |
* |
* |
* |
$109,699 |
312 |
$6,655 |
13 |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
1985 - Secondary malig neo bone |
1985 |
$11,811,555 |
113,869 |
$12,395 |
357 |
$4,708 |
84 |
$18,142 |
277 |
* |
* |
$3,801 |
63 |
$2,858 |
37 |
$7,380 |
102 |
$29,231 |
462 |
$1,864 |
24 |
* |
* |
* |
* |
* |
* |
$19,522 |
136 |
* |
* |
|
|
|
|
|
|
|
|
$9,102 |
112 |
$3,872 |
44 |
$226,368 |
1,614 |
$137,186 |
2,409 |
$608,995 |
11,255 |
$32,849 |
363 |
$23,980 |
306 |
* |
* |
$9,082 |
49 |
|
|
$17,147 |
345 |
$3,899 |
65 |
$26,544 |
561 |
$7,816 |
110 |
$32,717 |
720 |
$8,400 |
136 |
$3,602 |
36 |
$42,762 |
547 |
$5,770 |
59 |
$104,919 |
1,306 |
$150,249 |
1,721 |
$10,501 |
107 |
$263,336 |
2,406 |
$623,313 |
5,094 |
$684,511 |
5,450 |
$26,303 |
487 |
$10,045 |
133 |
$2,490 |
22 |
$53,146 |
430 |
$222,074 |
1,344 |
$5,471 |
84 |
* |
* |
$5,022 |
32 |
$9,475 |
58 |
$10,437 |
112 |
* |
* |
$18,536 |
114 |
$19,033 |
291 |
$5,370 |
82 |
* |
* |
$14,293 |
106 |
$40,375 |
227 |
$36,584 |
349 |
* |
* |
$65,651 |
382 |
|
|
$7,367 |
124 |
$33,236 |
542 |
$7,217 |
88 |
$4,260 |
35 |
$709 |
11 |
$215,063 |
2,711 |
$1,262,440 |
11,936 |
$232,978 |
1,555 |
$2,412 |
31 |
* |
* |
$38,846 |
265 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$5,825 |
491 |
$6,974 |
131 |
$679 |
16 |
$5,256 |
41 |
$40,378 |
823 |
$5,286 |
32 |
$1,817,485 |
24,529 |
$2,739 |
13 |
|
|
$837 |
28 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$1,842 |
64 |
$1,027,715 |
19,671 |
$8,781 |
102 |
$21,645 |
479 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$2,062 |
35 |
* |
* |
* |
* |
$16,034 |
45 |
$2,294,105 |
5,189 |
$805,054 |
1,120 |
$2,245 |
32 |
$260,959 |
3,120 |
|
|
|
|
|
|
|
|
|
7856 - Enlargement lymph nodes |
7856 |
$9,700,688 |
112,148 |
$4,612 |
133 |
$2,505 |
66 |
$7,542 |
139 |
$1,255 |
20 |
$10,987 |
188 |
$11,294 |
199 |
$220,636 |
3,038 |
$1,094,366 |
14,398 |
$173,443 |
1,433 |
$4,080 |
50 |
$13,025 |
139 |
$26,448 |
150 |
$166,246 |
709 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$1,661 |
19 |
* |
* |
$15,084 |
112 |
$685,908 |
11,723 |
$1,790,960 |
29,319 |
$125,336 |
1,308 |
$207,353 |
2,557 |
$4,999 |
28 |
$17,270 |
69 |
* |
* |
$4,750 |
79 |
$807 |
13 |
$659 |
12 |
* |
* |
* |
* |
* |
* |
|
|
$1,492 |
19 |
* |
* |
* |
* |
$2,253 |
23 |
|
|
$3,852 |
33 |
$3,602 |
26 |
$2,804 |
25 |
$15,906 |
275 |
$31,945 |
443 |
$8,566 |
73 |
$18,956 |
158 |
$78,459 |
519 |
$2,461 |
42 |
$1,826 |
31 |
$3,216 |
18 |
$5,099 |
26 |
$1,617 |
12 |
|
|
* |
* |
$2,260 |
34 |
$4,350 |
57 |
* |
* |
$2,365 |
18 |
$4,374 |
25 |
$2,912 |
29 |
* |
* |
* |
* |
* |
* |
$24,991 |
442 |
$92,267 |
1,471 |
$40,445 |
390 |
$25,596 |
218 |
$8,692 |
104 |
$493,429 |
6,011 |
$2,132,713 |
20,831 |
$450,343 |
2,889 |
$12,541 |
106 |
* |
* |
$82,421 |
543 |
* |
* |
* |
* |
$1,417 |
11 |
* |
* |
* |
* |
* |
* |
$1,834 |
14 |
$3,794 |
29 |
|
|
$21,855 |
1,767 |
$25,347 |
568 |
$1,947 |
45 |
* |
* |
$233,078 |
4,960 |
* |
* |
$4,660 |
106 |
$25,105 |
125 |
$545 |
11 |
* |
* |
* |
* |
* |
* |
* |
* |
$17,584 |
312 |
|
|
|
|
|
|
* |
* |
* |
* |
$6,062 |
95 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$3,665 |
56 |
* |
* |
* |
* |
$16,241 |
94 |
$1,121,265 |
2,994 |
$63,309 |
169 |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
43310 - Ocl crtd art wo infrct |
43310 |
$13,375,752 |
110,460 |
$162,412 |
4,497 |
$12,751 |
265 |
$37,450 |
583 |
$3,813 |
46 |
$7,254 |
114 |
$1,783 |
32 |
$37,424 |
521 |
$164,302 |
2,329 |
$58,035 |
595 |
$1,410,166 |
15,000 |
$5,191,791 |
44,253 |
$7,261 |
48 |
$17,369 |
103 |
$923,181 |
8,391 |
$108,580 |
578 |
$1,414,134 |
9,453 |
$314,054 |
3,047 |
$2,631,461 |
11,851 |
$164,299 |
1,899 |
$2,223 |
20 |
$183,915 |
1,449 |
$3,058 |
53 |
$6,336 |
88 |
* |
* |
$28,573 |
263 |
|
|
* |
* |
$2,845 |
16 |
$9,452 |
241 |
$580 |
13 |
* |
* |
|
|
* |
* |
* |
* |
|
|
$2,716 |
30 |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$2,412 |
13 |
|
|
|
|
* |
* |
|
|
|
|
$3,234 |
12 |
* |
* |
* |
* |
* |
* |
$14,445 |
77 |
$5,213 |
47 |
$1,641 |
22 |
$2,124 |
27 |
* |
* |
* |
* |
|
|
* |
* |
$3,203 |
20 |
|
|
|
|
|
|
$1,580 |
44 |
* |
* |
$10,815 |
66 |
$34,586 |
226 |
|
|
$771 |
59 |
$16,400 |
276 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$1,933 |
13 |
$276,549 |
1,067 |
* |
* |
* |
* |
$10,974 |
14 |
|
|
* |
* |
|
|
$2,969 |
32 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$57,748 |
1,105 |
$11,105 |
679 |
$2,062 |
88 |
$8,772 |
795 |
|
78093 - Memory loss |
78093 |
$13,189,926 |
102,220 |
$1,532,925 |
30,433 |
$25,595 |
376 |
$306,410 |
3,706 |
* |
* |
$1,196 |
24 |
|
|
* |
* |
* |
* |
* |
* |
$40,379 |
351 |
$25,466 |
211 |
$1,465 |
11 |
$4,974 |
26 |
$226,394 |
1,378 |
$16,477 |
61 |
$36,341 |
213 |
$16,345 |
97 |
$47,728 |
202 |
$5,202,218 |
41,133 |
$39,081 |
251 |
$3,263,601 |
18,283 |
$1,593 |
21 |
$1,616 |
24 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$2,803 |
58 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
$7,294 |
74 |
* |
* |
* |
* |
$2,851 |
26 |
|
|
$3,327 |
26 |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
$2,700 |
13 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$863 |
12 |
$2,807 |
24 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
$7,170 |
347 |
$57,537 |
1,109 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$64,054 |
719 |
$2,238,352 |
2,981 |
|
|
|
|
|
|
|
|
|
|
|
|
$10,364 |
30 |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
2989 - Psychosis NOS |
2989 |
$4,011,844 |
99,486 |
$2,658,014 |
83,951 |
$9,134 |
193 |
$89,729 |
1,477 |
* |
* |
$3,102 |
75 |
* |
* |
$534 |
11 |
* |
* |
* |
* |
$34,710 |
485 |
$21,015 |
364 |
* |
* |
* |
* |
$52,669 |
678 |
$3,532 |
37 |
$7,458 |
127 |
$2,819 |
51 |
$16,362 |
140 |
$532,098 |
6,554 |
$5,045 |
55 |
$530,058 |
4,227 |
$1,297 |
33 |
$1,820 |
37 |
* |
* |
$2,234 |
28 |
|
|
|
|
|
|
$27,709 |
714 |
|
|
* |
* |
|
|
$365 |
11 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$4,510 |
68 |
$4,040 |
50 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$490 |
49 |
$2,242 |
59 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
$855 |
12 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
7245 - Backache NOS |
7245 |
$7,259,697 |
95,387 |
$24,086 |
827 |
* |
* |
* |
* |
* |
* |
$1,042 |
16 |
|
|
$745 |
11 |
$1,339 |
19 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
$4,440 |
44 |
* |
* |
$7,919 |
54 |
$38,782 |
819 |
$56,093 |
1,165 |
$10,185 |
180 |
$110,647 |
1,494 |
$1,559 |
13 |
* |
* |
$1,426 |
15 |
$102,689 |
2,536 |
$4,657 |
79 |
$359,039 |
9,187 |
$31,970 |
648 |
$697,632 |
16,802 |
$62,347 |
1,219 |
$7,997 |
111 |
$81,459 |
907 |
$1,701 |
16 |
$919,785 |
9,987 |
$2,156,236 |
20,114 |
$28,566 |
201 |
$35,786 |
345 |
$333,521 |
2,659 |
$715,026 |
4,756 |
$30,584 |
657 |
$2,357 |
40 |
$1,170 |
15 |
$103,157 |
652 |
$40,610 |
208 |
* |
* |
|
|
* |
* |
* |
* |
$1,586 |
16 |
* |
* |
|
|
$5,462 |
73 |
$909 |
13 |
* |
* |
$946 |
11 |
* |
* |
$15,569 |
148 |
|
|
* |
* |
|
|
$6,232 |
101 |
$9,917 |
200 |
$5,766 |
73 |
$79,891 |
904 |
$28,266 |
446 |
$378,548 |
4,969 |
$190,102 |
2,388 |
$49,529 |
370 |
$3,433 |
25 |
|
|
$4,842 |
27 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
$3,486 |
31 |
* |
* |
$5,866 |
433 |
$14,500 |
307 |
$2,993 |
77 |
|
|
$14,997 |
292 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$402 |
15 |
$3,092 |
45 |
* |
* |
|
|
$17,276 |
486 |
$317,288 |
6,160 |
$31,600 |
428 |
$65,784 |
1,105 |
* |
* |
$11,014 |
57 |
|
|
* |
* |
* |
* |
* |
* |
$4,564 |
114 |
|
|
|
|
|
|
* |
* |
$1,575 |
25 |
* |
* |
$1,008 |
28 |
$988 |
35 |
* |
* |
$3,951 |
19 |
* |
* |
|
|
* |
* |
$1,986 |
37 |
$986 |
60 |
* |
* |
$794 |
73 |
|
4928 - Emphysema NEC |
4928 |
$6,331,129 |
94,591 |
$1,352 |
42 |
* |
* |
* |
* |
* |
* |
$984 |
17 |
* |
* |
$3,501 |
54 |
$14,113 |
187 |
$2,706 |
24 |
$739 |
12 |
$2,509 |
34 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$3,164,536 |
48,833 |
$1,904,715 |
29,583 |
$236,153 |
2,350 |
$784,696 |
9,343 |
* |
* |
|
|
* |
* |
$3,317 |
80 |
|
|
$1,018 |
23 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
$1,300 |
38 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$3,480 |
51 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$1,790 |
30 |
$4,235 |
64 |
$3,778 |
29 |
$8,592 |
86 |
$2,558 |
30 |
$19,989 |
262 |
$55,622 |
509 |
$15,201 |
100 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$845 |
14 |
$3,342 |
27 |
$1,793 |
17 |
|
|
$24,319 |
1,722 |
$30,789 |
577 |
$1,538 |
35 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
$1,184 |
14 |
|
|
* |
* |
* |
* |
$456 |
11 |
$8,537 |
161 |
$3,079 |
64 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
$16,853 |
98 |
* |
* |
|
|
|
|
$792 |
16 |
$396 |
24 |
* |
* |
$321 |
30 |
|
59970 - Hematuria NOS |
59970 |
$11,513,745 |
92,867 |
$1,955 |
64 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$3,399 |
60 |
$5,606 |
89 |
$1,764 |
25 |
$1,015 |
12 |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$10,287 |
168 |
$4,775 |
67 |
$5,633 |
65 |
$11,500 |
75 |
$61,584 |
321 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$23,927 |
386 |
$12,264 |
147 |
$54,191 |
538 |
$17,754 |
94 |
$3,076 |
31 |
$3,084,706 |
35,634 |
$579,316 |
6,163 |
$7,309,820 |
43,098 |
$16,818 |
136 |
* |
* |
$116,049 |
526 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$27,403 |
1,995 |
$139,161 |
2,811 |
$2,321 |
45 |
|
|
$3,440 |
75 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
$2,935 |
45 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$2,805 |
42 |
$10,241 |
155 |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
7244 - Lumbosacral neuritis NOS |
7244 |
$12,378,713 |
92,762 |
$2,191 |
58 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$6,524 |
53 |
* |
* |
$7,319 |
44 |
$1,353 |
18 |
$759 |
14 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$5,805 |
103 |
$4,209 |
68 |
$55,940 |
861 |
$14,162 |
214 |
$542,574 |
7,490 |
$156,671 |
2,000 |
$21,648 |
168 |
$74,309 |
708 |
* |
* |
$629,568 |
5,079 |
$8,300,231 |
60,553 |
$47,598 |
304 |
$14,784 |
100 |
$142,526 |
791 |
$1,968,172 |
9,886 |
$6,661 |
114 |
$1,436 |
16 |
* |
* |
$105,831 |
560 |
$31,609 |
137 |
* |
* |
* |
* |
* |
* |
|
|
$3,586 |
30 |
* |
* |
|
|
$4,460 |
56 |
* |
* |
* |
* |
$6,775 |
43 |
$2,815 |
12 |
$30,682 |
247 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$5,087 |
66 |
$4,344 |
44 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$13,471 |
651 |
$24,139 |
380 |
* |
* |
* |
* |
$78,114 |
1,063 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,410 |
36 |
$30,822 |
510 |
$4,806 |
39 |
$26,321 |
246 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
7820 - Skin sensation disturb |
7820 |
$6,095,854 |
91,663 |
$1,474,393 |
46,684 |
$7,588 |
148 |
$77,891 |
1,079 |
$2,558 |
34 |
$15,599 |
271 |
$3,464 |
40 |
$5,137 |
78 |
$10,764 |
153 |
$2,082 |
23 |
$118,021 |
1,608 |
$91,109 |
1,421 |
$11,447 |
71 |
$44,684 |
209 |
$173,653 |
2,097 |
$13,662 |
112 |
$39,369 |
497 |
$17,203 |
223 |
$71,394 |
598 |
$991,575 |
11,390 |
$10,840 |
101 |
$1,254,853 |
8,775 |
$2,384 |
46 |
$5,816 |
100 |
$690 |
12 |
$12,848 |
154 |
$11,977 |
62 |
$14,286 |
54 |
* |
* |
$92,130 |
1,975 |
$7,836 |
107 |
$8,295 |
217 |
$2,985 |
49 |
$28,158 |
541 |
$7,138 |
95 |
$1,997 |
19 |
$450,052 |
4,316 |
$7,282 |
62 |
$94,036 |
1,063 |
$290,773 |
2,676 |
$3,538 |
28 |
$175,741 |
1,164 |
$97,035 |
673 |
$118,720 |
771 |
$1,962 |
42 |
$1,109 |
17 |
* |
* |
$20,246 |
122 |
$14,760 |
67 |
$2,785 |
43 |
$748 |
16 |
$23,592 |
132 |
$24,604 |
105 |
$25,132 |
182 |
* |
* |
$8,867 |
37 |
$2,211 |
28 |
$1,273 |
14 |
$2,096 |
17 |
$19,565 |
108 |
$10,625 |
45 |
$8,646 |
72 |
* |
* |
* |
* |
* |
* |
|
|
$704 |
16 |
* |
* |
$3,549 |
34 |
$1,807 |
25 |
$4,434 |
55 |
$7,673 |
87 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$17,309 |
129 |
|
|
$1,393 |
111 |
$3,699 |
79 |
|
|
|
|
$1,112 |
20 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$2,737 |
33 |
$1,884 |
23 |
* |
* |
* |
* |
$6,346 |
44 |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
$2,477 |
45 |
$860 |
57 |
* |
* |
$645 |
62 |
|
V7281 - Preop cardiovsclr exam |
V7281 |
$8,806,384 |
91,635 |
$1,221 |
34 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
$1,035 |
13 |
$1,322 |
16 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$20,581 |
464 |
$2,483 |
42 |
* |
* |
$47,927 |
599 |
|
|
|
|
$840 |
16 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
$6,282 |
48 |
|
|
* |
* |
|
|
|
|
$5,004 |
47 |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$56,603 |
493 |
$3,511 |
49 |
$2,666 |
37 |
$1,433 |
13 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$8,906 |
77 |
$394 |
35 |
$298 |
15 |
$50,985 |
592 |
$42,360 |
342 |
$4,043 |
29 |
|
|
$318 |
21 |
$3,243 |
79 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
$59,607 |
590 |
$6,871,888 |
32,899 |
$5,692 |
105 |
$28,817 |
547 |
$258,613 |
525 |
* |
* |
$756 |
12 |
$392 |
12 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$754,714 |
14,201 |
$293,631 |
17,496 |
$39,317 |
1,612 |
$231,504 |
20,575 |
|
9599 - Injury-site NOS |
9599 |
$3,341,746 |
91,579 |
$1,115,545 |
38,766 |
$969 |
22 |
$1,903 |
36 |
$14,258 |
248 |
$165,889 |
3,770 |
$587 |
12 |
$2,454 |
50 |
$2,050 |
42 |
* |
* |
$3,565 |
50 |
$7,630 |
133 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$14,256 |
139 |
* |
* |
$8,402 |
57 |
$44,664 |
1,360 |
$99,579 |
2,682 |
$1,550 |
30 |
$13,852 |
195 |
* |
* |
* |
* |
|
|
$1,046,597 |
27,376 |
$1,815 |
42 |
$70,799 |
2,299 |
$9,527 |
259 |
$98,038 |
3,076 |
$9,564 |
263 |
* |
* |
$10,794 |
174 |
* |
* |
$4,120 |
64 |
$12,020 |
139 |
|
|
$2,152 |
17 |
$1,680 |
13 |
$2,026 |
17 |
$32,467 |
781 |
* |
* |
* |
* |
$3,410 |
28 |
* |
* |
$7,707 |
162 |
* |
* |
$3,823 |
26 |
* |
* |
$7,410 |
66 |
* |
* |
|
|
$27,100 |
649 |
$1,230 |
16 |
* |
* |
$6,558 |
43 |
* |
* |
$13,803 |
126 |
* |
* |
* |
* |
|
|
$1,372 |
26 |
$1,904 |
40 |
* |
* |
$6,609 |
75 |
* |
* |
$103,733 |
1,499 |
$268,867 |
3,856 |
$3,306 |
41 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$3,744 |
468 |
$76,790 |
2,250 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$4,561 |
73 |
$1,064 |
23 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
1890 - Malig neopl kidney |
1890 |
$11,487,589 |
90,118 |
$14,017 |
349 |
$6,404 |
136 |
$20,455 |
324 |
* |
* |
$1,127 |
16 |
* |
* |
$15,359 |
222 |
$18,900 |
297 |
$2,374 |
25 |
|
|
* |
* |
* |
* |
$2,452 |
16 |
* |
* |
|
|
|
|
|
|
* |
* |
$22,970 |
284 |
$2,358 |
23 |
$159,180 |
1,183 |
$652,847 |
10,347 |
$637,141 |
10,850 |
$53,449 |
637 |
$4,355 |
41 |
$2,199 |
16 |
$6,455 |
49 |
* |
* |
$1,124 |
23 |
* |
* |
$1,898 |
33 |
* |
* |
$1,871 |
38 |
* |
* |
* |
* |
$3,030 |
46 |
* |
* |
$4,132 |
63 |
$10,342 |
114 |
* |
* |
$10,388 |
102 |
$18,432 |
175 |
$21,563 |
183 |
$3,533 |
59 |
$3,695 |
48 |
$769 |
12 |
$52,129 |
374 |
$137,042 |
941 |
$1,004 |
19 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$2,499 |
36 |
* |
* |
* |
* |
$2,194 |
15 |
* |
* |
$1,259 |
18 |
* |
* |
$2,729 |
11 |
|
|
$145,065 |
2,161 |
$107,036 |
1,490 |
$417,675 |
3,646 |
$23,445 |
166 |
$14,983 |
77 |
$1,336,471 |
14,701 |
$1,382,798 |
12,317 |
$1,516,467 |
9,823 |
$148,704 |
1,315 |
$6,032 |
38 |
$718,864 |
3,755 |
$9,694 |
56 |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$11,147 |
833 |
$20,514 |
385 |
$407 |
11 |
* |
* |
$21,283 |
443 |
$144,304 |
898 |
$92,184 |
1,456 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
$365 |
15 |
$211,526 |
3,614 |
$3,982 |
36 |
$4,190 |
86 |
|
|
* |
* |
|
|
$1,899 |
21 |
* |
* |
|
|
$641 |
15 |
* |
* |
|
|
* |
* |
$14,068 |
246 |
$10,995 |
182 |
$1,359 |
16 |
|
|
* |
* |
$42,522 |
84 |
$2,923,378 |
4,745 |
$253,790 |
351 |
|
|
|
|
* |
* |
* |
* |
* |
* |
$125 |
11 |
|
8360 - Tear med menisc knee-cur |
8360 |
$12,357,802 |
89,498 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$1,670 |
18 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$19,395 |
167 |
* |
* |
* |
* |
$10,032 |
133 |
$39,359 |
359 |
* |
* |
$30,762 |
255 |
$9,599 |
56 |
$12,020,870 |
87,065 |
$41,981 |
217 |
$159,575 |
681 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$4,515 |
269 |
$18,712 |
265 |
|
|
|
|
$1,332 |
13 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
78039 - Convulsions NEC |
78039 |
$4,769,758 |
88,085 |
$1,980,377 |
62,379 |
$12,133 |
256 |
$86,635 |
1,457 |
$1,421 |
25 |
$11,702 |
270 |
* |
* |
$626 |
11 |
$765 |
15 |
* |
* |
$36,560 |
433 |
$19,065 |
289 |
* |
* |
$2,048 |
20 |
$59,146 |
581 |
$4,723 |
25 |
$11,322 |
103 |
$5,131 |
39 |
$21,888 |
118 |
$797,013 |
8,224 |
$12,787 |
127 |
$1,569,787 |
11,089 |
$1,739 |
45 |
$2,745 |
72 |
* |
* |
$3,767 |
54 |
|
|
* |
* |
* |
* |
$68,791 |
1,758 |
* |
* |
$1,104 |
37 |
* |
* |
$963 |
34 |
* |
* |
|
|
$6,074 |
74 |
|
|
$743 |
11 |
$2,291 |
23 |
|
|
$4,254 |
35 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$3,354 |
51 |
$4,926 |
68 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,313 |
126 |
$3,487 |
93 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
$3,115 |
39 |
$27,566 |
75 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
$186 |
11 |
* |
* |
$211 |
18 |
|
4739 - Chronic sinusitis NOS |
4739 |
$7,611,670 |
87,279 |
$110,222 |
3,263 |
$1,631 |
29 |
$12,566 |
170 |
$30,384 |
356 |
$6,874,761 |
77,428 |
$36,762 |
478 |
$6,454 |
87 |
$21,691 |
293 |
$3,879 |
43 |
$4,116 |
46 |
$3,077 |
26 |
$17,674 |
81 |
$35,848 |
187 |
$1,588 |
16 |
* |
* |
* |
* |
|
|
* |
* |
$68,048 |
576 |
$1,863 |
12 |
$123,521 |
713 |
$6,440 |
94 |
$2,563 |
35 |
* |
* |
* |
* |
* |
* |
|
|
|
|
$838 |
23 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$16,220 |
811 |
$38,158 |
669 |
$66,817 |
963 |
$126,550 |
880 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
5939 - Renal & ureteral dis NOS |
5939 |
$10,026,391 |
86,799 |
$2,045 |
67 |
* |
* |
$1,336 |
21 |
* |
* |
* |
* |
|
|
$867 |
13 |
$840 |
11 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
$1,112 |
18 |
* |
* |
$4,833 |
36 |
$33,254 |
520 |
$55,203 |
946 |
$7,578 |
91 |
$5,794 |
64 |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$1,295 |
31 |
|
|
|
|
* |
* |
* |
* |
* |
* |
$6,175 |
59 |
* |
* |
* |
* |
* |
* |
$3,094 |
20 |
$3,802 |
74 |
$5,172 |
90 |
$3,504 |
28 |
$28,416 |
205 |
$96,626 |
588 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
$175,047 |
2,628 |
$147,063 |
1,868 |
$918,554 |
8,361 |
$58,406 |
446 |
$34,847 |
285 |
$1,474,660 |
17,001 |
$1,325,952 |
13,936 |
$2,583,487 |
16,942 |
$345,131 |
2,722 |
$16,410 |
112 |
$1,974,279 |
9,526 |
$32,370 |
204 |
$1,443 |
11 |
|
|
|
|
* |
* |
|
|
|
|
$7,566 |
58 |
* |
* |
$10,054 |
731 |
$32,552 |
672 |
$2,042 |
53 |
* |
* |
$182,428 |
3,983 |
$182,856 |
1,140 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
$26,713 |
483 |
* |
* |
$483 |
12 |
|
|
$2,761 |
12 |
* |
* |
|
|
|
|
* |
* |
$703 |
17 |
|
|
|
|
|
|
$83,027 |
1,060 |
$95,335 |
1,506 |
* |
* |
* |
* |
* |
* |
* |
* |
$50,835 |
118 |
* |
* |
* |
* |
|
|
* |
* |
$272 |
15 |
* |
* |
$170 |
15 |
|
8406 - Sprain supraspinatus |
8406 |
$11,174,286 |
86,107 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$3,532 |
43 |
|
|
|
|
$1,102 |
12 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$857 |
11 |
* |
* |
$26,052 |
410 |
$157,347 |
1,698 |
$34,178 |
266 |
$10,499 |
56 |
$9,795,060 |
76,888 |
$872,170 |
5,030 |
$224,802 |
1,023 |
$680 |
13 |
$1,120 |
13 |
* |
* |
$5,437 |
29 |
* |
* |
$25,539 |
270 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,094 |
170 |
$4,289 |
83 |
* |
* |
* |
* |
$8,528 |
92 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7230 - Cervical spinal stenosis |
7230 |
$8,887,194 |
86,039 |
$2,633 |
84 |
|
|
* |
* |
* |
* |
* |
* |
|
|
$5,291 |
73 |
$9,699 |
129 |
$1,734 |
15 |
$1,699 |
18 |
$10,512 |
97 |
$2,795 |
19 |
$6,671 |
29 |
* |
* |
* |
* |
$2,646 |
14 |
* |
* |
* |
* |
$8,115 |
77 |
* |
* |
$9,649 |
73 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$751,316 |
12,896 |
$179,436 |
2,567 |
$2,272 |
47 |
$2,555 |
42 |
$12,690 |
209 |
$4,856 |
72 |
* |
* |
$6,506,960 |
59,661 |
$18,442 |
173 |
$28,656 |
310 |
$63,334 |
598 |
* |
* |
$1,182,519 |
7,539 |
$11,584 |
93 |
$20,856 |
131 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$4,666 |
41 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$8,900 |
541 |
$20,358 |
385 |
|
|
* |
* |
$3,684 |
58 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,839 |
32 |
|
|
$829 |
16 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
5180 - Pulmonary collapse |
5180 |
$4,922,708 |
79,140 |
$2,295 |
71 |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$1,444 |
26 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,565,570 |
27,651 |
$1,556,903 |
27,763 |
$172,939 |
2,056 |
$1,376,312 |
17,714 |
* |
* |
$3,763 |
20 |
* |
* |
$672 |
14 |
* |
* |
$937 |
24 |
* |
* |
$390 |
11 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$3,372 |
97 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$9,331 |
138 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$3,556 |
61 |
$4,422 |
76 |
$3,785 |
43 |
$6,982 |
77 |
$3,502 |
48 |
$51,933 |
695 |
$80,379 |
944 |
$17,579 |
123 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
$424 |
17 |
$1,497 |
21 |
$7,600 |
49 |
$1,721 |
16 |
* |
* |
$10,974 |
901 |
$14,253 |
280 |
$1,061 |
26 |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$625 |
11 |
* |
* |
|
|
* |
* |
* |
* |
$4,409 |
107 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$14,079 |
60 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
5921 - Calculus of ureter |
5921 |
$6,008,996 |
76,461 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$1,204 |
29 |
$1,894 |
39 |
* |
* |
$1,128 |
19 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$540 |
18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$19,282 |
316 |
$1,375 |
23 |
$1,450 |
11 |
* |
* |
$2,994 |
16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
$21,188 |
410 |
$6,125 |
78 |
$8,677 |
89 |
$14,784 |
138 |
$2,173 |
25 |
$4,506,150 |
60,515 |
$686,054 |
9,293 |
$693,248 |
4,440 |
$1,627 |
12 |
|
|
$4,905 |
29 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$6,005 |
410 |
$18,204 |
369 |
$986 |
22 |
|
|
* |
* |
|
|
$1,075 |
11 |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,438 |
31 |
$6,487 |
118 |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
1889 - Malig neo bladder NOS |
1889 |
$10,537,269 |
76,283 |
$6,574 |
171 |
$2,818 |
53 |
$9,653 |
144 |
* |
* |
* |
* |
* |
* |
$6,590 |
93 |
$11,106 |
168 |
$1,869 |
12 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
$6,613 |
72 |
* |
* |
$47,864 |
325 |
$261,490 |
4,206 |
$515,524 |
8,861 |
$34,973 |
396 |
$4,108 |
45 |
* |
* |
$2,899 |
29 |
|
|
* |
* |
* |
* |
$573 |
12 |
* |
* |
$1,335 |
23 |
* |
* |
* |
* |
$1,673 |
15 |
* |
* |
$1,638 |
19 |
$4,692 |
51 |
* |
* |
$3,323 |
33 |
$7,112 |
53 |
$11,473 |
79 |
$11,834 |
204 |
$10,532 |
138 |
$8,215 |
80 |
$44,529 |
328 |
$172,258 |
1,090 |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$1,111 |
12 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$8,250 |
129 |
$9,523 |
131 |
$14,830 |
148 |
$10,637 |
91 |
* |
* |
$803,319 |
8,547 |
$1,474,795 |
12,930 |
$2,271,185 |
14,169 |
$19,820 |
240 |
$1,490 |
13 |
$175,185 |
972 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$16,406 |
1,168 |
$70,384 |
1,677 |
$501 |
13 |
* |
* |
$8,514 |
169 |
* |
* |
$596,722 |
9,103 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
$532 |
16 |
$178,803 |
2,994 |
$2,365 |
22 |
$4,539 |
95 |
|
|
* |
* |
|
|
$1,136 |
19 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$4,972 |
70 |
$18,257 |
304 |
* |
* |
|
|
|
|
$53,225 |
131 |
$3,392,301 |
6,124 |
$207,198 |
296 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
7295 - Pain in limb |
7295 |
$9,601,066 |
73,881 |
$47,092 |
1,511 |
* |
* |
$684 |
12 |
* |
* |
$2,212 |
47 |
|
|
$606 |
13 |
$1,551 |
23 |
|
|
$1,167 |
14 |
$2,957 |
32 |
* |
* |
* |
* |
$1,444 |
18 |
* |
* |
* |
* |
* |
* |
* |
* |
$15,465 |
166 |
* |
* |
$14,626 |
101 |
$5,383 |
105 |
$13,897 |
226 |
$1,399 |
20 |
$33,408 |
395 |
$10,208 |
58 |
$13,812 |
51 |
* |
* |
$34,520 |
765 |
$3,531 |
47 |
$4,044 |
88 |
$1,642 |
35 |
$43,893 |
738 |
$8,527 |
136 |
* |
* |
$104,531 |
1,026 |
$1,339 |
11 |
$26,297 |
279 |
$305,805 |
2,745 |
$3,093 |
23 |
$26,891 |
182 |
$17,841 |
138 |
$120,791 |
743 |
$23,318 |
461 |
$5,359 |
89 |
$1,488 |
14 |
$76,443 |
439 |
$31,841 |
145 |
$111,135 |
1,722 |
$17,888 |
294 |
$1,117,391 |
5,403 |
$305,070 |
1,291 |
$203,551 |
1,706 |
$5,725 |
37 |
$30,971 |
164 |
$513,773 |
8,217 |
$65,621 |
1,029 |
$72,821 |
434 |
$3,626,186 |
19,935 |
$884,092 |
4,044 |
$432,474 |
3,759 |
$4,149 |
29 |
$60,783 |
347 |
$36,626 |
147 |
$870 |
13 |
$1,237 |
20 |
$31,204 |
137 |
$16,558 |
117 |
$3,768 |
41 |
$18,690 |
240 |
$26,313 |
288 |
$10,847 |
49 |
* |
* |
|
|
* |
* |
$7,864 |
55 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$354,132 |
2,200 |
|
|
$4,773 |
347 |
$17,456 |
393 |
$563 |
13 |
|
|
$11,791 |
194 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
$2,849 |
66 |
* |
* |
|
|
|
|
* |
* |
$52,063 |
1,202 |
$149,593 |
2,769 |
$285,722 |
3,968 |
$17,649 |
272 |
* |
* |
$47,878 |
285 |
* |
* |
|
|
* |
* |
* |
* |
$3,471 |
76 |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$9,149 |
216 |
$2,741 |
72 |
|
|
* |
* |
* |
* |
|
|
* |
* |
$13,376 |
249 |
$7,927 |
503 |
$628 |
27 |
$6,592 |
615 |
|
95919 - Trunk injury-sites NEC |
95919 |
$3,058,868 |
73,752 |
$11,854 |
411 |
* |
* |
* |
* |
|
|
$1,938 |
45 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
$26,590 |
835 |
$67,126 |
1,813 |
$1,361 |
29 |
$15,689 |
226 |
* |
* |
|
|
|
|
$211,701 |
5,578 |
$650 |
16 |
$488,882 |
16,071 |
$42,627 |
1,204 |
$801,992 |
25,362 |
$46,451 |
1,273 |
$1,582 |
36 |
$4,473 |
62 |
|
|
$70,378 |
922 |
$259,558 |
3,083 |
* |
* |
$1,476 |
15 |
$12,525 |
116 |
$52,316 |
441 |
$243,268 |
5,841 |
$5,212 |
122 |
* |
* |
$37,768 |
288 |
$5,825 |
36 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
$5,339 |
140 |
* |
* |
* |
* |
* |
* |
* |
* |
$2,620 |
28 |
* |
* |
* |
* |
|
|
$1,314 |
30 |
$2,067 |
37 |
* |
* |
$2,914 |
36 |
* |
* |
$176,495 |
2,624 |
$418,936 |
6,087 |
$15,524 |
176 |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$4,508 |
372 |
$10,171 |
240 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$436 |
16 |
$5,652 |
106 |
$874 |
22 |
$775 |
13 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
73313 - Path fx vertebrae |
73313 |
$6,072,610 |
71,256 |
$944 |
34 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$10,276 |
209 |
$10,807 |
206 |
* |
* |
$4,966 |
66 |
* |
* |
* |
* |
|
|
$50,151 |
1,033 |
$1,601 |
23 |
$338,199 |
7,129 |
$14,977 |
236 |
$572,650 |
12,379 |
$34,666 |
530 |
$6,132 |
86 |
$50,281 |
528 |
* |
* |
$1,316,835 |
13,628 |
$2,414,032 |
23,027 |
$9,936 |
81 |
$25,311 |
221 |
$322,453 |
2,307 |
$532,209 |
3,630 |
$9,660 |
192 |
* |
* |
* |
* |
$33,315 |
239 |
$10,626 |
48 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
$383 |
11 |
* |
* |
|
|
* |
* |
|
|
$2,916 |
27 |
|
|
* |
* |
|
|
$679 |
12 |
$818 |
14 |
* |
* |
$1,249 |
15 |
* |
* |
$18,577 |
257 |
$23,285 |
279 |
$2,774 |
23 |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$4,635 |
306 |
$15,193 |
330 |
$14,134 |
306 |
* |
* |
$6,584 |
115 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$11,983 |
313 |
$141,381 |
2,609 |
$20,869 |
245 |
$33,041 |
550 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$4,080 |
12 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
1541 - Malignant neopl rectum |
1541 |
$10,246,154 |
69,121 |
$1,748 |
42 |
$2,417 |
35 |
$5,044 |
63 |
* |
* |
* |
* |
* |
* |
$3,991 |
45 |
$9,757 |
120 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$1,500 |
15 |
* |
* |
$26,008 |
178 |
$102,097 |
1,529 |
$616,866 |
10,642 |
$26,049 |
295 |
$2,481 |
27 |
|
|
$1,322 |
15 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$1,799 |
21 |
* |
* |
$1,978 |
16 |
$3,455 |
29 |
$6,567 |
50 |
$8,610 |
143 |
$12,254 |
147 |
$1,646 |
23 |
$67,496 |
538 |
$370,586 |
2,283 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$3,083 |
52 |
$17,192 |
217 |
$9,578 |
87 |
$1,689 |
12 |
* |
* |
$169,027 |
1,879 |
$1,577,000 |
13,823 |
$298,920 |
1,752 |
$4,561 |
58 |
* |
* |
$110,039 |
687 |
* |
* |
$1,568 |
12 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$4,116 |
329 |
$7,536 |
126 |
* |
* |
* |
* |
$5,645 |
109 |
* |
* |
$1,703,883 |
24,669 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$19,479 |
347 |
|
|
$713 |
15 |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$1,783 |
28 |
|
|
|
|
$65,939 |
149 |
$4,787,515 |
8,257 |
$183,217 |
257 |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
78907 - Abdmnal pain generalized |
78907 |
$6,294,473 |
67,283 |
$3,128 |
95 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$6,160 |
113 |
$12,507 |
228 |
$2,766 |
31 |
$3,791 |
50 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
$21,218 |
315 |
$6,366 |
97 |
$5,979 |
35 |
$17,985 |
91 |
$29,599 |
133 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$92,599 |
1,070 |
$68,287 |
813 |
$78,389 |
582 |
$44,545 |
386 |
$24,634 |
215 |
$1,863,335 |
23,216 |
$2,689,171 |
30,832 |
$905,607 |
5,054 |
$53,961 |
363 |
$2,532 |
11 |
$139,775 |
550 |
$3,287 |
23 |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$8,272 |
48 |
|
|
$5,343 |
307 |
$25,432 |
610 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$38,697 |
545 |
$93,495 |
962 |
$46,402 |
487 |
* |
* |
|
|
$1,210 |
21 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
78904 - Abdmnal pain lt lwr quad |
78904 |
$6,521,884 |
66,495 |
$551 |
20 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$2,723 |
46 |
$7,230 |
133 |
$915 |
11 |
$1,675 |
23 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$510 |
16 |
|
|
|
|
* |
* |
|
|
* |
* |
$984 |
11 |
|
|
|
|
* |
* |
* |
* |
$17,693 |
276 |
$26,566 |
298 |
$7,076 |
57 |
$18,687 |
104 |
$41,756 |
194 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$791 |
14 |
* |
* |
|
|
* |
* |
|
|
$3,271 |
30 |
|
|
* |
* |
|
|
$13,148 |
190 |
$16,235 |
170 |
$19,744 |
143 |
$17,941 |
141 |
$3,973 |
30 |
$1,809,444 |
21,924 |
$3,603,706 |
37,059 |
$808,151 |
4,572 |
$12,083 |
86 |
* |
* |
$54,775 |
213 |
* |
* |
$2,560 |
17 |
|
|
|
|
|
|
|
|
* |
* |
$1,287 |
11 |
|
|
$5,497 |
315 |
$13,895 |
264 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,096 |
29 |
$4,765 |
57 |
$2,157 |
41 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
591 - Hydronephrosis |
591 |
$5,476,427 |
64,602 |
$508 |
11 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$6,127 |
112 |
$8,066 |
167 |
$893 |
12 |
$1,759 |
22 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$513 |
15 |
* |
* |
|
|
|
|
|
|
* |
* |
$1,553 |
13 |
|
|
|
|
* |
* |
* |
* |
$5,912 |
108 |
$2,210 |
30 |
$2,636 |
24 |
$7,205 |
65 |
$25,811 |
188 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$31,199 |
519 |
$15,899 |
217 |
$25,998 |
238 |
$16,147 |
145 |
$7,608 |
71 |
$2,871,527 |
37,371 |
$842,653 |
10,220 |
$1,013,145 |
6,297 |
$22,974 |
229 |
* |
* |
$83,317 |
428 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$2,179 |
20 |
$944 |
15 |
$6,448 |
452 |
$22,804 |
452 |
$535 |
14 |
|
|
$2,182 |
49 |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
$5,226 |
95 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$47,368 |
746 |
$392,227 |
6,239 |
* |
* |
|
|
* |
* |
|
|
$2,851 |
18 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
78903 - Abdmnal pain rt lwr quad |
78903 |
$5,993,027 |
64,597 |
$863 |
27 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$2,740 |
46 |
$7,309 |
129 |
$1,221 |
18 |
$5,488 |
73 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$616 |
14 |
* |
* |
|
|
* |
* |
|
|
* |
* |
$2,089 |
21 |
|
|
|
|
|
|
* |
* |
$27,722 |
459 |
$32,265 |
401 |
$10,988 |
74 |
$31,125 |
177 |
$58,955 |
266 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$718 |
15 |
* |
* |
* |
* |
|
|
|
|
$2,265 |
14 |
* |
* |
* |
* |
|
|
$13,283 |
192 |
$14,330 |
181 |
$13,742 |
101 |
$17,017 |
124 |
$5,633 |
79 |
$1,630,654 |
20,618 |
$3,273,818 |
35,675 |
$706,735 |
4,237 |
$16,957 |
147 |
$1,528 |
11 |
$58,433 |
264 |
* |
* |
$1,647 |
11 |
|
|
|
|
|
|
|
|
|
|
$1,382 |
11 |
* |
* |
$3,955 |
248 |
$25,976 |
603 |
$645 |
11 |
|
|
$662 |
13 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$6,223 |
100 |
$11,676 |
176 |
$2,918 |
40 |
* |
* |
|
|
$1,450 |
21 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
340 - Multiple sclerosis |
340 |
$9,710,695 |
64,414 |
$36,202 |
1,072 |
* |
* |
$9,215 |
119 |
* |
* |
$2,153 |
17 |
|
|
|
|
$1,428 |
17 |
* |
* |
$3,495 |
37 |
$2,888 |
28 |
$2,460 |
14 |
$37,986 |
196 |
$15,854 |
124 |
* |
* |
$2,339 |
17 |
* |
* |
$8,962 |
30 |
$428,332 |
3,750 |
$32,840 |
279 |
$5,800,615 |
36,498 |
$1,241 |
18 |
$1,381 |
18 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$2,787 |
53 |
* |
* |
$822 |
15 |
* |
* |
$2,237 |
40 |
* |
* |
|
|
$151,198 |
1,583 |
$70,559 |
716 |
$73,288 |
755 |
$44,757 |
467 |
$1,741 |
21 |
$2,001,060 |
12,294 |
$875,825 |
5,204 |
$79,668 |
576 |
* |
* |
|
|
|
|
* |
* |
$2,536 |
11 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
$998 |
12 |
$2,360 |
23 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
$3,080 |
194 |
$8,688 |
187 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$1,004 |
17 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$701 |
12 |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
4412 - Thoracic aortic aneurysm |
4412 |
$6,359,879 |
64,031 |
$638 |
17 |
* |
* |
* |
* |
|
|
|
|
|
|
$742 |
16 |
$1,751 |
27 |
* |
* |
$5,269 |
57 |
$8,388 |
103 |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
$819,592 |
12,879 |
$563,795 |
8,442 |
$120,845 |
1,450 |
$3,199,381 |
27,629 |
$32,552 |
181 |
$24,642 |
125 |
$442,226 |
2,611 |
$778 |
16 |
* |
* |
$2,133 |
47 |
* |
* |
$399 |
12 |
* |
* |
|
|
* |
* |
|
|
$682 |
12 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$17,884 |
329 |
$18,420 |
316 |
$7,182 |
97 |
$567,464 |
3,860 |
$146,324 |
1,433 |
$89,165 |
1,152 |
$90,055 |
976 |
$28,895 |
255 |
$1,958 |
19 |
|
|
$3,434 |
17 |
$8,735 |
60 |
|
|
$22,869 |
198 |
$1,584 |
127 |
* |
* |
$4,832 |
57 |
$30,737 |
184 |
$35,032 |
263 |
|
|
$5,077 |
313 |
$12,424 |
258 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$34,934 |
145 |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$5,861 |
108 |
$1,761 |
108 |
* |
* |
$1,439 |
132 |
|
V580 - Radiotherapy encounter |
V580 |
$3,188,378 |
63,289 |
$811 |
25 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
$1,704 |
24 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$1,694 |
16 |
$8,511 |
56 |
$2,376 |
52 |
$4,676 |
63 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$1,203 |
23 |
* |
* |
* |
* |
$7,501 |
30 |
$2,244 |
15 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$1,637 |
12 |
$1,718 |
15 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$3,146,744 |
62,868 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$644 |
14 |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
$2,458 |
14 |
|
|
$1,640 |
24 |
$2,816 |
38 |
|
|
* |
* |
|
|
* |
* |
|
1625 - Mal neo lower lobe lung |
1625 |
$7,580,086 |
59,402 |
$2,805 |
49 |
$2,927 |
51 |
$16,275 |
158 |
* |
* |
* |
* |
* |
* |
$4,645 |
57 |
$15,494 |
168 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
$2,800 |
25 |
* |
* |
$84,160 |
482 |
$170,022 |
2,331 |
$392,669 |
4,552 |
$24,518 |
180 |
$6,664 |
52 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$3,478 |
30 |
$2,062 |
16 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
$7,144 |
114 |
$28,958 |
386 |
$13,474 |
73 |
* |
* |
|
|
$30,231 |
304 |
$155,174 |
1,060 |
$51,926 |
231 |
* |
* |
|
|
$3,274 |
14 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$2,134 |
141 |
$6,589 |
103 |
* |
* |
$6,943 |
64 |
$19,009 |
400 |
$4,663 |
24 |
$2,801,044 |
42,755 |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
$10,452 |
117 |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$912 |
19 |
$986 |
12 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$28,440 |
107 |
$3,505,750 |
5,130 |
$174,467 |
197 |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
72610 - Rotator cuff synd NOS |
72610 |
$7,833,330 |
57,110 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$7,523 |
67 |
|
|
* |
* |
$2,293 |
19 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$41,803 |
533 |
$30,634 |
365 |
$38,351 |
249 |
$16,545 |
81 |
$7,127,828 |
52,425 |
$332,384 |
1,945 |
$176,171 |
781 |
* |
* |
* |
* |
|
|
$7,067 |
44 |
* |
* |
$33,578 |
330 |
$2,321 |
17 |
$3,067 |
18 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,254 |
76 |
$4,136 |
66 |
|
|
* |
* |
$7,364 |
81 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,012 |
13 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
5718 - Chronic liver dis NEC |
5718 |
$5,974,943 |
57,054 |
$456 |
15 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
$792 |
14 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$20,083 |
297 |
$43,071 |
709 |
$6,484 |
71 |
$15,378 |
185 |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$1,777 |
28 |
* |
* |
$2,296 |
21 |
$20,274 |
152 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
$52,642 |
783 |
$182,367 |
2,482 |
$228,774 |
2,013 |
$44,386 |
418 |
$16,060 |
184 |
$789,380 |
10,049 |
$2,523,229 |
27,594 |
$882,536 |
5,531 |
$129,579 |
955 |
$10,523 |
59 |
$941,031 |
4,155 |
$1,967 |
14 |
$1,730 |
12 |
|
|
|
|
* |
* |
|
|
|
|
$13,703 |
114 |
|
|
$8,928 |
621 |
$11,969 |
231 |
* |
* |
|
|
$10,748 |
214 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,310 |
32 |
$3,902 |
42 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
$8,015 |
18 |
|
|
|
|
|
|
|
|
$307 |
19 |
* |
* |
$245 |
22 |
|
78901 - Abdmnal pain rt upr quad |
78901 |
$4,908,162 |
56,939 |
$1,309 |
43 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$7,606 |
147 |
$23,784 |
412 |
$2,747 |
27 |
$7,939 |
95 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
$1,717 |
13 |
* |
* |
|
|
|
|
* |
* |
* |
* |
$863 |
17 |
$1,764 |
19 |
* |
* |
$5,133 |
18 |
$10,964 |
58 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$92,854 |
1,359 |
$197,537 |
2,331 |
$139,794 |
1,046 |
$10,812 |
95 |
$8,290 |
66 |
$670,805 |
8,155 |
$1,275,335 |
14,077 |
$408,813 |
2,420 |
$182,554 |
1,445 |
$8,307 |
35 |
$276,154 |
1,178 |
$2,182 |
13 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$5,580 |
422 |
$15,717 |
299 |
* |
* |
|
|
$607 |
12 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$406,509 |
7,311 |
$1,116,952 |
15,405 |
$23,300 |
358 |
|
|
* |
* |
$1,258 |
22 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
$589 |
14 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
$205 |
12 |
* |
* |
$181 |
15 |
|
7862 - Cough |
7862 |
$4,542,786 |
56,807 |
$17,219 |
530 |
* |
* |
$1,091 |
16 |
* |
* |
$295,377 |
3,429 |
$1,637 |
17 |
$18,780 |
272 |
$44,754 |
578 |
$7,581 |
65 |
* |
* |
* |
* |
* |
* |
$7,759 |
22 |
* |
* |
|
|
|
|
* |
* |
|
|
$2,945 |
28 |
|
|
$3,677 |
20 |
$2,164,541 |
28,002 |
$1,256,204 |
15,743 |
$246,455 |
1,747 |
$279,688 |
3,218 |
$5,377 |
20 |
$6,594 |
17 |
* |
* |
$2,213 |
40 |
|
|
$1,274 |
13 |
* |
* |
$965 |
16 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$959 |
14 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$2,370 |
36 |
$5,616 |
79 |
$2,071 |
15 |
$1,154 |
14 |
* |
* |
$17,107 |
227 |
$42,681 |
376 |
$10,409 |
46 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
$15,891 |
936 |
$23,823 |
380 |
$10,994 |
158 |
* |
* |
$1,177 |
26 |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$2,259 |
31 |
|
|
|
|
$585 |
12 |
|
|
|
|
|
|
$5,696 |
33 |
|
|
* |
* |
|
|
$940 |
32 |
$22,068 |
469 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$10,053 |
22 |
* |
* |
|
|
|
|
$1,777 |
30 |
$571 |
36 |
* |
* |
$453 |
42 |
|
7930 - Nonsp abn fd-skull/head |
7930 |
$5,618,173 |
56,017 |
$684,803 |
19,040 |
$13,560 |
231 |
$77,007 |
955 |
$33,847 |
407 |
$155,570 |
1,542 |
$4,622 |
74 |
$14,677 |
158 |
$50,296 |
522 |
$10,866 |
71 |
$82,357 |
805 |
$31,408 |
363 |
$19,397 |
99 |
$152,599 |
616 |
$549,439 |
4,668 |
$62,285 |
310 |
$91,396 |
769 |
$25,607 |
210 |
$125,006 |
746 |
$1,078,733 |
8,952 |
$49,706 |
309 |
$2,116,346 |
12,233 |
$4,797 |
51 |
$5,506 |
58 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$3,648 |
73 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$3,786 |
39 |
* |
* |
* |
* |
* |
* |
|
|
$9,148 |
67 |
$5,694 |
40 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$7,483 |
43 |
$2,823 |
13 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$16,915 |
1,359 |
$40,000 |
831 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$951 |
23 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$8,422 |
120 |
* |
* |
$513 |
12 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$6,731 |
98 |
$13,171 |
23 |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$44,390 |
71 |
$14,668 |
16 |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
56211 - Dvrtcli colon w/o hmrhg |
56211 |
$5,165,127 |
55,847 |
$755 |
26 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$2,169 |
36 |
$4,264 |
70 |
* |
* |
$718 |
11 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$8,961 |
148 |
$12,244 |
168 |
$4,155 |
30 |
$4,697 |
22 |
$20,652 |
93 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$9,885 |
145 |
$7,426 |
96 |
$9,403 |
76 |
$10,833 |
101 |
$1,358 |
17 |
$1,436,636 |
17,789 |
$3,035,461 |
33,076 |
$543,553 |
3,191 |
$3,650 |
30 |
* |
* |
$14,649 |
67 |
* |
* |
$11,592 |
93 |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$4,535 |
241 |
$17,532 |
321 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
1830 - Malign neopl ovary |
1830 |
$9,782,225 |
55,727 |
$3,789 |
97 |
$3,596 |
59 |
$8,297 |
127 |
* |
* |
* |
* |
* |
* |
$4,184 |
58 |
$21,235 |
277 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
$4,072 |
33 |
* |
* |
$53,612 |
349 |
$112,860 |
1,759 |
$824,649 |
14,402 |
$31,222 |
332 |
$7,409 |
78 |
* |
* |
$4,364 |
28 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$1,082 |
13 |
$2,241 |
29 |
* |
* |
$3,496 |
24 |
$4,115 |
30 |
$8,907 |
60 |
$2,339 |
42 |
$3,022 |
41 |
* |
* |
$8,320 |
73 |
$70,239 |
409 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
$2,755 |
41 |
$9,168 |
113 |
$5,161 |
50 |
* |
* |
* |
* |
$261,541 |
2,913 |
$2,416,359 |
20,758 |
$388,629 |
2,076 |
$6,147 |
57 |
* |
* |
$68,213 |
364 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$4,831 |
409 |
$7,741 |
121 |
* |
* |
* |
* |
$5,333 |
111 |
* |
* |
$95,109 |
1,649 |
$8,609 |
43 |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
$20,826 |
309 |
* |
* |
* |
* |
|
|
|
|
|
|
$8,915 |
127 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$763 |
15 |
$764 |
12 |
|
|
* |
* |
$37,740 |
112 |
$5,064,841 |
7,892 |
$185,731 |
235 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
1579 - Malig neo pancreas NOS |
1579 |
$7,743,745 |
54,952 |
$5,247 |
135 |
$7,072 |
85 |
$7,390 |
97 |
|
|
* |
* |
|
|
$1,412 |
20 |
$10,376 |
136 |
$1,406 |
12 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
$1,027 |
18 |
* |
* |
$34,976 |
242 |
$70,815 |
1,221 |
$738,171 |
13,265 |
$31,454 |
377 |
$6,895 |
75 |
* |
* |
$2,632 |
33 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$1,182 |
13 |
$1,243 |
17 |
* |
* |
$2,359 |
20 |
$7,725 |
52 |
$7,691 |
58 |
$528 |
11 |
$21,833 |
537 |
* |
* |
$3,450 |
34 |
$45,805 |
378 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
$14,140 |
244 |
$117,068 |
1,639 |
$95,352 |
922 |
$13,586 |
86 |
$56,417 |
644 |
$118,618 |
1,386 |
$1,711,043 |
15,466 |
$502,216 |
3,426 |
$24,368 |
242 |
$4,422 |
24 |
$331,092 |
1,919 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$5,267 |
499 |
$9,521 |
206 |
$480 |
11 |
* |
* |
$9,955 |
203 |
* |
* |
$228,777 |
4,460 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$378 |
13 |
* |
* |
* |
* |
|
|
|
|
$26,423 |
408 |
* |
* |
$700 |
17 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
$1,167 |
15 |
|
|
|
|
* |
* |
$1,794 |
35 |
* |
* |
$3,365 |
68 |
|
|
* |
* |
$28,687 |
84 |
$3,298,146 |
5,900 |
$130,073 |
199 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
47819 - Nasal & sinus dis NEC |
47819 |
$4,173,528 |
54,629 |
$287,536 |
8,914 |
$4,715 |
81 |
$25,098 |
365 |
$48,185 |
623 |
$2,918,508 |
36,604 |
$69,463 |
1,004 |
$17,544 |
262 |
$63,767 |
929 |
$7,591 |
81 |
$8,619 |
112 |
$5,544 |
73 |
$33,543 |
186 |
$134,402 |
687 |
$4,805 |
46 |
* |
* |
* |
* |
* |
* |
* |
* |
$156,688 |
1,493 |
$2,728 |
26 |
$304,343 |
1,947 |
$1,237 |
22 |
$1,536 |
25 |
* |
* |
* |
* |
|
|
|
|
|
|
$933 |
30 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$3,493 |
235 |
$14,447 |
257 |
$34,970 |
485 |
$16,463 |
101 |
* |
* |
|
|
$1,035 |
29 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$6,336 |
12 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
1977 - Second malig neo liver |
1977 |
$6,405,886 |
54,610 |
$1,182 |
40 |
$620 |
12 |
$3,045 |
44 |
|
|
* |
* |
|
|
$851 |
16 |
$6,583 |
104 |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,170 |
14 |
* |
* |
$17,943 |
139 |
$58,200 |
1,061 |
$445,745 |
8,311 |
$26,028 |
302 |
$14,326 |
169 |
* |
* |
$2,136 |
15 |
|
|
* |
* |
|
|
$507 |
11 |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$3,162 |
25 |
$4,115 |
32 |
* |
* |
$3,373 |
62 |
* |
* |
$4,045 |
40 |
$68,086 |
617 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$19,456 |
341 |
$131,742 |
1,951 |
$87,853 |
1,091 |
$8,397 |
57 |
$24,263 |
145 |
$225,349 |
2,953 |
$2,105,612 |
21,038 |
$453,746 |
3,539 |
$34,051 |
309 |
$6,920 |
47 |
$673,538 |
3,989 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$4,523 |
388 |
$13,874 |
350 |
$4,351 |
110 |
$2,294 |
26 |
$40,026 |
834 |
$74,478 |
458 |
$73,950 |
1,263 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
$9,657 |
198 |
|
|
$456 |
11 |
|
|
|
|
|
|
* |
* |
|
|
$1,327 |
46 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$16,005 |
362 |
* |
* |
* |
* |
$8,363 |
44 |
$1,644,414 |
3,834 |
$80,125 |
212 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
4019 - Hypertension NOS |
4019 |
$3,499,310 |
54,555 |
$351,561 |
11,005 |
$1,476 |
31 |
$14,121 |
195 |
$525 |
11 |
$3,689 |
72 |
* |
* |
$776 |
14 |
$2,331 |
39 |
* |
* |
$17,353 |
194 |
$17,875 |
182 |
* |
* |
$3,471 |
13 |
$16,714 |
173 |
$1,611 |
11 |
$5,092 |
59 |
$1,492 |
21 |
$5,988 |
42 |
$57,948 |
693 |
* |
* |
$65,162 |
467 |
$36,946 |
630 |
$39,367 |
695 |
$7,386 |
90 |
$76,216 |
840 |
* |
* |
* |
* |
$3,241 |
27 |
$7,036 |
169 |
* |
* |
$607 |
17 |
|
|
$625 |
19 |
|
|
|
|
$1,562 |
14 |
|
|
* |
* |
$4,136 |
37 |
* |
* |
* |
* |
* |
* |
* |
* |
$588 |
13 |
* |
* |
* |
* |
$1,662 |
11 |
$1,711 |
13 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
$488 |
12 |
* |
* |
* |
* |
* |
* |
* |
* |
$1,893 |
11 |
|
|
|
|
$6,441 |
17 |
$7,559 |
121 |
$7,655 |
117 |
$12,692 |
114 |
$79,864 |
505 |
$170,645 |
1,281 |
$62,494 |
855 |
$51,672 |
554 |
$23,005 |
140 |
$13,418 |
98 |
$1,314 |
13 |
$29,874 |
183 |
$161,021 |
1,003 |
* |
* |
$7,108 |
54 |
$181 |
16 |
$16,497 |
565 |
$928 |
11 |
$65,256 |
258 |
$18,475 |
125 |
* |
* |
$2,232 |
122 |
$3,632 |
67 |
$633 |
16 |
|
|
$983 |
22 |
|
|
$4,300 |
33 |
* |
* |
* |
* |
* |
* |
$368 |
13 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$771 |
13 |
* |
* |
* |
* |
$20,858 |
179 |
$1,282,930 |
7,062 |
$2,373 |
46 |
$1,843 |
23 |
$68,318 |
144 |
$554 |
14 |
$14,618 |
285 |
* |
* |
* |
* |
|
|
$14,251 |
222 |
$12,051 |
216 |
$1,239 |
24 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
$334,712 |
6,289 |
$128,070 |
7,876 |
$14,821 |
636 |
$103,007 |
9,403 |
|
515 - Postinflam pulm fibrosis |
515 |
$3,782,039 |
54,198 |
$1,340 |
36 |
* |
* |
* |
* |
* |
* |
$1,222 |
14 |
|
|
* |
* |
$1,793 |
27 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$2,473,848 |
36,125 |
$774,917 |
11,120 |
$144,728 |
1,348 |
$242,016 |
2,655 |
* |
* |
* |
* |
|
|
$628 |
12 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$1,024 |
15 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,776 |
27 |
$2,723 |
37 |
$1,470 |
15 |
$3,052 |
21 |
$1,101 |
15 |
$15,652 |
185 |
$36,068 |
319 |
$8,973 |
51 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$372 |
14 |
* |
* |
$1,279 |
12 |
* |
* |
|
|
$22,852 |
1,417 |
$14,338 |
258 |
$1,268 |
25 |
|
|
$2,324 |
51 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$533 |
12 |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
$1,776 |
13 |
|
|
* |
* |
|
|
$460 |
17 |
$8,670 |
138 |
$3,529 |
105 |
|
|
|
|
|
|
|
|
* |
* |
$873 |
30 |
$321 |
13 |
* |
* |
$10,724 |
42 |
* |
* |
|
|
|
|
* |
* |
$184 |
11 |
|
|
$204 |
18 |
|
7241 - Pain in thoracic spine |
7241 |
$4,888,094 |
50,971 |
$1,734 |
60 |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$3,662 |
28 |
* |
* |
* |
* |
$21,059 |
375 |
$18,953 |
328 |
$3,666 |
48 |
$26,352 |
344 |
$4,985 |
21 |
* |
* |
* |
* |
$7,445 |
161 |
$1,444 |
20 |
$681,521 |
15,456 |
$54,183 |
961 |
$16,611 |
391 |
$2,367 |
41 |
* |
* |
$21,781 |
200 |
* |
* |
$3,030,685 |
25,232 |
$60,365 |
531 |
$1,942 |
11 |
$7,798 |
49 |
$764,318 |
4,417 |
$16,971 |
113 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$1,024 |
23 |
* |
* |
$5,133 |
54 |
$1,823 |
29 |
$7,821 |
97 |
$5,720 |
77 |
$2,116 |
12 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$3,310 |
197 |
$10,150 |
179 |
* |
* |
* |
* |
$4,430 |
62 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
$5,499 |
140 |
$57,518 |
952 |
$8,203 |
75 |
$24,285 |
265 |
* |
* |
$2,760 |
11 |
|
|
|
|
|
|
* |
* |
$458 |
11 |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
43330 - Ocl mlt bi art wo infrct |
43330 |
$4,980,459 |
50,543 |
$59,907 |
1,615 |
$6,309 |
156 |
$16,506 |
293 |
* |
* |
$948 |
14 |
* |
* |
$14,951 |
233 |
$76,343 |
1,133 |
$26,740 |
337 |
$747,747 |
9,002 |
$2,397,253 |
25,669 |
$1,075 |
16 |
$3,479 |
22 |
$243,393 |
2,587 |
$35,893 |
202 |
$271,510 |
2,476 |
$114,924 |
1,225 |
$843,517 |
4,200 |
$31,183 |
450 |
* |
* |
$44,667 |
400 |
* |
* |
$879 |
19 |
* |
* |
$9,019 |
98 |
|
|
|
|
* |
* |
$2,011 |
51 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
$1,638 |
17 |
$1,269 |
16 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$8,484 |
61 |
* |
* |
$116 |
16 |
$911 |
24 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$15,756 |
66 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$2,931 |
56 |
$604 |
41 |
* |
* |
$494 |
48 |
|
496 - Chr airway obstruct NEC |
496 |
$3,424,815 |
49,564 |
$5,823 |
179 |
* |
* |
$1,526 |
21 |
* |
* |
$6,742 |
102 |
* |
* |
$4,381 |
65 |
$5,792 |
87 |
$1,002 |
13 |
* |
* |
$1,390 |
14 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$816 |
11 |
* |
* |
$2,975 |
20 |
$1,815,558 |
27,274 |
$819,564 |
11,939 |
$150,723 |
1,361 |
$252,341 |
2,828 |
* |
* |
* |
* |
|
|
$1,117 |
21 |
* |
* |
$695 |
20 |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
$453 |
14 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
$1,155 |
18 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$1,074 |
16 |
$2,635 |
28 |
$2,246 |
18 |
$2,338 |
17 |
* |
* |
$14,812 |
177 |
$27,598 |
222 |
$17,577 |
80 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
$9,212 |
637 |
$14,242 |
252 |
$749 |
21 |
* |
* |
$862 |
19 |
|
|
$1,324 |
15 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
$1,304 |
23 |
|
|
* |
* |
* |
* |
$83,293 |
428 |
* |
* |
* |
* |
$9,694 |
13 |
$3,920 |
101 |
$96,785 |
2,057 |
$8,866 |
191 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$26,497 |
98 |
* |
* |
|
|
|
|
$15,734 |
293 |
$5,630 |
341 |
$918 |
40 |
$5,449 |
490 |
|
78959 - Ascites NEC |
78959 |
$3,939,783 |
48,942 |
$1,068 |
32 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$905 |
14 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$21,960 |
448 |
$42,552 |
910 |
$3,439 |
44 |
$8,619 |
104 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
$588 |
13 |
|
|
|
|
|
|
|
|
* |
* |
$1,366 |
13 |
|
|
* |
* |
* |
* |
$1,292 |
16 |
$13,003 |
260 |
$9,058 |
161 |
$1,265 |
18 |
$12,042 |
85 |
$34,531 |
216 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$991 |
21 |
$604 |
13 |
* |
* |
* |
* |
* |
* |
$5,069 |
40 |
|
|
* |
* |
|
|
$47,773 |
794 |
$51,911 |
783 |
$44,286 |
513 |
$29,239 |
298 |
$7,430 |
86 |
$1,358,172 |
18,695 |
$1,683,843 |
20,822 |
$305,411 |
2,302 |
$33,065 |
333 |
$2,529 |
20 |
$166,906 |
963 |
$2,406 |
14 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
$3,365 |
30 |
$10,490 |
202 |
$2,430 |
190 |
$4,587 |
103 |
$1,865 |
48 |
* |
* |
$10,305 |
202 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$604 |
12 |
$526 |
15 |
$549 |
13 |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
$3,568 |
22 |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$8,947 |
23 |
* |
* |
|
|
|
|
$692 |
13 |
$279 |
16 |
* |
* |
$256 |
22 |
|
4321 - Subdural hemorrhage |
4321 |
$2,346,178 |
48,704 |
$1,787,111 |
43,408 |
$3,874 |
66 |
$33,981 |
466 |
$1,253 |
18 |
$6,217 |
124 |
* |
* |
* |
* |
* |
* |
* |
* |
$25,833 |
307 |
$6,374 |
113 |
* |
* |
$2,795 |
14 |
$31,374 |
294 |
$4,374 |
22 |
$5,018 |
52 |
$563 |
15 |
$5,800 |
36 |
$209,370 |
1,969 |
$2,662 |
25 |
$202,168 |
1,366 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$10,720 |
252 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
$1,128 |
17 |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
$834 |
11 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$890 |
59 |
$3,840 |
70 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
1820 - Malig neo corpus uteri |
1820 |
$6,167,077 |
48,457 |
$1,318 |
34 |
$860 |
20 |
$3,602 |
56 |
* |
* |
|
|
|
|
$2,204 |
28 |
$7,910 |
119 |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$13,864 |
98 |
$57,799 |
931 |
$435,179 |
7,574 |
$16,159 |
193 |
$4,317 |
34 |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$2,078 |
22 |
$5,060 |
40 |
$4,192 |
76 |
$5,110 |
73 |
$1,831 |
15 |
$14,147 |
118 |
$119,185 |
665 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
$939 |
15 |
$4,239 |
64 |
$2,744 |
30 |
* |
* |
* |
* |
$129,726 |
1,460 |
$1,350,615 |
11,569 |
$183,972 |
1,114 |
$2,860 |
27 |
* |
* |
$48,754 |
255 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$2,544 |
199 |
$3,668 |
58 |
* |
* |
* |
* |
$4,002 |
83 |
|
|
$1,130,111 |
18,896 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$12,328 |
202 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$1,275 |
21 |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
$16,835 |
57 |
$2,519,901 |
4,212 |
$57,748 |
99 |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
78321 - Abnormal loss of weight |
78321 |
$5,378,712 |
48,199 |
$10,013 |
257 |
$1,631 |
27 |
$7,844 |
116 |
* |
* |
* |
* |
* |
* |
$3,659 |
54 |
$18,120 |
251 |
$3,230 |
31 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
$8,146 |
83 |
|
|
$15,487 |
103 |
$227,450 |
3,325 |
$490,097 |
7,443 |
$64,758 |
680 |
$3,472 |
33 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$1,490 |
12 |
|
|
* |
* |
* |
* |
* |
* |
$1,087 |
17 |
$4,946 |
57 |
* |
* |
$9,473 |
51 |
$25,965 |
142 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$43,892 |
639 |
$85,058 |
1,025 |
$66,294 |
536 |
$22,265 |
113 |
$14,962 |
98 |
$677,711 |
6,917 |
$2,406,268 |
18,764 |
$763,630 |
3,991 |
$37,641 |
274 |
$2,241 |
13 |
$152,394 |
658 |
$3,009 |
25 |
$3,887 |
26 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
$7,699 |
442 |
$14,388 |
232 |
* |
* |
|
|
$603 |
12 |
|
|
|
|
* |
* |
$6,646 |
149 |
|
|
* |
* |
* |
* |
|
|
|
|
$3,204 |
54 |
$12,654 |
142 |
$57,599 |
928 |
|
|
* |
* |
$18,095 |
322 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
$1,420 |
18 |
* |
* |
* |
* |
* |
* |
$69,404 |
126 |
$10,881 |
13 |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
78459 - Speech disturbance NEC |
78459 |
$2,322,441 |
48,130 |
$1,070,961 |
33,335 |
$3,695 |
76 |
$33,486 |
509 |
* |
* |
$1,265 |
25 |
* |
* |
$5,664 |
97 |
$22,344 |
300 |
$2,941 |
38 |
$93,495 |
1,346 |
$60,799 |
1,103 |
* |
* |
$9,239 |
39 |
$95,288 |
1,302 |
$4,476 |
51 |
$21,585 |
343 |
$6,903 |
133 |
$27,647 |
305 |
$455,259 |
5,832 |
$3,305 |
31 |
$390,484 |
2,984 |
$1,294 |
31 |
$2,546 |
46 |
* |
* |
* |
* |
|
|
|
|
|
|
$3,416 |
88 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$1,911 |
21 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$430 |
38 |
$465 |
11 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$2,272 |
35 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
$1,271 |
11 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
5533 - Diaphragmatic hernia |
5533 |
$3,998,155 |
47,466 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$751 |
12 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$195,099 |
3,277 |
$280,555 |
4,657 |
$32,594 |
354 |
$148,945 |
1,867 |
* |
* |
$1,707 |
11 |
* |
* |
* |
* |
* |
* |
$570 |
15 |
* |
* |
$528 |
11 |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
$1,114 |
23 |
$1,418 |
34 |
* |
* |
* |
* |
$4,618 |
31 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
$65,802 |
1,021 |
$108,345 |
1,446 |
$69,458 |
652 |
$41,782 |
393 |
$20,433 |
233 |
$935,371 |
12,108 |
$1,504,798 |
16,943 |
$443,432 |
2,841 |
$20,918 |
155 |
* |
* |
$64,359 |
329 |
* |
* |
$5,901 |
48 |
* |
* |
* |
* |
* |
* |
* |
* |
$2,867 |
19 |
$9,198 |
72 |
|
|
$6,486 |
388 |
$6,983 |
141 |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$692 |
13 |
$17,699 |
337 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$5,566 |
20 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
$169 |
15 |
|
V711 - Obsv-suspct mal neoplasm |
V711 |
$6,310,737 |
46,412 |
$14,987 |
379 |
$12,129 |
268 |
$60,788 |
800 |
* |
* |
$1,293 |
31 |
$1,797 |
25 |
$12,099 |
212 |
$86,699 |
1,328 |
$2,405 |
29 |
* |
* |
* |
* |
$1,517 |
13 |
$10,942 |
77 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$19,463 |
224 |
$3,079 |
29 |
$338,813 |
2,831 |
$165,678 |
3,323 |
$558,748 |
11,137 |
$17,290 |
229 |
$6,276 |
60 |
$1,662 |
14 |
$3,603 |
15 |
|
|
$1,332 |
31 |
* |
* |
$1,236 |
28 |
* |
* |
$1,754 |
39 |
* |
* |
* |
* |
$3,171 |
34 |
* |
* |
$4,488 |
55 |
$5,163 |
68 |
* |
* |
$13,635 |
127 |
$20,103 |
183 |
$24,974 |
212 |
$2,352 |
42 |
$2,432 |
48 |
* |
* |
$7,981 |
56 |
$64,299 |
354 |
* |
* |
* |
* |
$1,489 |
11 |
$1,788 |
14 |
$1,343 |
12 |
* |
* |
$2,314 |
13 |
$1,452 |
22 |
$1,715 |
25 |
|
|
$2,066 |
17 |
$5,741 |
42 |
$1,455 |
11 |
|
|
$2,060 |
13 |
|
|
$14,546 |
255 |
$49,376 |
861 |
$17,283 |
168 |
* |
* |
$1,072 |
13 |
$173,913 |
2,139 |
$891,288 |
9,160 |
$103,481 |
755 |
$5,221 |
51 |
* |
* |
$57,081 |
427 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$4,744 |
260 |
$5,644 |
96 |
$569 |
15 |
|
|
$1,785 |
37 |
|
|
$1,898 |
42 |
$7,389 |
60 |
* |
* |
$958 |
31 |
* |
* |
* |
* |
|
|
$665 |
14 |
|
|
|
|
* |
* |
|
|
* |
* |
$88,761 |
2,488 |
$928 |
16 |
$2,509 |
61 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$2,304 |
57 |
|
|
* |
* |
$16,991 |
80 |
$3,129,967 |
6,418 |
$238,754 |
427 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
7812 - Abnormality of gait |
7812 |
$4,653,346 |
46,295 |
$653,028 |
15,365 |
$8,982 |
132 |
$92,756 |
1,174 |
$3,413 |
41 |
$1,786 |
26 |
|
|
* |
* |
$632 |
12 |
* |
* |
$29,402 |
302 |
$18,434 |
213 |
* |
* |
$5,978 |
29 |
$98,585 |
768 |
$8,393 |
28 |
$24,328 |
174 |
$6,998 |
81 |
$38,340 |
188 |
$1,565,676 |
13,122 |
$15,580 |
102 |
$1,385,427 |
8,196 |
$998 |
15 |
$1,853 |
24 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$23,286 |
389 |
$1,978 |
29 |
$3,933 |
76 |
$1,482 |
28 |
$9,984 |
163 |
$1,565 |
26 |
* |
* |
$207,862 |
1,927 |
$2,600 |
18 |
$70,051 |
741 |
$113,652 |
970 |
* |
* |
$79,051 |
459 |
$52,875 |
312 |
$41,968 |
258 |
$1,317 |
30 |
* |
* |
* |
* |
$3,906 |
26 |
$3,840 |
19 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
$1,451 |
27 |
* |
* |
|
|
$1,875 |
14 |
* |
* |
$8,125 |
57 |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$3,114 |
24 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$1,536 |
93 |
$4,240 |
70 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$1,814 |
30 |
* |
* |
* |
* |
|
|
$4,954 |
46 |
|
|
|
|
|
|
* |
* |
|
|
|
|
$40,281 |
377 |
$4,801 |
11 |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
$703 |
40 |
* |
* |
$509 |
43 |
|
1729 - Malig melanoma skin NOS |
1729 |
$8,015,539 |
44,826 |
$13,007 |
320 |
$21,955 |
319 |
$40,811 |
607 |
* |
* |
$2,203 |
34 |
$2,684 |
35 |
$14,426 |
201 |
$120,910 |
1,890 |
$15,069 |
110 |
* |
* |
* |
* |
* |
* |
$23,354 |
138 |
* |
* |
* |
* |
|
|
|
|
* |
* |
$15,900 |
177 |
$6,796 |
76 |
$585,017 |
4,204 |
$91,392 |
1,466 |
$502,844 |
8,856 |
$32,817 |
288 |
$3,581 |
29 |
* |
* |
* |
* |
|
|
$1,090 |
17 |
* |
* |
* |
* |
* |
* |
$345 |
11 |
* |
* |
* |
* |
$1,791 |
22 |
* |
* |
$959 |
17 |
$2,373 |
29 |
* |
* |
$11,263 |
97 |
$17,257 |
120 |
$15,677 |
127 |
$447 |
11 |
$2,155 |
29 |
* |
* |
$1,413 |
14 |
$24,160 |
146 |
$1,094 |
17 |
$2,116 |
35 |
* |
* |
$2,713 |
16 |
* |
* |
|
|
* |
* |
$4,172 |
47 |
$8,062 |
141 |
* |
* |
$788 |
12 |
$9,784 |
48 |
* |
* |
* |
* |
$2,879 |
16 |
|
|
$3,875 |
62 |
$24,832 |
350 |
$9,323 |
105 |
* |
* |
* |
* |
$69,985 |
818 |
$829,026 |
7,976 |
$135,064 |
806 |
$2,002 |
24 |
* |
* |
$65,667 |
346 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$3,060 |
227 |
$2,285 |
46 |
$502 |
13 |
* |
* |
$4,788 |
96 |
* |
* |
$31,499 |
586 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
$109,541 |
2,069 |
|
|
|
|
|
|
* |
* |
* |
* |
$23,769 |
373 |
* |
* |
$667 |
14 |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
$5,512 |
128 |
* |
* |
* |
* |
$15,519 |
49 |
$1,203,488 |
2,884 |
$3,871,834 |
8,132 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
4149 - Chr ischemic hrt dis NOS |
4149 |
$6,124,773 |
44,720 |
$1,379 |
33 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$2,604 |
11 |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
$2,547 |
16 |
$5,569 |
98 |
$6,461 |
78 |
$2,028 |
18 |
$5,362 |
49 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$10,385 |
64 |
$13,679 |
62 |
$21,080 |
74 |
|
|
|
|
|
|
|
|
|
|
$4,415 |
24 |
* |
* |
$451 |
19 |
* |
* |
$40,883 |
342 |
* |
* |
|
|
* |
* |
$2,274 |
31 |
$418 |
11 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$64,698 |
327 |
$4,182,738 |
17,061 |
$4,861 |
92 |
$11,123 |
107 |
$954,053 |
959 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$568,369 |
10,716 |
$100,055 |
6,040 |
$47,081 |
1,982 |
$72,260 |
6,506 |
|
41519 - Pulm embol/infarct NEC |
41519 |
$3,446,061 |
44,414 |
$2,298 |
67 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
$1,079 |
14 |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
$33,207 |
638 |
$613,615 |
11,235 |
$39,970 |
459 |
$2,483,003 |
27,464 |
|
|
* |
* |
$2,203 |
21 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$1,938 |
55 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$7,239 |
103 |
$7,061 |
63 |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$2,453 |
35 |
$892 |
13 |
$14,232 |
117 |
$3,225 |
43 |
$3,339 |
39 |
$48,896 |
536 |
$5,339 |
43 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$2,053 |
12 |
$3,457 |
29 |
|
|
$2,036 |
194 |
$4,397 |
113 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
$9,659 |
45 |
|
|
|
|
* |
* |
$7,729 |
209 |
$141,637 |
2,720 |
$2,073 |
37 |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$2,106 |
38 |
$560 |
36 |
|
|
$368 |
36 |
|
56400 - Constipation NOS |
56400 |
$3,735,565 |
43,953 |
$2,183 |
70 |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
$2,269 |
53 |
$6,729 |
127 |
$962 |
14 |
$1,459 |
21 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$616 |
14 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$7,854 |
161 |
$4,554 |
76 |
$1,362 |
17 |
$47,481 |
327 |
$13,578 |
84 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$25,451 |
412 |
$26,749 |
382 |
$22,639 |
217 |
$12,482 |
124 |
$7,023 |
64 |
$1,258,286 |
17,016 |
$1,801,102 |
20,882 |
$378,423 |
2,613 |
$5,522 |
50 |
* |
* |
$28,138 |
145 |
* |
* |
$30,495 |
189 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$2,560 |
200 |
$6,391 |
137 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$1,780 |
23 |
$4,438 |
51 |
$35,039 |
484 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
71596 - Osteoarthros NOS-l/leg |
71596 |
$4,751,348 |
43,732 |
$421 |
14 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
$498 |
12 |
|
|
* |
* |
|
|
$626 |
14 |
|
|
|
|
* |
* |
|
|
* |
* |
$6,707 |
50 |
|
|
* |
* |
* |
* |
* |
* |
$1,557 |
29 |
* |
* |
|
|
$3,721 |
23 |
* |
* |
$1,819 |
27 |
* |
* |
* |
* |
|
|
$11,929 |
106 |
* |
* |
* |
* |
$534,826 |
8,391 |
$35,522 |
459 |
$2,210 |
20 |
$91,981 |
549 |
$28,379 |
161 |
$3,786,574 |
30,461 |
$21,304 |
117 |
$74,269 |
390 |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,210 |
20 |
|
|
$3,142 |
239 |
$9,403 |
207 |
* |
* |
|
|
$1,170 |
13 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$7,499 |
160 |
$54,623 |
1,157 |
$63,208 |
971 |
$4,328 |
80 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,103 |
22 |
$995 |
15 |
|
|
|
|
|
|
|
|
|
|
* |
* |
$186 |
11 |
* |
* |
$137 |
14 |
|
1983 - Sec mal neo brain/spine |
1983 |
$4,891,367 |
43,659 |
$68,284 |
1,973 |
$19,804 |
416 |
$68,596 |
1,066 |
* |
* |
* |
* |
* |
* |
$1,278 |
23 |
$6,175 |
103 |
* |
* |
$1,598 |
19 |
$907 |
15 |
* |
* |
$13,602 |
80 |
$3,400 |
50 |
$882 |
12 |
* |
* |
* |
* |
$1,326 |
16 |
$55,933 |
698 |
$159,731 |
1,881 |
$3,002,435 |
21,362 |
$9,121 |
159 |
$48,811 |
787 |
$2,388 |
29 |
$1,615 |
18 |
|
|
|
|
|
|
$1,662 |
33 |
* |
* |
$1,334 |
23 |
* |
* |
$1,107 |
25 |
* |
* |
|
|
$3,821 |
42 |
$1,165 |
11 |
$5,640 |
64 |
$5,680 |
71 |
$1,833 |
15 |
$29,452 |
252 |
$49,915 |
326 |
$38,963 |
294 |
* |
* |
* |
* |
* |
* |
* |
* |
$2,438 |
18 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
$3,634 |
52 |
$1,132 |
14 |
* |
* |
* |
* |
$7,476 |
93 |
$65,019 |
566 |
$10,161 |
68 |
* |
* |
|
|
$1,426 |
11 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,207 |
176 |
$8,635 |
209 |
* |
* |
$23,018 |
275 |
$857 |
16 |
|
|
$750,418 |
11,175 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$8,920 |
181 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$36,261 |
77 |
|
|
|
|
* |
* |
|
|
|
|
$1,843 |
12 |
$302,751 |
713 |
$57,243 |
122 |
|
|
$1,471 |
18 |
|
|
|
|
|
|
* |
* |
|
73390 - Bone & cartilage dis NOS |
73390 |
$3,835,864 |
43,517 |
$20,515 |
545 |
$1,537 |
27 |
$8,443 |
125 |
$7,777 |
97 |
$17,775 |
272 |
$3,318 |
54 |
$2,157 |
33 |
$11,323 |
179 |
$1,286 |
11 |
$1,480 |
14 |
$898 |
12 |
* |
* |
$11,633 |
69 |
$1,091 |
14 |
|
|
* |
* |
* |
* |
* |
* |
$9,380 |
82 |
* |
* |
$48,031 |
330 |
$25,029 |
430 |
$48,402 |
885 |
$3,762 |
38 |
$4,276 |
42 |
$4,100 |
26 |
$10,846 |
52 |
|
|
$75,411 |
1,794 |
$1,286 |
23 |
$38,326 |
801 |
$6,573 |
99 |
$67,304 |
1,475 |
$6,482 |
114 |
$1,711 |
19 |
$21,044 |
245 |
$3,773 |
27 |
$45,300 |
506 |
$86,323 |
906 |
$14,229 |
88 |
$49,413 |
400 |
$136,094 |
1,016 |
$116,134 |
942 |
$58,592 |
1,136 |
$6,331 |
93 |
$2,621 |
24 |
$74,350 |
488 |
$124,687 |
692 |
$31,629 |
484 |
$3,946 |
53 |
$35,074 |
235 |
$57,481 |
293 |
$47,650 |
365 |
$5,221 |
20 |
$27,783 |
143 |
$126,265 |
1,951 |
$8,345 |
124 |
* |
* |
$131,341 |
700 |
$115,262 |
608 |
$232,276 |
1,773 |
$8,798 |
46 |
$59,400 |
328 |
* |
* |
$1,284 |
21 |
$1,839 |
32 |
$1,261 |
12 |
* |
* |
* |
* |
$27,273 |
335 |
$90,237 |
927 |
$16,033 |
132 |
* |
* |
* |
* |
$5,953 |
36 |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
$1,599 |
11 |
|
|
$2,954 |
218 |
$9,577 |
201 |
$1,249 |
26 |
* |
* |
$303,125 |
6,481 |
* |
* |
$2,246 |
48 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
$17,344 |
404 |
$566,430 |
9,684 |
$130,352 |
1,730 |
$58,451 |
1,041 |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
$625 |
16 |
$1,775 |
46 |
$761 |
18 |
* |
* |
$115,885 |
291 |
$407,314 |
423 |
* |
* |
$2,784 |
36 |
* |
* |
* |
* |
* |
* |
* |
* |
|
78906 - Abdmnal pain epigastric |
78906 |
$3,939,991 |
43,027 |
$1,707 |
58 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$9,626 |
194 |
$27,802 |
519 |
$4,539 |
60 |
$25,259 |
347 |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
$629 |
11 |
* |
* |
* |
* |
$2,368 |
14 |
$8,150 |
43 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$70,974 |
972 |
$185,266 |
2,170 |
$105,544 |
846 |
$52,471 |
491 |
$24,620 |
248 |
$619,574 |
7,943 |
$1,609,740 |
17,209 |
$354,559 |
2,117 |
$93,840 |
752 |
$5,832 |
29 |
$166,286 |
772 |
$4,695 |
27 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
$6,391 |
392 |
$6,709 |
142 |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$94,794 |
1,448 |
$275,521 |
3,133 |
$169,380 |
2,647 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
$7,431 |
76 |
* |
* |
|
|
|
|
|
|
$490 |
13 |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$1,451 |
28 |
$2,338 |
145 |
* |
* |
$2,007 |
181 |
|
7384 - Acq spondylolisthesis |
7384 |
$4,521,611 |
42,925 |
$1,761 |
64 |
|
|
|
|
|
|
* |
* |
|
|
$732 |
13 |
$1,830 |
25 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$862 |
12 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
$162,746 |
3,367 |
$16,137 |
196 |
$12,208 |
239 |
$4,524 |
66 |
$376,855 |
6,509 |
$85,182 |
1,132 |
$11,363 |
96 |
$415,927 |
3,722 |
$1,776 |
22 |
$35,607 |
345 |
$2,615,244 |
21,873 |
$7,560 |
62 |
$78,109 |
468 |
$12,247 |
80 |
$621,537 |
3,683 |
$2,649 |
50 |
* |
* |
|
|
$16,026 |
75 |
$4,308 |
23 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
$1,258 |
14 |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$3,384 |
47 |
$4,688 |
53 |
$2,259 |
12 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$5,370 |
304 |
$9,932 |
219 |
* |
* |
* |
* |
$1,995 |
37 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$2,654 |
47 |
* |
* |
$4,880 |
70 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
79430 - Abn cardiovasc study NOS |
79430 |
$5,752,441 |
42,781 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$6,970 |
52 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$1,834 |
22 |
$3,172 |
38 |
* |
* |
$25,768 |
158 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$5,113 |
45 |
$213 |
18 |
$6,788 |
203 |
$5,984 |
74 |
$388,156 |
1,800 |
$18,184 |
154 |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
$17,863 |
132 |
$3,310,843 |
14,841 |
$2,080 |
37 |
$6,789 |
70 |
$1,296,745 |
1,450 |
* |
* |
$988 |
24 |
|
|
$537 |
13 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$441,717 |
8,488 |
$107,341 |
6,638 |
$24,403 |
1,118 |
$80,955 |
7,406 |
|
71947 - Joint pain-ankle |
71947 |
$6,638,083 |
41,701 |
$1,588 |
53 |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$647 |
15 |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
$3,889 |
31 |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$1,089 |
17 |
* |
* |
$5,815 |
22 |
* |
* |
$11,068 |
92 |
* |
* |
* |
* |
$380,101 |
4,732 |
$8,548 |
113 |
$1,298 |
14 |
$1,955,243 |
7,936 |
$262,627 |
895 |
$3,559,858 |
24,264 |
$11,973 |
60 |
$254,022 |
1,096 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,962 |
13 |
|
|
$4,554 |
236 |
$11,902 |
234 |
* |
* |
|
|
$4,590 |
61 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$19,529 |
326 |
$15,017 |
229 |
$112,595 |
1,084 |
$4,511 |
61 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$4,724 |
85 |
$933 |
32 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
4280 - CHF NOS |
4280 |
$4,735,589 |
40,921 |
$9,277 |
287 |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$853 |
13 |
|
|
* |
* |
$94,536 |
1,837 |
$54,573 |
1,015 |
$5,842 |
64 |
$90,601 |
1,151 |
* |
* |
|
|
* |
* |
$1,202 |
25 |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$1,093 |
15 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$866 |
20 |
* |
* |
* |
* |
$3,756 |
36 |
* |
* |
$11,346 |
156 |
$8,049 |
98 |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
$24,483 |
188 |
$875 |
56 |
$308 |
12 |
$1,350 |
18 |
$12,122 |
90 |
$2,167 |
12 |
* |
* |
$2,674 |
188 |
$7,908 |
145 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
$33,553 |
287 |
$2,516,009 |
11,340 |
$4,341 |
74 |
$177,994 |
1,803 |
$1,114,783 |
1,212 |
$857 |
29 |
$14,290 |
339 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$342,364 |
6,477 |
$100,914 |
6,062 |
$17,224 |
766 |
$79,380 |
7,106 |
|
1509 - Mal neo esophagus NOS |
1509 |
$7,270,440 |
40,708 |
$3,777 |
108 |
$4,337 |
65 |
$9,853 |
147 |
|
|
* |
* |
* |
* |
$9,381 |
132 |
$50,680 |
753 |
$3,261 |
28 |
* |
* |
* |
* |
* |
* |
$2,984 |
17 |
* |
* |
|
|
|
|
* |
* |
* |
* |
$2,042 |
21 |
* |
* |
$53,477 |
382 |
$86,933 |
1,555 |
$577,130 |
9,595 |
$25,093 |
284 |
$9,096 |
96 |
* |
* |
$2,558 |
15 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$1,159 |
14 |
* |
* |
|
|
$3,516 |
25 |
$7,360 |
53 |
$5,305 |
45 |
* |
* |
* |
* |
|
|
* |
* |
$4,999 |
39 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
$15,937 |
308 |
$117,801 |
1,814 |
$23,865 |
228 |
$1,616 |
16 |
* |
* |
$59,972 |
712 |
$728,920 |
6,624 |
$108,949 |
635 |
$581 |
11 |
* |
* |
$21,827 |
150 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$3,443 |
299 |
$2,575 |
40 |
$421 |
11 |
|
|
$2,836 |
59 |
* |
* |
$254,045 |
4,894 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
$15,821 |
264 |
* |
* |
$592 |
11 |
* |
* |
* |
* |
* |
* |
$2,694 |
42 |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
$43,342 |
170 |
$4,814,691 |
10,719 |
$187,205 |
300 |
|
|
|
|
* |
* |
$185 |
11 |
|
|
$179 |
16 |
|
2252 - Ben neo cerebr meninges |
2252 |
$5,296,790 |
40,450 |
$132,714 |
3,464 |
$15,209 |
268 |
$88,916 |
1,235 |
$3,289 |
37 |
$2,232 |
36 |
$785 |
12 |
* |
* |
$2,062 |
28 |
* |
* |
$17,862 |
194 |
$4,131 |
60 |
$1,776 |
18 |
$90,796 |
566 |
$50,538 |
465 |
$23,360 |
86 |
$4,897 |
40 |
$1,568 |
21 |
$13,045 |
62 |
$276,816 |
2,462 |
$88,191 |
814 |
$4,231,686 |
26,306 |
* |
* |
$1,478 |
23 |
* |
* |
|
|
|
|
* |
* |
|
|
$672 |
17 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$2,526 |
31 |
* |
* |
$925 |
11 |
$1,123 |
13 |
* |
* |
$16,409 |
120 |
$13,717 |
100 |
$3,748 |
34 |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$2,500 |
17 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,147 |
143 |
$5,323 |
105 |
* |
* |
$4,372 |
57 |
|
|
|
|
$190,675 |
3,576 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$541 |
11 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$761 |
18 |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
4241 - Aortic valve disorder |
4241 |
$3,384,477 |
38,740 |
$1,531 |
42 |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
$1,429 |
15 |
$33,142 |
134 |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$60,191 |
1,189 |
$26,667 |
394 |
$6,408 |
87 |
$584,970 |
6,780 |
$2,104 |
13 |
* |
* |
$14,214 |
139 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$1,402 |
20 |
$578 |
12 |
* |
* |
$748,326 |
5,445 |
$25,809 |
241 |
$13,374 |
191 |
$14,148 |
162 |
$4,902 |
48 |
* |
* |
|
|
* |
* |
$1,491 |
12 |
|
|
$83,974 |
601 |
$10,208 |
540 |
$1,343 |
50 |
$77,862 |
1,303 |
$268,947 |
2,157 |
$48,931 |
424 |
|
|
$12,745 |
835 |
$67,579 |
1,068 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$6,319 |
40 |
$872,222 |
3,453 |
* |
* |
$6,757 |
57 |
$44,164 |
65 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$213,472 |
3,954 |
$65,428 |
3,945 |
$8,680 |
366 |
$55,159 |
4,958 |
|
4373 - Nonrupt cerebral aneurym |
4373 |
$4,427,730 |
38,552 |
$96,287 |
2,615 |
$12,099 |
246 |
$33,617 |
510 |
* |
* |
$1,161 |
21 |
* |
* |
$683 |
12 |
$3,755 |
56 |
$1,459 |
20 |
$993,819 |
9,625 |
$172,716 |
2,066 |
$1,511 |
12 |
$8,872 |
48 |
$1,781,010 |
13,293 |
$492,559 |
2,390 |
$64,320 |
511 |
$17,474 |
194 |
$119,262 |
607 |
$217,851 |
2,189 |
$4,549 |
39 |
$343,286 |
2,253 |
* |
* |
* |
* |
* |
* |
$1,337 |
13 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$2,593 |
19 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
$1,459 |
171 |
$55,394 |
1,625 |
$658 |
17 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
71595 - Osteoarthros NOS-pelvis |
71595 |
$3,923,927 |
37,909 |
$304 |
12 |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$2,762 |
43 |
* |
* |
|
|
|
|
|
|
$515 |
14 |
|
|
* |
* |
* |
* |
$1,884 |
28 |
* |
* |
|
|
* |
* |
|
|
* |
* |
$15,433 |
121 |
|
|
* |
* |
* |
* |
$1,764 |
13 |
$250,820 |
4,949 |
$16,523 |
245 |
$6,453 |
64 |
$610,028 |
4,090 |
$126,890 |
661 |
$1,528 |
24 |
* |
* |
* |
* |
* |
* |
$3,725 |
36 |
* |
* |
* |
* |
$440,089 |
7,567 |
$19,121 |
263 |
* |
* |
$46,899 |
320 |
$24,062 |
121 |
$1,969,014 |
15,759 |
$126,024 |
719 |
$144,485 |
721 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$6,912 |
84 |
$7,429 |
80 |
$3,746 |
24 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$4,136 |
346 |
$19,127 |
422 |
* |
* |
|
|
$14,714 |
180 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,641 |
84 |
$27,484 |
469 |
$23,176 |
357 |
$5,240 |
93 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
486 - Pneumonia, organism NOS |
486 |
$2,364,982 |
37,697 |
$17,536 |
560 |
* |
* |
$514 |
11 |
* |
* |
$4,804 |
68 |
|
|
$1,512 |
23 |
$1,610 |
26 |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$1,248,561 |
21,170 |
$664,101 |
9,986 |
$84,184 |
786 |
$226,040 |
2,913 |
* |
* |
* |
* |
|
|
$1,654 |
40 |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$589 |
16 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$1,312 |
22 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
$1,649 |
29 |
$1,161 |
21 |
* |
* |
$2,001 |
16 |
* |
* |
$31,825 |
459 |
$30,840 |
396 |
$5,686 |
53 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$6,223 |
476 |
$11,261 |
222 |
* |
* |
|
|
$1,840 |
38 |
|
|
$3,568 |
32 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$2,252 |
28 |
|
|
|
|
* |
* |
$605 |
21 |
$7,295 |
171 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
$5,216 |
25 |
* |
* |
|
|
|
|
* |
* |
$590 |
36 |
* |
* |
$554 |
53 |
|
5715 - Cirrhosis of liver NOS |
5715 |
$4,386,273 |
37,560 |
$1,516 |
45 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$12,330 |
236 |
$19,178 |
343 |
$1,048 |
13 |
$2,656 |
36 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
$1,799 |
29 |
* |
* |
$1,689 |
12 |
$20,019 |
143 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$33,230 |
521 |
$157,982 |
2,491 |
$456,732 |
4,874 |
$17,572 |
146 |
$14,547 |
134 |
$326,264 |
4,429 |
$588,245 |
6,885 |
$339,298 |
2,484 |
$102,812 |
896 |
$23,209 |
192 |
$2,209,970 |
12,174 |
$2,841 |
17 |
* |
* |
|
|
|
|
$357 |
17 |
|
|
* |
* |
$1,895 |
18 |
* |
* |
$5,185 |
464 |
$7,941 |
186 |
$475 |
12 |
|
|
$21,421 |
455 |
* |
* |
$2,545 |
28 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,549 |
27 |
$1,846 |
38 |
$1,063 |
23 |
|
|
|
|
$3,193 |
62 |
* |
* |
* |
* |
* |
* |
$2,316 |
22 |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$2,329 |
14 |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$643 |
41 |
|
|
$580 |
53 |
|
71591 - Osteoarthros NOS-shlder |
71591 |
$3,876,860 |
37,260 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
$777 |
11 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$4,485 |
65 |
$1,857 |
25 |
* |
* |
* |
* |
$6,622 |
39 |
$6,319 |
24 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
$2,255 |
27 |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$528,109 |
7,737 |
$91,228 |
1,078 |
$32,866 |
212 |
$13,661 |
82 |
$2,801,646 |
23,737 |
$161,110 |
1,019 |
$92,674 |
484 |
$2,415 |
44 |
* |
* |
|
|
* |
* |
* |
* |
$16,056 |
154 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$6,530 |
462 |
$22,790 |
496 |
* |
* |
|
|
$6,653 |
73 |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,557 |
41 |
$61,291 |
1,209 |
$11,988 |
157 |
$3,974 |
84 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
59971 - Gross hematuria |
59971 |
$5,658,815 |
37,090 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,558 |
24 |
$2,166 |
32 |
$1,755 |
16 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$6,057 |
71 |
$2,634 |
24 |
$2,898 |
24 |
$6,229 |
37 |
$28,515 |
157 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$7,361 |
106 |
$3,801 |
44 |
$27,204 |
221 |
$13,731 |
78 |
$2,082 |
13 |
$866,563 |
7,954 |
$182,054 |
1,569 |
$4,341,551 |
23,345 |
$5,533 |
51 |
* |
* |
$51,038 |
228 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$19,549 |
1,333 |
$81,093 |
1,677 |
$812 |
15 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,291 |
17 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$830 |
15 |
$2,512 |
39 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
7234 - Brachial neuritis NOS |
7234 |
$4,331,200 |
35,504 |
$4,863 |
150 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$3,102 |
43 |
$3,684 |
47 |
$1,643 |
17 |
* |
* |
$3,182 |
33 |
$4,930 |
23 |
$5,151 |
22 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$12,700 |
131 |
* |
* |
$16,166 |
104 |
$871 |
18 |
* |
* |
* |
* |
* |
* |
$11,301 |
56 |
$16,459 |
52 |
|
|
$272,681 |
4,161 |
$54,390 |
747 |
$2,979 |
56 |
$2,402 |
40 |
$5,974 |
102 |
$3,406 |
65 |
* |
* |
$3,247,721 |
25,180 |
$14,970 |
99 |
$33,934 |
346 |
$70,555 |
659 |
* |
* |
$426,004 |
2,226 |
$11,776 |
77 |
$17,786 |
99 |
* |
* |
|
|
|
|
* |
* |
* |
* |
$1,019 |
15 |
* |
* |
$7,765 |
39 |
$14,277 |
56 |
$23,721 |
180 |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
$2,415 |
16 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$4,071 |
206 |
$9,252 |
156 |
* |
* |
|
|
$10,794 |
170 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$3,376 |
61 |
* |
* |
$5,879 |
52 |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
1970 - Secondary malig neo lung |
1970 |
$3,245,279 |
35,208 |
$1,992 |
58 |
$1,146 |
21 |
$3,893 |
58 |
|
|
* |
* |
* |
* |
$3,113 |
47 |
$21,731 |
331 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,170 |
17 |
$1,495 |
15 |
$46,407 |
323 |
$255,747 |
4,533 |
$764,485 |
13,909 |
$38,759 |
398 |
$40,085 |
484 |
* |
* |
$6,566 |
31 |
* |
* |
* |
* |
|
|
$774 |
14 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$1,132 |
11 |
* |
* |
* |
* |
$2,471 |
27 |
$1,904 |
14 |
* |
* |
* |
* |
|
|
* |
* |
$6,165 |
44 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$1,121 |
12 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$5,009 |
97 |
$21,470 |
342 |
$4,227 |
54 |
$1,549 |
14 |
* |
* |
$72,595 |
915 |
$441,148 |
4,045 |
$67,958 |
429 |
$1,140 |
15 |
* |
* |
$16,292 |
90 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$8,092 |
567 |
$6,341 |
117 |
* |
* |
$2,799 |
32 |
$15,027 |
316 |
$16,643 |
104 |
$320,151 |
5,062 |
* |
* |
* |
* |
$799 |
17 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$8,612 |
181 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$675 |
11 |
* |
* |
|
|
* |
* |
|
|
* |
* |
$1,100 |
15 |
|
|
|
|
$6,442 |
33 |
$927,658 |
2,186 |
$99,398 |
219 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
78930 - Abdmnal mass unspcf site |
78930 |
$4,335,291 |
34,554 |
$810 |
19 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$731 |
12 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$13,891 |
206 |
$42,084 |
744 |
$3,607 |
35 |
$3,507 |
36 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$32,870 |
509 |
$39,721 |
504 |
$21,708 |
160 |
$101,868 |
479 |
$320,026 |
1,470 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$1,236 |
19 |
* |
* |
|
|
* |
* |
* |
* |
$1,029 |
11 |
|
|
* |
* |
|
|
$65,996 |
873 |
$82,790 |
966 |
$133,355 |
921 |
$22,517 |
163 |
$7,662 |
68 |
$672,384 |
6,603 |
$1,173,917 |
10,852 |
$790,185 |
3,829 |
$97,426 |
550 |
$21,939 |
93 |
$396,471 |
1,519 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$3,194 |
23 |
* |
* |
$4,228 |
225 |
$60,650 |
828 |
$1,103 |
22 |
* |
* |
$113,839 |
2,419 |
* |
* |
$1,978 |
56 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,063 |
15 |
$2,477 |
38 |
|
|
* |
* |
$3,349 |
51 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$3,040 |
37 |
* |
* |
* |
* |
* |
* |
$92,638 |
199 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
4439 - Periph vascular dis NOS |
4439 |
$4,877,932 |
34,246 |
$146,048 |
4,294 |
$849 |
20 |
$7,988 |
109 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$8,575 |
89 |
$22,498 |
190 |
* |
* |
* |
* |
$9,084 |
65 |
* |
* |
$3,206 |
18 |
* |
* |
$3,073 |
21 |
$116,988 |
1,082 |
* |
* |
$148,755 |
866 |
$3,716 |
57 |
$2,392 |
42 |
* |
* |
$23,251 |
246 |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$1,797 |
30 |
* |
* |
|
|
$736 |
11 |
|
|
* |
* |
$12,322 |
119 |
* |
* |
* |
* |
* |
* |
$4,308 |
24 |
$851 |
14 |
$647 |
17 |
* |
* |
$1,659 |
11 |
$2,357 |
13 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
$4,770 |
69 |
$8,855 |
120 |
$296,050 |
1,279 |
$4,788 |
45 |
$5,200 |
29 |
$2,241 |
23 |
|
|
* |
* |
$558,023 |
2,289 |
$1,498 |
27 |
$4,664 |
83 |
$4,301 |
35 |
$155,935 |
813 |
$52,458 |
433 |
$12,292 |
162 |
$26,090 |
331 |
$13,071 |
69 |
$1,055 |
11 |
* |
* |
$2,733 |
18 |
$198,543 |
1,158 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$2,716,799 |
16,610 |
* |
* |
$481 |
30 |
$3,884 |
59 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$1,482 |
34 |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$2,869 |
41 |
* |
* |
* |
* |
$200,359 |
825 |
* |
* |
* |
* |
$16,303 |
22 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$40,106 |
748 |
$11,141 |
678 |
$2,306 |
99 |
$8,536 |
768 |
|
5609 - Intestinal obstruct NOS |
5609 |
$2,539,155 |
33,670 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,960 |
46 |
$3,996 |
88 |
* |
* |
$1,173 |
19 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$705 |
17 |
$619 |
12 |
* |
* |
* |
* |
$16,379 |
116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$4,028 |
74 |
$4,383 |
68 |
$2,526 |
31 |
$13,926 |
134 |
$1,889 |
24 |
$849,013 |
12,219 |
$1,408,227 |
19,044 |
$73,944 |
667 |
$2,162 |
25 |
* |
* |
$36,597 |
184 |
* |
* |
$111,995 |
687 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$1,193 |
113 |
$3,014 |
85 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$1,428 |
17 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
71906 - Joint effusion-l/leg |
71906 |
$4,083,172 |
33,484 |
$598 |
18 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$1,335 |
11 |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
$2,745 |
19 |
* |
* |
$1,224 |
21 |
* |
* |
* |
* |
* |
* |
$21,637 |
192 |
* |
* |
* |
* |
$250,470 |
4,126 |
$14,913 |
243 |
$2,373 |
27 |
$88,627 |
484 |
$28,539 |
153 |
$3,550,302 |
27,080 |
$9,129 |
55 |
$82,357 |
439 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$1,245 |
11 |
|
|
$2,418 |
194 |
$9,032 |
187 |
|
|
|
|
$1,951 |
28 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$348 |
12 |
$1,504 |
26 |
$8,114 |
107 |
$3,371 |
28 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$940 |
23 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
20300 - Mult mye w/o achv rmson |
20300 |
$6,177,826 |
33,464 |
$20,774 |
501 |
$2,839 |
33 |
$6,235 |
80 |
* |
* |
$15,766 |
285 |
$1,637 |
24 |
$10,679 |
151 |
$12,281 |
157 |
* |
* |
* |
* |
* |
* |
$4,379 |
113 |
$46,924 |
520 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$17,945 |
254 |
* |
* |
$80,292 |
634 |
$84,757 |
1,325 |
$66,936 |
943 |
$3,133 |
34 |
$7,334 |
73 |
$41,200 |
931 |
$2,830 |
12 |
* |
* |
$10,895 |
192 |
$1,291 |
20 |
$15,284 |
294 |
$2,176 |
33 |
$14,395 |
321 |
$2,186 |
30 |
* |
* |
$75,259 |
1,396 |
* |
* |
$101,211 |
1,669 |
$119,309 |
1,713 |
$1,433 |
17 |
$83,055 |
746 |
$163,812 |
1,260 |
$195,003 |
1,520 |
$13,177 |
234 |
$2,223 |
29 |
* |
* |
$90,175 |
1,402 |
$79,189 |
537 |
$5,515 |
74 |
* |
* |
$65,324 |
847 |
$6,601 |
32 |
$7,313 |
79 |
* |
* |
$5,338 |
38 |
$10,317 |
138 |
$1,363 |
17 |
* |
* |
$16,811 |
96 |
$17,706 |
84 |
$11,832 |
114 |
* |
* |
$18,811 |
94 |
* |
* |
$4,264 |
67 |
$5,480 |
61 |
$2,608 |
18 |
* |
* |
* |
* |
$64,069 |
711 |
$95,668 |
816 |
$15,918 |
100 |
$3,831 |
31 |
|
|
$12,210 |
64 |
|
|
* |
* |
$3,025 |
25 |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$1,222 |
86 |
$2,787 |
57 |
$719 |
13 |
* |
* |
$63,355 |
1,314 |
|
|
$147,948 |
2,314 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$512 |
11 |
* |
* |
* |
* |
* |
* |
|
|
$507 |
22 |
$36,006 |
585 |
$1,466 |
14 |
$1,054 |
22 |
|
|
$842 |
13 |
|
|
$4,768 |
97 |
|
|
* |
* |
$2,312 |
35 |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$12,811 |
55 |
$1,626,421 |
3,354 |
$2,505,074 |
4,483 |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
59972 - Microscopic hematuria |
59972 |
$5,349,919 |
33,239 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$980 |
15 |
$1,859 |
25 |
$1,623 |
13 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$2,132 |
27 |
* |
* |
$4,002 |
33 |
$3,708 |
23 |
$20,298 |
114 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$9,297 |
112 |
$3,435 |
32 |
$36,475 |
272 |
$11,246 |
51 |
* |
* |
$866,165 |
7,382 |
$135,831 |
1,102 |
$4,106,448 |
21,208 |
$4,891 |
41 |
|
|
$46,460 |
199 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
$16,760 |
1,084 |
$71,253 |
1,405 |
* |
* |
|
|
$901 |
20 |
|
|
$1,040 |
11 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,014 |
13 |
$4,104 |
57 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
7851 - Palpitations |
7851 |
$2,522,983 |
32,824 |
$6,248 |
182 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
$2,478 |
14 |
$5,000 |
93 |
$15,999 |
332 |
$2,477 |
30 |
$51,945 |
631 |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$1,176 |
15 |
$1,657 |
23 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
$7,636 |
64 |
* |
* |
$1,046 |
37 |
* |
* |
$10,929 |
67 |
* |
* |
|
|
$3,810 |
161 |
$1,364 |
22 |
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,823 |
25 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$17,649 |
149 |
$1,606,261 |
6,459 |
$1,667 |
28 |
$1,901 |
18 |
$72,338 |
129 |
* |
* |
$5,200 |
124 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$492,454 |
9,123 |
$107,380 |
6,612 |
$21,594 |
882 |
$82,952 |
7,604 |
|
72251 - Thoracic disc degen |
72251 |
$3,353,172 |
32,734 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$4,129 |
73 |
$2,968 |
43 |
* |
* |
$1,801 |
23 |
* |
* |
* |
* |
* |
* |
$3,372 |
62 |
* |
* |
$366,069 |
6,620 |
$65,710 |
1,014 |
$21,453 |
429 |
$4,808 |
81 |
* |
* |
$9,801 |
103 |
* |
* |
$2,025,523 |
18,151 |
$98,510 |
1,015 |
* |
* |
$6,061 |
46 |
$689,950 |
4,302 |
$19,639 |
152 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
$1,463 |
20 |
$1,641 |
18 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,495 |
130 |
$7,080 |
125 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$790 |
19 |
$12,816 |
200 |
$1,963 |
24 |
$5,130 |
84 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
78701 - Nausea with vomiting |
78701 |
$2,189,637 |
32,564 |
$81,667 |
2,572 |
$1,416 |
26 |
$8,353 |
121 |
* |
* |
* |
* |
* |
* |
* |
* |
$1,311 |
23 |
|
|
$1,924 |
28 |
$1,082 |
18 |
|
|
* |
* |
$2,403 |
33 |
* |
* |
* |
* |
* |
* |
* |
* |
$10,673 |
137 |
* |
* |
$23,401 |
184 |
$4,880 |
120 |
$12,504 |
266 |
$1,054 |
18 |
$5,466 |
76 |
|
|
|
|
|
|
$1,567 |
38 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$519 |
11 |
* |
* |
|
|
* |
* |
$4,553 |
34 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$13,665 |
231 |
$17,887 |
242 |
$11,743 |
102 |
$8,524 |
78 |
$2,893 |
31 |
$598,521 |
8,672 |
$733,109 |
9,364 |
$88,355 |
702 |
$16,917 |
161 |
|
|
$28,895 |
158 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
$943 |
90 |
$1,670 |
43 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$32,230 |
618 |
$93,952 |
1,342 |
$374,891 |
6,937 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$1,361 |
17 |
|
|
|
|
* |
* |
* |
* |
$510 |
14 |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$427 |
26 |
|
|
$370 |
31 |
|
7823 - Edema |
7823 |
$3,916,853 |
32,178 |
$18,296 |
571 |
* |
* |
$1,194 |
18 |
$3,278 |
54 |
$17,714 |
356 |
$6,315 |
133 |
$7,635 |
132 |
$25,867 |
431 |
$2,100 |
25 |
* |
* |
$827 |
14 |
$2,445 |
18 |
$13,263 |
78 |
* |
* |
|
|
|
|
* |
* |
|
|
$2,629 |
35 |
* |
* |
$13,489 |
104 |
$12,394 |
196 |
$19,069 |
321 |
* |
* |
$19,819 |
203 |
$4,638 |
22 |
$7,828 |
33 |
* |
* |
$3,338 |
85 |
* |
* |
* |
* |
* |
* |
$1,326 |
33 |
* |
* |
|
|
$8,827 |
109 |
* |
* |
$12,206 |
124 |
$30,188 |
285 |
* |
* |
$5,398 |
47 |
$8,987 |
66 |
$16,312 |
125 |
$12,412 |
242 |
$16,360 |
247 |
$2,778 |
29 |
$100,286 |
711 |
$56,462 |
315 |
$15,097 |
273 |
$6,256 |
117 |
$97,914 |
599 |
$48,146 |
238 |
$155,663 |
1,313 |
$7,462 |
49 |
$25,581 |
152 |
$103,205 |
1,796 |
$36,828 |
661 |
$12,832 |
108 |
$1,129,182 |
6,746 |
$427,137 |
2,293 |
$711,158 |
5,800 |
$9,149 |
51 |
$90,642 |
539 |
$3,112 |
20 |
$4,219 |
65 |
$4,176 |
61 |
$1,936 |
24 |
$28,793 |
160 |
$1,637 |
14 |
$113,036 |
1,405 |
$192,136 |
1,953 |
$31,815 |
198 |
$2,656 |
32 |
* |
* |
$5,015 |
33 |
$3,002 |
21 |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$39,349 |
262 |
* |
* |
$2,955 |
205 |
$4,068 |
103 |
* |
* |
|
|
$1,597 |
28 |
|
|
* |
* |
$5,028 |
19 |
* |
* |
|
|
* |
* |
|
|
|
|
$6,940 |
70 |
|
|
* |
* |
* |
* |
|
|
$410 |
12 |
$1,714 |
41 |
$7,431 |
116 |
* |
* |
* |
* |
$92,832 |
370 |
|
|
* |
* |
* |
* |
* |
* |
$5,976 |
96 |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
$542 |
19 |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
$17,940 |
342 |
$4,443 |
269 |
$609 |
27 |
$3,552 |
316 |
|
8054 - Fx lumbar vertebra-close |
8054 |
$2,289,905 |
32,030 |
$3,713 |
134 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$2,935 |
79 |
$6,587 |
167 |
* |
* |
$1,057 |
15 |
* |
* |
|
|
|
|
$6,073 |
152 |
* |
* |
$24,411 |
628 |
$2,806 |
64 |
$542,285 |
13,469 |
$26,566 |
544 |
$5,174 |
59 |
$1,818 |
25 |
* |
* |
$35,551 |
406 |
$1,189,644 |
11,289 |
$5,154 |
48 |
$1,743 |
15 |
$7,018 |
61 |
$218,829 |
1,475 |
$10,626 |
238 |
* |
* |
* |
* |
$10,459 |
68 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$900 |
22 |
|
|
|
|
* |
* |
|
|
$1,258 |
14 |
|
|
* |
* |
|
|
* |
* |
$1,361 |
19 |
* |
* |
$1,468 |
14 |
* |
* |
$29,892 |
437 |
$63,599 |
886 |
$2,280 |
26 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$2,054 |
164 |
$10,340 |
228 |
$1,033 |
23 |
|
|
$1,444 |
23 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,780 |
94 |
$55,199 |
911 |
$5,452 |
92 |
$7,396 |
141 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
78199 - Nerve/musculskel sym NEC |
78199 |
$1,706,324 |
31,921 |
$627,410 |
19,716 |
$2,880 |
75 |
$16,566 |
260 |
* |
* |
$1,053 |
13 |
* |
* |
$662 |
11 |
$2,776 |
37 |
* |
* |
$74,913 |
1,107 |
$47,936 |
893 |
$1,147 |
11 |
$1,780 |
15 |
$214,832 |
2,311 |
$17,197 |
106 |
$38,815 |
492 |
$11,482 |
188 |
$78,497 |
709 |
$241,251 |
3,079 |
$2,616 |
30 |
$250,501 |
1,866 |
$941 |
14 |
$853 |
13 |
* |
* |
$985 |
12 |
* |
* |
* |
* |
|
|
$6,826 |
162 |
$502 |
11 |
$735 |
20 |
* |
* |
$2,039 |
45 |
* |
* |
|
|
$12,202 |
156 |
* |
* |
$5,318 |
79 |
$7,495 |
86 |
* |
* |
$10,135 |
73 |
$8,439 |
65 |
$7,270 |
53 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$1,385 |
11 |
* |
* |
* |
* |
$662 |
12 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$767 |
11 |
$1,492 |
14 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$477 |
44 |
* |
* |
|
|
|
|
$890 |
19 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$2,007 |
59 |
$777 |
20 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
$1,816 |
23 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
8020 - Nasal bone fx-closed |
8020 |
$1,278,725 |
31,825 |
$172,790 |
6,501 |
$380 |
11 |
* |
* |
$25,734 |
482 |
$1,047,322 |
23,773 |
$3,614 |
80 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
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* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$16,099 |
483 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
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* |
* |
* |
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* |
* |
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* |
* |
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* |
* |
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* |
* |
* |
* |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,047 |
218 |
$10,740 |
277 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4148 - Chr ischemic hrt dis NEC |
4148 |
$4,793,012 |
31,755 |
$891 |
22 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$2,222 |
37 |
$887 |
14 |
* |
* |
$1,428 |
15 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
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|
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|
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* |
* |
|
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* |
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* |
* |
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* |
* |
* |
* |
* |
* |
|
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* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
$24,336 |
188 |
$696 |
43 |
* |
* |
$1,112 |
13 |
$23,234 |
104 |
* |
* |
|
|
$530 |
30 |
$1,988 |
35 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
$13,111 |
111 |
$2,911,800 |
11,815 |
$3,863 |
66 |
$91,192 |
830 |
$1,167,592 |
1,159 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$400,172 |
7,571 |
$65,750 |
3,976 |
$30,146 |
1,014 |
$52,063 |
4,712 |
|
8404 - Sprain rotator cuff |
8404 |
$3,990,493 |
31,194 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
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* |
* |
|
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* |
* |
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* |
* |
* |
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|
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* |
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* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
$2,364 |
32 |
|
|
* |
* |
$1,413 |
15 |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$56,551 |
788 |
$73,332 |
829 |
$24,068 |
164 |
$6,555 |
39 |
$3,470,902 |
27,002 |
$260,784 |
1,672 |
$75,341 |
362 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$9,417 |
92 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,131 |
68 |
$3,372 |
73 |
|
|
|
|
$5,264 |
58 |
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
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|
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* |
* |
* |
* |
* |
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* |
* |
* |
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|
|
|
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|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
4940 - Bronchiectas w/o ac exac |
4940 |
$2,182,029 |
31,029 |
* |
* |
* |
* |
|
|
|
|
$5,364 |
55 |
|
|
* |
* |
$1,349 |
14 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
$1,527,329 |
22,205 |
$417,364 |
5,589 |
$62,202 |
544 |
$100,417 |
1,087 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
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* |
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* |
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* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$940 |
13 |
$753 |
13 |
* |
* |
* |
* |
* |
* |
$7,575 |
94 |
$18,768 |
148 |
$4,045 |
24 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
$15,160 |
954 |
$14,438 |
244 |
$1,452 |
23 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
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* |
* |
|
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|
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* |
* |
|
|
|
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* |
* |
|
|
$468 |
11 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$4,406 |
11 |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
5772 - Pancreat cyst/pseudocyst |
5772 |
$4,655,815 |
30,549 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$5,302 |
72 |
$18,419 |
299 |
$2,087 |
22 |
$3,030 |
37 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$4,339 |
104 |
* |
* |
$5,669 |
41 |
$34,480 |
232 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$33,161 |
492 |
$156,171 |
1,889 |
$238,951 |
2,111 |
$12,574 |
84 |
$33,594 |
382 |
$88,170 |
997 |
$459,606 |
4,376 |
$291,812 |
1,914 |
$428,749 |
3,063 |
$37,405 |
188 |
$2,746,705 |
12,229 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
$21,382 |
1,535 |
$17,340 |
411 |
$482 |
11 |
|
|
$1,683 |
36 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
$14,704 |
24 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
1744 - Mal neo breast up-outer |
1744 |
$5,112,451 |
30,221 |
$1,087 |
17 |
$1,780 |
22 |
$9,911 |
93 |
* |
* |
* |
* |
* |
* |
$3,044 |
39 |
$13,743 |
132 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$29,335 |
163 |
$43,221 |
508 |
$163,471 |
1,771 |
$10,746 |
74 |
$2,784 |
14 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$1,498 |
12 |
$3,952 |
23 |
$2,965 |
22 |
* |
* |
* |
* |
* |
* |
|
|
$2,998 |
16 |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$4,685 |
75 |
$18,264 |
198 |
$10,059 |
58 |
|
|
* |
* |
$33,973 |
325 |
$168,554 |
1,044 |
$59,295 |
247 |
* |
* |
|
|
$4,486 |
20 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$651 |
49 |
$11,025 |
155 |
$1,625 |
35 |
* |
* |
$1,529 |
23 |
|
|
$1,614,612 |
19,926 |
$232,477 |
1,003 |
|
|
|
|
* |
* |
|
|
|
|
$36,325 |
469 |
|
|
|
|
|
|
* |
* |
* |
* |
$70,677 |
737 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$6,417 |
49 |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
$21,351 |
45 |
$2,316,652 |
2,633 |
$209,260 |
224 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
72211 - Thoracic disc displacmnt |
72211 |
$3,412,570 |
29,762 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$81,355 |
1,331 |
$68,131 |
1,122 |
$5,817 |
107 |
$3,185 |
50 |
* |
* |
$13,144 |
125 |
* |
* |
$2,369,846 |
21,365 |
$64,754 |
589 |
* |
* |
$7,755 |
55 |
$772,464 |
4,761 |
$21,130 |
145 |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,018 |
52 |
$3,147 |
48 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$823 |
12 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
95912 - Injury of abdomen NEC |
95912 |
$1,987,023 |
29,616 |
$616 |
24 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$5,768 |
182 |
$17,038 |
470 |
* |
* |
$2,244 |
29 |
|
|
|
|
|
|
$842 |
21 |
|
|
$1,089 |
36 |
$465 |
15 |
$1,876 |
53 |
$650 |
20 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$15,327 |
384 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$11,766 |
228 |
$15,158 |
281 |
$2,944 |
31 |
$14,506 |
172 |
$3,546 |
57 |
$584,788 |
8,645 |
$1,270,199 |
18,521 |
$29,618 |
349 |
$2,442 |
16 |
|
|
$4,601 |
21 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$411 |
32 |
$1,129 |
29 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
95911 - Injury of chest wall NEC |
95911 |
$1,140,482 |
29,473 |
$10,798 |
353 |
|
|
* |
* |
* |
* |
$912 |
20 |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$334,235 |
10,042 |
$586,192 |
15,673 |
$7,608 |
148 |
$90,737 |
1,270 |
$6,434 |
32 |
* |
* |
|
|
$5,653 |
153 |
* |
* |
$9,246 |
320 |
$813 |
21 |
$2,375 |
70 |
* |
* |
|
|
|
|
|
|
$631 |
11 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$900 |
19 |
$1,164 |
18 |
* |
* |
$1,129 |
12 |
* |
* |
$20,859 |
300 |
$51,988 |
758 |
$1,873 |
18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,036 |
125 |
$932 |
24 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$2,820 |
55 |
$1,177 |
14 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$965 |
17 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
4730 - Chr maxillary sinusitis |
4730 |
$2,717,634 |
29,340 |
$84,259 |
2,586 |
$1,371 |
18 |
$9,321 |
144 |
$19,325 |
222 |
$2,247,995 |
23,016 |
$17,685 |
259 |
$7,893 |
125 |
$25,971 |
340 |
$5,083 |
40 |
$4,488 |
48 |
$3,796 |
36 |
$9,863 |
51 |
$28,033 |
126 |
$1,279 |
12 |
* |
* |
|
|
|
|
* |
* |
$54,478 |
517 |
* |
* |
$87,408 |
537 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$710 |
20 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$6,950 |
328 |
$7,779 |
128 |
$27,846 |
362 |
$66,101 |
425 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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* |
* |
|
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* |
* |
|
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* |
* |
|
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|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
4400 - Aortic atherosclerosis |
4400 |
$2,876,795 |
28,877 |
$1,267 |
40 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$1,394 |
17 |
$3,763 |
44 |
* |
* |
$6,768 |
77 |
$24,095 |
223 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$201,251 |
3,074 |
$167,679 |
2,674 |
$37,524 |
462 |
$389,991 |
4,609 |
$2,678 |
17 |
* |
* |
$5,058 |
35 |
* |
* |
|
|
* |
* |
* |
* |
$1,459 |
26 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
$2,951 |
59 |
$3,068 |
44 |
$1,062 |
12 |
|
|
$1,146 |
11 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$835 |
16 |
$10,478 |
66 |
|
|
* |
* |
|
|
|
|
|
|
$13,321 |
56 |
$17,759 |
277 |
$26,616 |
402 |
$20,860 |
207 |
$555,344 |
4,695 |
$164,117 |
1,550 |
$156,111 |
1,910 |
$224,795 |
2,445 |
$119,349 |
718 |
$1,040 |
11 |
* |
* |
$11,584 |
59 |
$183,305 |
989 |
* |
* |
$3,135 |
14 |
* |
* |
$1,238 |
43 |
$3,305 |
46 |
$10,839 |
86 |
$458,529 |
3,216 |
|
|
$1,789 |
156 |
$6,277 |
119 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$25,838 |
92 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
$7,004 |
128 |
$1,265 |
73 |
* |
* |
$909 |
79 |
|
55320 - Ventral hernia NOS |
55320 |
$2,529,364 |
28,804 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$5,963 |
94 |
$7,928 |
160 |
* |
* |
$2,113 |
31 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$8,679 |
166 |
$4,157 |
70 |
$2,899 |
23 |
$5,912 |
30 |
$7,497 |
44 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$54,268 |
843 |
$50,574 |
647 |
$24,019 |
226 |
$9,804 |
101 |
$3,665 |
44 |
$831,349 |
10,487 |
$1,227,127 |
13,824 |
$245,663 |
1,642 |
$4,975 |
48 |
* |
* |
$23,583 |
115 |
* |
* |
$2,731 |
21 |
|
|
|
|
|
|
|
|
|
|
$1,394 |
16 |
|
|
$1,550 |
98 |
$3,511 |
74 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
7212 - Thoracic spondylosis |
7212 |
$2,531,873 |
28,728 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$12,654 |
183 |
$8,073 |
123 |
$1,034 |
17 |
$3,567 |
44 |
* |
* |
* |
* |
|
|
$2,752 |
65 |
$1,000 |
15 |
$344,609 |
7,095 |
$58,083 |
1,003 |
$12,883 |
303 |
$3,005 |
57 |
* |
* |
$10,383 |
118 |
* |
* |
$1,444,394 |
14,644 |
$26,310 |
299 |
* |
* |
$5,761 |
57 |
$539,479 |
3,758 |
$14,337 |
114 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$2,579 |
33 |
$3,316 |
32 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$2,267 |
115 |
$6,625 |
97 |
* |
* |
|
|
$697 |
11 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$438 |
19 |
$18,017 |
370 |
$3,401 |
48 |
$6,209 |
108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
1550 - Mal neo liver, primary |
1550 |
$3,443,382 |
28,525 |
$1,713 |
45 |
$2,935 |
25 |
$2,181 |
34 |
|
|
* |
* |
|
|
* |
* |
$2,436 |
33 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$7,900 |
53 |
$83,167 |
1,522 |
$160,104 |
2,967 |
$15,752 |
153 |
$1,513 |
13 |
* |
* |
$3,893 |
25 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
$1,186 |
11 |
$2,631 |
20 |
$2,895 |
25 |
* |
* |
$5,906 |
112 |
* |
* |
$1,322 |
15 |
$37,878 |
322 |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
$24,397 |
402 |
$71,784 |
1,073 |
$255,882 |
3,024 |
$5,493 |
25 |
$20,891 |
168 |
$33,148 |
382 |
$221,366 |
2,081 |
$210,924 |
1,967 |
$31,118 |
326 |
$6,099 |
72 |
$1,314,749 |
7,906 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$3,165 |
312 |
$27,763 |
772 |
$9,503 |
240 |
$2,351 |
16 |
$15,741 |
316 |
$110,190 |
684 |
$58,621 |
1,049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$47,374 |
933 |
* |
* |
$1,315 |
27 |
|
|
* |
* |
|
|
* |
* |
|
|
$1,816 |
66 |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
$9,292 |
239 |
* |
* |
* |
* |
$6,440 |
13 |
$581,888 |
983 |
$37,249 |
57 |
* |
* |
$1,408 |
17 |
|
|
* |
* |
|
|
* |
* |
|
431 - Intracerebral hemorrhage |
431 |
$1,583,507 |
28,290 |
$763,646 |
20,403 |
$2,496 |
55 |
$19,624 |
295 |
* |
* |
$2,244 |
49 |
* |
* |
* |
* |
* |
* |
* |
* |
$80,652 |
1,127 |
$25,471 |
432 |
* |
* |
$1,697 |
11 |
$85,378 |
778 |
$9,195 |
72 |
$9,268 |
92 |
$2,055 |
32 |
$9,698 |
67 |
$177,830 |
1,836 |
$5,403 |
43 |
$380,065 |
2,749 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$6,536 |
156 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$384 |
41 |
$1,864 |
52 |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
V7283 - Oth spcf preop exam |
V7283 |
$2,258,828 |
27,938 |
$24,401 |
650 |
$3,178 |
62 |
$3,786 |
60 |
$11,419 |
157 |
$42,088 |
583 |
$1,608 |
19 |
$2,704 |
49 |
$11,501 |
151 |
$2,275 |
24 |
$11,335 |
118 |
$19,190 |
178 |
* |
* |
$6,345 |
34 |
$4,640 |
43 |
* |
* |
$1,299 |
13 |
* |
* |
* |
* |
$19,815 |
264 |
$28,461 |
372 |
$71,802 |
602 |
$105,804 |
2,001 |
$55,270 |
939 |
$8,283 |
112 |
$124,023 |
1,199 |
* |
* |
* |
* |
$1,800 |
19 |
$11,413 |
186 |
* |
* |
$7,663 |
147 |
* |
* |
$34,783 |
603 |
$1,337 |
22 |
* |
* |
$9,261 |
90 |
* |
* |
$16,882 |
158 |
$27,747 |
247 |
|
|
$1,521 |
14 |
$5,600 |
33 |
$12,352 |
80 |
$8,460 |
166 |
$1,788 |
31 |
* |
* |
$5,671 |
48 |
$23,537 |
124 |
$58,923 |
913 |
$1,639 |
20 |
* |
* |
* |
* |
$15,986 |
126 |
* |
* |
* |
* |
$130,856 |
1,980 |
$1,424 |
17 |
$7,342 |
53 |
$6,396 |
75 |
$4,349 |
27 |
$180,947 |
1,563 |
* |
* |
* |
* |
$10,463 |
31 |
$5,738 |
115 |
$6,887 |
110 |
$9,091 |
124 |
$259,719 |
1,730 |
$7,730 |
95 |
$82,687 |
1,032 |
$84,278 |
823 |
$42,164 |
362 |
$4,610 |
48 |
$1,030 |
11 |
$27,566 |
204 |
$4,205 |
20 |
* |
* |
$2,870 |
28 |
$163 |
12 |
$623 |
26 |
$18,642 |
171 |
$27,932 |
215 |
$32,603 |
263 |
|
|
$4,359 |
367 |
$12,684 |
283 |
$2,682 |
39 |
$7,375 |
71 |
* |
* |
* |
* |
$1,074 |
29 |
$57,218 |
262 |
* |
* |
* |
* |
$1,674 |
54 |
* |
* |
$704 |
11 |
$34,710 |
650 |
* |
* |
* |
* |
$3,215 |
61 |
|
|
* |
* |
$1,794 |
54 |
* |
* |
* |
* |
$5,975 |
107 |
$241,841 |
2,182 |
$4,685 |
89 |
$16,356 |
210 |
$9,816 |
44 |
$1,855 |
58 |
$4,881 |
118 |
$8,780 |
229 |
|
|
* |
* |
$1,686 |
31 |
$1,564 |
26 |
* |
* |
* |
* |
* |
* |
|
|
$11,949 |
49 |
* |
* |
|
|
* |
* |
$16,529 |
301 |
$22,040 |
1,309 |
$855 |
36 |
$16,622 |
1,476 |
|
193 - Malign neopl thyroid |
193 |
$2,939,215 |
27,555 |
$4,006 |
101 |
$4,066 |
89 |
$5,207 |
88 |
* |
* |
$1,325 |
17 |
$3,325 |
31 |
$40,637 |
592 |
$171,727 |
2,529 |
$18,655 |
166 |
* |
* |
* |
* |
$3,212 |
31 |
$58,757 |
308 |
* |
* |
* |
* |
|
|
|
|
* |
* |
$2,315 |
27 |
* |
* |
$35,802 |
259 |
$59,426 |
1,017 |
$126,342 |
2,042 |
$10,332 |
89 |
$2,231 |
20 |
* |
* |
$5,463 |
15 |
|
|
$531 |
13 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$1,266 |
13 |
$1,277 |
11 |
|
|
$7,158 |
70 |
$8,793 |
83 |
$6,971 |
65 |
* |
* |
* |
* |
* |
* |
$1,333 |
11 |
$4,988 |
35 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
$1,478 |
26 |
$8,961 |
162 |
$5,004 |
51 |
|
|
* |
* |
$22,993 |
251 |
$98,563 |
895 |
$22,277 |
118 |
* |
* |
* |
* |
$9,093 |
69 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$1,253 |
91 |
$4,979 |
75 |
* |
* |
|
|
$993 |
21 |
* |
* |
$198,030 |
3,490 |
* |
* |
$6,802 |
197 |
$364,521 |
7,022 |
$1,227 |
19 |
$1,719 |
20 |
$820 |
12 |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$24,874 |
507 |
* |
* |
$1,190 |
25 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
$26,363 |
432 |
* |
* |
$609 |
11 |
$17,783 |
40 |
$1,192,178 |
2,623 |
$95,633 |
206 |
$241,575 |
3,411 |
$5,150 |
59 |
|
|
|
|
|
|
|
|
|
1919 - Malig neo brain NOS |
1919 |
$2,992,572 |
27,387 |
$37,715 |
1,054 |
$5,569 |
107 |
$29,164 |
441 |
* |
* |
* |
* |
* |
* |
* |
* |
$2,465 |
35 |
* |
* |
$2,201 |
24 |
* |
* |
* |
* |
$6,772 |
48 |
$9,241 |
101 |
$2,246 |
15 |
* |
* |
* |
* |
$1,822 |
17 |
$48,297 |
543 |
$37,493 |
399 |
$2,217,944 |
17,110 |
$2,101 |
41 |
$11,154 |
184 |
$1,003 |
12 |
* |
* |
|
|
|
|
|
|
$425 |
11 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$1,398 |
19 |
* |
* |
$1,259 |
17 |
$1,110 |
14 |
* |
* |
$19,148 |
171 |
$17,633 |
158 |
$15,446 |
143 |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$617 |
11 |
* |
* |
|
|
|
|
$1,798 |
23 |
$16,621 |
144 |
$3,023 |
25 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,428 |
88 |
$8,182 |
214 |
* |
* |
$1,316 |
20 |
* |
* |
|
|
$313,999 |
5,799 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$2,847 |
52 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$875 |
20 |
$65,599 |
121 |
|
|
|
|
|
|
|
|
|
|
* |
* |
$87,748 |
174 |
$16,914 |
32 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
73730 - Idiopathic scoliosis |
73730 |
$2,894,100 |
27,206 |
$399 |
13 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$3,795 |
68 |
$3,858 |
62 |
* |
* |
$1,607 |
17 |
* |
* |
* |
* |
* |
* |
$29,242 |
570 |
$3,540 |
47 |
$85,821 |
1,593 |
$17,344 |
260 |
$219,551 |
3,942 |
$38,384 |
565 |
$3,250 |
42 |
$76,150 |
667 |
* |
* |
$268,853 |
2,492 |
$1,649,125 |
13,067 |
$3,773 |
29 |
$15,309 |
106 |
$75,633 |
461 |
$306,361 |
1,702 |
$1,130 |
20 |
* |
* |
* |
* |
$6,365 |
40 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
$2,955 |
19 |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$7,610 |
92 |
$9,966 |
109 |
$4,292 |
23 |
* |
* |
|
|
$3,122 |
14 |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
$5,628 |
261 |
$7,601 |
138 |
* |
* |
* |
* |
$792 |
13 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,416 |
40 |
$29,916 |
560 |
$4,027 |
52 |
$7,285 |
122 |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
5768 - Dis of biliary tract NEC |
5768 |
$2,714,509 |
26,765 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$557 |
11 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$1,185 |
28 |
$10,813 |
209 |
* |
* |
$2,658 |
32 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$1,275 |
24 |
* |
* |
* |
* |
$7,390 |
62 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$14,801 |
221 |
$60,762 |
834 |
$66,063 |
608 |
$14,149 |
140 |
$6,892 |
79 |
$186,461 |
2,522 |
$942,749 |
11,253 |
$190,100 |
1,333 |
$465,718 |
4,045 |
$13,035 |
67 |
$678,140 |
3,325 |
$1,398 |
13 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$15,558 |
1,276 |
$10,694 |
245 |
* |
* |
|
|
$730 |
15 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$10,017 |
223 |
$13,361 |
200 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
1950 - Mal neo head/face/neck |
1950 |
$5,395,132 |
26,703 |
$7,365 |
205 |
$10,909 |
222 |
$17,632 |
306 |
$757 |
12 |
$6,406 |
103 |
$9,010 |
124 |
$34,822 |
500 |
$320,715 |
4,314 |
$28,716 |
252 |
$1,743 |
11 |
$3,562 |
32 |
$7,332 |
55 |
$105,777 |
562 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$2,730 |
33 |
* |
* |
$55,584 |
408 |
$40,487 |
680 |
$213,676 |
3,174 |
$14,167 |
111 |
$1,715 |
18 |
|
|
* |
* |
|
|
$678 |
13 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$980 |
14 |
* |
* |
* |
* |
* |
* |
|
|
$6,688 |
43 |
$2,673 |
20 |
$2,693 |
19 |
* |
* |
* |
* |
* |
* |
* |
* |
$2,968 |
21 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$1,633 |
32 |
$12,428 |
211 |
$2,851 |
29 |
|
|
* |
* |
$14,754 |
166 |
$115,132 |
964 |
$27,967 |
133 |
* |
* |
* |
* |
$3,310 |
20 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$888 |
76 |
$2,062 |
35 |
$424 |
12 |
* |
* |
$1,599 |
34 |
* |
* |
$378,421 |
5,846 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$987 |
21 |
|
|
|
|
|
|
|
|
|
|
$6,007 |
110 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$31,445 |
85 |
$3,713,715 |
7,365 |
$181,727 |
312 |
|
|
|
|
|
|
|
|
|
|
|
|
|
29420 - Demen NOS w/o behv dstrb |
29420 |
$2,013,505 |
26,702 |
$543,493 |
13,821 |
$5,252 |
84 |
$59,930 |
848 |
* |
* |
$1,747 |
40 |
|
|
* |
* |
* |
* |
|
|
$5,061 |
53 |
$2,864 |
32 |
* |
* |
* |
* |
$20,237 |
158 |
$3,850 |
13 |
$4,645 |
34 |
* |
* |
$4,193 |
16 |
$745,717 |
7,302 |
$5,331 |
46 |
$421,299 |
2,820 |
$1,010 |
22 |
$883 |
21 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$23,580 |
597 |
|
|
* |
* |
* |
* |
$550 |
15 |
|
|
|
|
$1,470 |
20 |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
$2,782 |
39 |
$2,396 |
34 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$997 |
58 |
$7,431 |
148 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
$13,123 |
163 |
$130,401 |
303 |
|
|
|
|
|
|
|
|
|
|
|
|
$5,264 |
15 |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
8361 - Tear lat menisc knee-cur |
8361 |
$3,670,281 |
26,360 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
$3,476 |
32 |
* |
* |
* |
* |
$2,868 |
36 |
$13,242 |
122 |
* |
* |
$8,029 |
72 |
$1,874 |
15 |
$3,565,343 |
25,622 |
$17,780 |
94 |
$50,841 |
209 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,555 |
82 |
$5,273 |
76 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4240 - Mitral valve disorder |
4240 |
$2,718,211 |
26,110 |
$570 |
16 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$11,788 |
237 |
$5,476 |
81 |
$1,863 |
24 |
$26,723 |
315 |
* |
* |
* |
* |
$2,257 |
29 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
$26,509 |
193 |
* |
* |
$4,033 |
55 |
$1,623 |
16 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
$89,642 |
640 |
$7,468 |
492 |
$491 |
15 |
$3,579 |
41 |
$16,605 |
116 |
$2,490 |
26 |
|
|
$12,337 |
945 |
$80,243 |
1,427 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$17,208 |
103 |
$1,902,942 |
6,543 |
* |
* |
$11,540 |
87 |
$45,014 |
51 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$329,634 |
6,202 |
$57,564 |
3,460 |
$9,983 |
438 |
$50,629 |
4,558 |
|
56989 - Intestinal disorders NEC |
56989 |
$2,189,535 |
26,097 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,203 |
35 |
$12,537 |
214 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,290 |
59 |
$3,061 |
44 |
* |
* |
$3,200 |
24 |
$27,544 |
181 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$7,774 |
134 |
$10,236 |
154 |
$8,855 |
83 |
$11,687 |
122 |
$1,726 |
28 |
$621,088 |
8,543 |
$1,209,342 |
14,558 |
$169,714 |
1,153 |
$2,962 |
30 |
* |
* |
$39,209 |
226 |
* |
* |
$38,349 |
292 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$1,077 |
92 |
$2,281 |
43 |
* |
* |
|
|
$1,709 |
36 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$1,431 |
27 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$10,261 |
19 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4254 - Prim cardiomyopathy NEC |
4254 |
$2,599,732 |
26,073 |
$1,179 |
35 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
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|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$9,713 |
170 |
$4,296 |
66 |
* |
* |
$6,663 |
70 |
* |
* |
* |
* |
$1,543 |
24 |
* |
* |
|
|
|
|
|
|
|
|
|
|
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* |
* |
|
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* |
* |
* |
* |
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* |
* |
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* |
* |
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* |
* |
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* |
* |
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* |
* |
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|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$2,367 |
33 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
$165,774 |
1,107 |
$4,704 |
227 |
* |
* |
$1,023 |
13 |
$17,162 |
117 |
* |
* |
|
|
$4,447 |
233 |
$10,937 |
180 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
$30,792 |
184 |
$1,516,712 |
7,064 |
$905 |
19 |
$373,558 |
3,406 |
$122,561 |
212 |
* |
* |
$716 |
17 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$198,831 |
3,860 |
$65,865 |
3,990 |
$8,161 |
365 |
$51,824 |
4,681 |
|
5778 - Pancreatic disease NEC |
5778 |
$2,997,337 |
25,948 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
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* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$8,665 |
140 |
$23,309 |
445 |
$2,358 |
27 |
$3,789 |
50 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$4,620 |
117 |
* |
* |
$2,535 |
23 |
$15,741 |
114 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$27,925 |
429 |
$101,047 |
1,304 |
$161,739 |
1,597 |
$15,530 |
136 |
$19,769 |
219 |
$253,885 |
3,218 |
$723,734 |
7,722 |
$319,316 |
2,135 |
$206,950 |
1,706 |
$10,605 |
67 |
$1,019,547 |
4,982 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,870 |
15 |
|
|
$11,173 |
822 |
$11,188 |
259 |
$452 |
12 |
|
|
$14,537 |
313 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
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* |
* |
|
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* |
* |
|
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* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$968 |
19 |
* |
* |
* |
* |
* |
* |
$36,084 |
77 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
4111 - Intermed coronary synd |
4111 |
$3,554,301 |
25,665 |
$2,163 |
66 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,136 |
28 |
$2,111 |
44 |
* |
* |
$3,899 |
50 |
|
|
|
|
|
|
$504 |
12 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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* |
* |
|
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* |
* |
|
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* |
* |
|
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|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$763 |
11 |
$858 |
11 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
$9,707 |
93 |
$4,959 |
51 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
$7,749 |
56 |
$2,926,627 |
10,329 |
$1,201 |
24 |
$1,933 |
17 |
$121,712 |
148 |
* |
* |
$630 |
16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$356,897 |
6,799 |
$59,273 |
3,552 |
$8,173 |
379 |
$44,007 |
3,979 |
|
7813 - Lack of coordination |
7813 |
$2,227,076 |
25,547 |
$348,471 |
9,154 |
$5,212 |
85 |
$47,928 |
640 |
$1,964 |
22 |
$590 |
11 |
|
|
* |
* |
* |
* |
* |
* |
$27,110 |
350 |
$18,459 |
279 |
* |
* |
$1,849 |
17 |
$76,087 |
784 |
$4,972 |
26 |
$17,545 |
172 |
$5,402 |
66 |
$30,257 |
197 |
$780,255 |
7,502 |
$5,087 |
53 |
$717,908 |
4,749 |
* |
* |
$721 |
16 |
|
|
* |
* |
|
|
|
|
|
|
$6,413 |
114 |
* |
* |
* |
* |
* |
* |
$1,529 |
30 |
* |
* |
|
|
$46,965 |
489 |
* |
* |
$19,306 |
202 |
$13,520 |
142 |
|
|
$20,772 |
154 |
$12,595 |
97 |
$5,094 |
41 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
$1,589 |
15 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$766 |
50 |
$762 |
16 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$772 |
14 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$7,177 |
60 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
20410 - Ch lym leuk wo achv rmsn |
20410 |
$3,562,256 |
24,945 |
$2,706 |
61 |
$1,826 |
30 |
$3,233 |
44 |
* |
* |
$3,890 |
64 |
$2,204 |
28 |
$33,187 |
482 |
$194,729 |
2,926 |
$10,157 |
93 |
|
|
|
|
* |
* |
$5,448 |
27 |
* |
* |
|
|
|
|
|
|
* |
* |
$1,287 |
14 |
* |
* |
$13,002 |
87 |
$111,697 |
1,605 |
$460,617 |
7,083 |
$23,644 |
238 |
$2,443 |
24 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
$1,628 |
12 |
$2,999 |
22 |
$2,961 |
22 |
* |
* |
* |
* |
* |
* |
* |
* |
$5,722 |
30 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$4,095 |
56 |
$12,939 |
144 |
$7,995 |
59 |
* |
* |
|
|
$137,149 |
1,471 |
$884,999 |
6,595 |
$168,994 |
791 |
* |
* |
|
|
$9,526 |
47 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$2,488 |
167 |
$3,443 |
49 |
* |
* |
|
|
$11,650 |
234 |
|
|
$19,384 |
257 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$3,693 |
52 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$28,155 |
50 |
$1,268,011 |
1,924 |
$116,352 |
157 |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
4011 - Benign hypertension |
4011 |
$2,489,448 |
24,403 |
$8,378 |
185 |
* |
* |
$1,690 |
22 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$3,563 |
18 |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$4,708 |
47 |
|
|
$8,337 |
42 |
$6,793 |
88 |
$3,698 |
50 |
$1,571 |
11 |
$11,025 |
119 |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$920 |
14 |
* |
* |
$1,500 |
14 |
$21,927 |
149 |
$37,306 |
204 |
$4,683 |
49 |
$4,020 |
33 |
$5,095 |
21 |
* |
* |
|
|
$6,344 |
23 |
$62,364 |
291 |
|
|
$2,439 |
17 |
* |
* |
$10,671 |
313 |
* |
* |
$6,712 |
38 |
$3,450 |
21 |
|
|
$759 |
41 |
$2,006 |
30 |
* |
* |
|
|
|
|
|
|
$4,838 |
48 |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
$14,704 |
73 |
$1,519,799 |
5,044 |
* |
* |
$3,439 |
20 |
$114,135 |
138 |
* |
* |
$665 |
11 |
|
|
* |
* |
|
|
$2,216 |
28 |
$2,045 |
27 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$500,981 |
9,631 |
$53,041 |
3,255 |
$12,682 |
536 |
$40,944 |
3,752 |
|
1991 - Malignant neoplasm NOS |
1991 |
$4,630,343 |
24,126 |
$12,478 |
356 |
$5,538 |
104 |
$21,484 |
337 |
$763 |
11 |
$4,250 |
75 |
$1,369 |
25 |
$8,879 |
119 |
$57,108 |
758 |
$3,523 |
34 |
* |
* |
* |
* |
* |
* |
$14,061 |
97 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$8,142 |
97 |
$3,982 |
47 |
$136,757 |
1,052 |
$91,006 |
1,394 |
$293,555 |
4,511 |
$18,457 |
183 |
$9,303 |
107 |
* |
* |
$8,366 |
23 |
|
|
$1,176 |
26 |
* |
* |
$1,780 |
36 |
* |
* |
$2,095 |
47 |
$886 |
11 |
* |
* |
$2,049 |
28 |
* |
* |
$3,149 |
45 |
$4,593 |
54 |
* |
* |
$7,575 |
80 |
$16,621 |
145 |
$15,710 |
129 |
$2,389 |
38 |
$2,019 |
34 |
* |
* |
$2,997 |
30 |
$30,739 |
174 |
$1,014 |
12 |
* |
* |
* |
* |
$1,727 |
11 |
* |
* |
|
|
* |
* |
$1,656 |
23 |
* |
* |
|
|
* |
* |
$3,939 |
24 |
$1,549 |
17 |
* |
* |
$1,777 |
13 |
|
|
$4,421 |
72 |
$18,262 |
235 |
$9,311 |
84 |
$2,099 |
19 |
* |
* |
$66,564 |
757 |
$445,178 |
3,708 |
$105,430 |
644 |
$2,534 |
30 |
* |
* |
$28,324 |
164 |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$1,035 |
22 |
$1,654 |
148 |
$2,008 |
45 |
* |
* |
* |
* |
$8,275 |
165 |
* |
* |
$76,851 |
1,427 |
$10,248 |
47 |
|
|
$456 |
14 |
* |
* |
* |
* |
|
|
$1,221 |
27 |
|
|
|
|
* |
* |
|
|
* |
* |
$51,725 |
1,037 |
$1,976 |
19 |
$1,439 |
23 |
|
|
|
|
|
|
$1,678 |
30 |
* |
* |
* |
* |
$2,609 |
25 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$2,536 |
46 |
* |
* |
* |
* |
$12,775 |
40 |
$2,758,396 |
4,625 |
$208,878 |
366 |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
78194 - Facial weakness |
78194 |
$1,148,761 |
24,078 |
$525,855 |
16,525 |
$2,423 |
51 |
$17,854 |
273 |
$1,611 |
21 |
$3,521 |
68 |
$758 |
15 |
* |
* |
$1,088 |
18 |
* |
* |
$59,775 |
891 |
$37,908 |
708 |
* |
* |
$8,885 |
59 |
$36,387 |
572 |
$4,360 |
35 |
$7,049 |
138 |
$2,890 |
61 |
$12,397 |
142 |
$206,504 |
2,776 |
$3,310 |
28 |
$213,142 |
1,617 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$1,399 |
35 |
|
|
|
|
|
|
|
|
|
|
|
|
$999 |
14 |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$222 |
20 |
$425 |
11 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
78939 - Abdmnal mass oth spcf st |
78939 |
$2,329,337 |
23,904 |
$572 |
16 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
$2,552 |
39 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$7,537 |
142 |
$38,171 |
772 |
$2,322 |
33 |
$1,597 |
17 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$3,083 |
21 |
* |
* |
$1,595 |
13 |
$21,415 |
392 |
$33,772 |
488 |
$11,739 |
107 |
$47,173 |
303 |
$217,901 |
1,153 |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
$1,286 |
25 |
$590 |
12 |
* |
* |
* |
* |
$3,078 |
15 |
$2,026 |
19 |
* |
* |
$4,100 |
22 |
* |
* |
$27,406 |
432 |
$44,325 |
604 |
$51,429 |
568 |
$11,789 |
100 |
$6,831 |
71 |
$289,936 |
3,540 |
$747,572 |
7,953 |
$285,309 |
2,002 |
$33,909 |
275 |
$2,884 |
23 |
$223,633 |
1,157 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$3,484 |
23 |
* |
* |
$1,806 |
132 |
$6,524 |
135 |
$865 |
24 |
|
|
$139,584 |
2,999 |
* |
* |
$1,184 |
35 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$2,181 |
36 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$2,564 |
66 |
|
|
* |
* |
* |
* |
$45,613 |
140 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
7810 - Abn involun movement NEC |
7810 |
$2,211,178 |
22,897 |
$274,370 |
7,171 |
$2,604 |
54 |
$41,996 |
546 |
$3,165 |
34 |
$1,600 |
20 |
* |
* |
* |
* |
$2,355 |
31 |
* |
* |
$5,951 |
67 |
$3,423 |
51 |
* |
* |
$5,153 |
25 |
$28,182 |
224 |
$3,630 |
16 |
$8,170 |
51 |
$983 |
11 |
$8,049 |
41 |
$783,591 |
6,746 |
$6,111 |
74 |
$688,517 |
4,223 |
* |
* |
$758 |
13 |
|
|
* |
* |
* |
* |
* |
* |
|
|
$4,304 |
81 |
* |
* |
$946 |
16 |
* |
* |
$783 |
18 |
* |
* |
|
|
$28,520 |
297 |
* |
* |
$10,229 |
103 |
$8,469 |
86 |
|
|
$16,625 |
116 |
$9,794 |
72 |
$3,847 |
28 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$1,094 |
14 |
$2,032 |
21 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,080 |
54 |
$1,089 |
22 |
* |
* |
$1,050 |
23 |
* |
* |
|
|
$440 |
13 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$252,270 |
2,535 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
7936 - Nonsp abn fnd-abdom area |
7936 |
$2,526,366 |
22,862 |
$417 |
15 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$10,371 |
145 |
$19,266 |
312 |
$1,392 |
18 |
$3,637 |
41 |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
$11,025 |
204 |
$11,036 |
162 |
$3,928 |
27 |
$15,937 |
98 |
$83,681 |
374 |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
$754 |
12 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$30,873 |
439 |
$55,685 |
649 |
$111,055 |
874 |
$25,281 |
203 |
$13,516 |
104 |
$280,170 |
3,325 |
$579,639 |
5,923 |
$267,396 |
1,601 |
$81,677 |
527 |
$8,320 |
34 |
$506,877 |
1,866 |
$55,168 |
349 |
* |
* |
|
|
|
|
|
|
|
|
|
|
$3,619 |
34 |
* |
* |
$40,390 |
3,729 |
$44,859 |
1,089 |
* |
* |
|
|
$4,116 |
85 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$4,891 |
70 |
$9,382 |
104 |
$2,494 |
47 |
* |
* |
* |
* |
$5,845 |
77 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$689 |
13 |
$1,024 |
14 |
|
|
* |
* |
* |
* |
$221,620 |
284 |
$10,336 |
14 |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
V1254 - Hx TIA/stroke w/o resid |
V1254 |
$1,234,923 |
22,823 |
$552,247 |
16,718 |
$3,028 |
48 |
$24,333 |
349 |
* |
* |
$684 |
13 |
* |
* |
* |
* |
* |
* |
|
|
$21,239 |
232 |
$15,093 |
172 |
* |
* |
$2,394 |
11 |
$38,696 |
312 |
$4,333 |
18 |
$9,515 |
66 |
$2,623 |
22 |
$13,796 |
89 |
$319,557 |
3,197 |
$1,913 |
17 |
$216,406 |
1,423 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$2,330 |
56 |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
$399 |
27 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$5,470 |
27 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
$719 |
13 |
* |
* |
* |
* |
$148 |
13 |
|
1410 - Mal neo tongue base |
1410 |
$2,597,287 |
22,091 |
$565 |
14 |
$2,292 |
48 |
$2,163 |
35 |
|
|
* |
* |
$2,460 |
42 |
$8,928 |
120 |
$126,996 |
1,679 |
$9,803 |
68 |
* |
* |
* |
* |
$1,026 |
14 |
$40,243 |
221 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
$4,267 |
31 |
$9,173 |
136 |
$47,887 |
664 |
$2,810 |
16 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$2,290 |
39 |
* |
* |
|
|
|
|
$3,273 |
29 |
$17,951 |
131 |
$3,908 |
20 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$202 |
17 |
$1,066 |
16 |
* |
* |
* |
* |
* |
* |
|
|
$990,538 |
16,356 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$6,218 |
42 |
$1,253,299 |
2,279 |
$59,929 |
74 |
|
|
|
|
|
|
|
|
|
|
|
|
|
436 - Cva |
436 |
$1,981,948 |
21,936 |
$333,309 |
8,958 |
$4,544 |
67 |
$26,465 |
316 |
* |
* |
$3,738 |
48 |
* |
* |
* |
* |
* |
* |
* |
* |
$84,871 |
794 |
$74,660 |
672 |
* |
* |
$3,881 |
16 |
$309,354 |
2,258 |
$15,999 |
62 |
$95,654 |
609 |
$15,177 |
177 |
$80,279 |
478 |
$476,702 |
4,363 |
$11,698 |
78 |
$380,736 |
2,306 |
$1,090 |
12 |
$774 |
11 |
|
|
$1,674 |
14 |
|
|
* |
* |
|
|
$1,671 |
34 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
$3,772 |
34 |
|
|
* |
* |
$1,604 |
13 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
$1,435 |
76 |
$1,037 |
23 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$39,807 |
136 |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
$793 |
12 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$8,135 |
149 |
$1,542 |
93 |
$270 |
11 |
$1,275 |
116 |
|
8052 - Fx dorsal vertebra-close |
8052 |
$1,541,258 |
21,574 |
$2,853 |
96 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$12,487 |
316 |
$18,342 |
400 |
$1,513 |
16 |
$5,232 |
72 |
* |
* |
|
|
|
|
$20,049 |
491 |
* |
* |
$276,473 |
6,699 |
$15,293 |
322 |
$59,691 |
1,472 |
$3,764 |
85 |
* |
* |
$5,816 |
69 |
* |
* |
$697,791 |
7,076 |
$144,851 |
1,482 |
* |
* |
$2,049 |
23 |
$135,940 |
933 |
$30,557 |
218 |
$846 |
19 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$1,486 |
17 |
* |
* |
$11,755 |
166 |
$21,733 |
297 |
$1,518 |
13 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$1,545 |
101 |
$4,987 |
106 |
$1,206 |
31 |
|
|
$966 |
19 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,865 |
87 |
$45,736 |
755 |
$4,866 |
69 |
$8,048 |
124 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
1505 - Mal neo lower 3rd esoph |
1505 |
$2,164,270 |
21,300 |
* |
* |
* |
* |
$1,143 |
13 |
|
|
|
|
|
|
$2,085 |
27 |
$5,167 |
49 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$5,353 |
30 |
$8,801 |
126 |
$66,595 |
846 |
$3,675 |
25 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,639 |
45 |
$12,870 |
168 |
$4,708 |
30 |
* |
* |
* |
* |
$7,148 |
73 |
$81,555 |
557 |
$16,261 |
72 |
* |
* |
|
|
$3,303 |
11 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$903 |
54 |
$1,146 |
17 |
* |
* |
|
|
* |
* |
|
|
$1,103,808 |
17,858 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
$8,543 |
37 |
$797,784 |
1,231 |
$30,783 |
31 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
3682 - Diplopia |
3682 |
$2,461,201 |
20,640 |
$166,314 |
4,453 |
$6,087 |
94 |
$59,245 |
788 |
$32,773 |
390 |
$5,565 |
81 |
$1,113 |
15 |
* |
* |
* |
* |
* |
* |
$45,196 |
501 |
$23,544 |
295 |
$62,787 |
375 |
$525,624 |
2,355 |
$116,639 |
971 |
$14,833 |
59 |
$18,703 |
167 |
$6,510 |
61 |
$35,026 |
210 |
$358,189 |
3,515 |
$7,624 |
64 |
$968,962 |
6,147 |
$1,216 |
14 |
$2,621 |
20 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$907 |
12 |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$588 |
35 |
$1,135 |
18 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
59389 - Renal & ureteral dis NEC |
59389 |
$2,090,151 |
20,566 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$2,887 |
45 |
$4,613 |
88 |
$1,009 |
12 |
$757 |
11 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$2,547 |
50 |
$1,547 |
23 |
$1,572 |
11 |
$4,501 |
28 |
$13,706 |
94 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$33,229 |
499 |
$24,785 |
351 |
$106,635 |
907 |
$14,591 |
111 |
$5,480 |
55 |
$660,407 |
7,959 |
$336,137 |
3,744 |
$506,947 |
3,297 |
$41,244 |
308 |
$1,874 |
16 |
$207,107 |
987 |
$3,043 |
17 |
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,137 |
12 |
* |
* |
$3,391 |
223 |
$8,201 |
172 |
$380 |
11 |
|
|
$18,142 |
399 |
$12,620 |
77 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
$1,131 |
30 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$11,100 |
168 |
$52,207 |
845 |
* |
* |
|
|
* |
* |
|
|
$7,223 |
16 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
V103 - Hx of breast malignancy |
V103 |
$3,626,729 |
20,417 |
$5,043 |
156 |
$3,384 |
60 |
$6,707 |
103 |
|
|
* |
* |
* |
* |
$2,112 |
36 |
$10,338 |
149 |
* |
* |
* |
* |
* |
* |
* |
* |
$2,639 |
20 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$7,784 |
86 |
$1,602 |
17 |
$77,058 |
489 |
$48,979 |
712 |
$148,298 |
2,256 |
$12,476 |
137 |
$7,585 |
61 |
$2,367 |
13 |
$12,396 |
48 |
|
|
$591 |
15 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$1,268 |
14 |
|
|
$2,433 |
25 |
$2,499 |
27 |
|
|
$5,042 |
34 |
$7,670 |
64 |
$7,752 |
52 |
* |
* |
* |
* |
* |
* |
$2,218 |
12 |
$8,845 |
49 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$1,859 |
31 |
$8,373 |
123 |
$4,088 |
36 |
$3,550 |
22 |
* |
* |
$21,212 |
249 |
$164,450 |
1,362 |
$39,673 |
242 |
* |
* |
* |
* |
$12,111 |
73 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
$3,904 |
318 |
$66,890 |
1,093 |
* |
* |
|
|
$3,341 |
66 |
|
|
$2,349 |
55 |
$1,880,046 |
7,866 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$11,658 |
185 |
* |
* |
|
|
* |
* |
|
|
* |
* |
$124,866 |
2,040 |
$2,904 |
30 |
$2,483 |
52 |
|
|
* |
* |
|
|
$1,856 |
46 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
$6,453 |
30 |
$824,590 |
1,759 |
$52,989 |
104 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
5589 - Noninf gastroenterit NEC |
5589 |
$1,606,940 |
20,312 |
$2,607 |
92 |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$936 |
19 |
$1,641 |
39 |
* |
* |
$1,004 |
14 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
$755 |
16 |
$1,537 |
22 |
* |
* |
* |
* |
$21,065 |
141 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$4,396 |
69 |
$5,279 |
75 |
$4,286 |
37 |
$18,538 |
162 |
$6,025 |
49 |
$440,553 |
6,189 |
$960,452 |
12,231 |
$87,523 |
682 |
$3,042 |
29 |
* |
* |
$34,875 |
183 |
$2,822 |
18 |
$1,855 |
12 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$1,057 |
93 |
$3,391 |
85 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$615 |
12 |
$2,687 |
43 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
V7189 - Observ-suspect cond NEC |
V7189 |
$1,296,506 |
20,150 |
$166,239 |
4,974 |
$3,240 |
63 |
$9,024 |
146 |
$10,075 |
128 |
$20,203 |
348 |
$2,129 |
36 |
$11,881 |
209 |
$19,826 |
323 |
$5,107 |
48 |
$19,747 |
255 |
$15,308 |
207 |
$2,588 |
28 |
$14,369 |
62 |
$23,734 |
281 |
$1,716 |
14 |
$6,532 |
83 |
$1,753 |
24 |
$5,821 |
55 |
$48,236 |
589 |
$1,785 |
16 |
$57,499 |
458 |
$63,088 |
1,079 |
$74,361 |
1,288 |
$5,411 |
84 |
$102,475 |
1,240 |
* |
* |
$2,754 |
18 |
* |
* |
$17,897 |
455 |
* |
* |
$4,413 |
115 |
* |
* |
$5,550 |
143 |
$647 |
15 |
|
|
$2,626 |
36 |
* |
* |
$5,500 |
73 |
$5,854 |
78 |
* |
* |
$4,287 |
39 |
$6,671 |
54 |
$4,993 |
43 |
$11,188 |
233 |
$6,292 |
125 |
* |
* |
$6,828 |
54 |
$11,277 |
72 |
$6,007 |
107 |
$1,255 |
21 |
$3,407 |
33 |
$2,807 |
15 |
$6,171 |
61 |
* |
* |
* |
* |
$15,769 |
301 |
$7,044 |
109 |
* |
* |
$16,520 |
123 |
$10,383 |
71 |
$17,183 |
139 |
* |
* |
$2,141 |
15 |
* |
* |
$5,956 |
99 |
$10,013 |
129 |
$10,925 |
108 |
$14,046 |
152 |
$5,458 |
67 |
$98,721 |
1,253 |
$98,200 |
1,192 |
$37,659 |
252 |
$7,377 |
76 |
|
|
$18,055 |
115 |
$2,910 |
19 |
* |
* |
$1,394 |
13 |
|
|
$273 |
11 |
* |
* |
* |
* |
$5,527 |
50 |
|
|
$429 |
42 |
$743 |
21 |
$1,233 |
30 |
|
|
$4,134 |
81 |
|
|
* |
* |
$6,175 |
28 |
$2,017 |
58 |
* |
* |
$2,604 |
47 |
$2,603 |
25 |
* |
* |
$1,185 |
20 |
$3,390 |
98 |
$3,722 |
68 |
$9,857 |
172 |
$2,136 |
55 |
$775 |
33 |
$10,054 |
221 |
$10,617 |
167 |
$1,076 |
23 |
* |
* |
$1,989 |
27 |
* |
* |
$534 |
14 |
|
|
$684 |
25 |
$20,376 |
477 |
* |
* |
$3,548 |
75 |
* |
* |
$692 |
14 |
$2,430 |
44 |
$564 |
15 |
$1,852 |
57 |
$1,603 |
44 |
|
|
$5,173 |
31 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$183 |
16 |
|
1519 - Malig neopl stomach NOS |
1519 |
$3,693,921 |
19,997 |
$1,018 |
26 |
$2,001 |
26 |
$3,851 |
51 |
|
|
|
|
|
|
$1,780 |
22 |
$5,036 |
75 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$11,190 |
87 |
$41,755 |
604 |
$260,529 |
4,499 |
$13,286 |
136 |
$1,744 |
17 |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$1,937 |
15 |
$1,499 |
13 |
* |
* |
$912 |
11 |
* |
* |
* |
* |
$10,142 |
72 |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$6,328 |
102 |
$34,311 |
429 |
$16,230 |
140 |
* |
* |
$1,803 |
16 |
$72,330 |
781 |
$641,921 |
5,552 |
$131,180 |
801 |
$3,478 |
34 |
* |
* |
$38,849 |
209 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$1,446 |
104 |
$2,097 |
34 |
* |
* |
|
|
$1,887 |
34 |
|
|
$108,906 |
1,721 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$280 |
11 |
* |
* |
* |
* |
$8,809 |
155 |
|
|
* |
* |
|
|
* |
* |
|
|
$2,791 |
31 |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$2,112 |
32 |
|
|
|
|
$21,972 |
59 |
$2,160,126 |
3,990 |
$80,384 |
108 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
72989 - Muscskel sympt limb NEC |
72989 |
$1,257,670 |
19,759 |
$311,787 |
9,765 |
$1,395 |
30 |
$10,728 |
167 |
|
|
* |
* |
|
|
* |
* |
$2,040 |
22 |
* |
* |
$27,024 |
401 |
$20,566 |
371 |
* |
* |
* |
* |
$22,056 |
325 |
$1,871 |
19 |
$5,072 |
96 |
$1,561 |
29 |
$8,416 |
92 |
$155,221 |
2,045 |
$1,273 |
14 |
$116,649 |
955 |
$464 |
11 |
$2,124 |
34 |
* |
* |
$1,605 |
21 |
$2,963 |
21 |
$5,681 |
32 |
* |
* |
$14,401 |
317 |
$1,432 |
25 |
$3,345 |
81 |
$1,800 |
28 |
$12,459 |
247 |
$1,641 |
32 |
* |
* |
$54,373 |
670 |
* |
* |
$25,454 |
368 |
$94,304 |
942 |
$2,053 |
18 |
$29,722 |
253 |
$26,825 |
253 |
$42,995 |
333 |
$2,184 |
40 |
$1,111 |
18 |
* |
* |
$6,757 |
47 |
$10,509 |
48 |
$4,103 |
58 |
$1,941 |
25 |
$12,739 |
88 |
$35,646 |
149 |
$13,698 |
113 |
* |
* |
$8,017 |
40 |
$6,975 |
113 |
$3,263 |
51 |
* |
* |
$33,556 |
197 |
$66,213 |
278 |
$10,024 |
85 |
* |
* |
$9,227 |
49 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$2,371 |
31 |
$4,916 |
50 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$4,297 |
29 |
|
|
$148 |
14 |
$723 |
14 |
|
|
|
|
$6,890 |
146 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$1,450 |
29 |
$1,442 |
19 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$168 |
11 |
|
|
* |
* |
|
1460 - Malignant neopl tonsil |
1460 |
$2,615,762 |
19,583 |
$705 |
22 |
$3,714 |
74 |
$4,422 |
72 |
|
|
$903 |
17 |
$2,507 |
47 |
$15,039 |
205 |
$156,431 |
2,098 |
$10,141 |
92 |
* |
* |
* |
* |
* |
* |
$36,030 |
174 |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
$6,699 |
50 |
$12,565 |
221 |
$76,960 |
1,095 |
$1,991 |
24 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$667 |
14 |
$2,542 |
53 |
* |
* |
|
|
|
|
$4,508 |
40 |
$27,291 |
212 |
$9,256 |
38 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$181 |
16 |
$1,299 |
20 |
* |
* |
* |
* |
* |
* |
|
|
$714,496 |
11,918 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,406 |
26 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$8,551 |
42 |
$1,462,071 |
2,928 |
$55,388 |
85 |
|
|
|
|
|
|
|
|
|
|
|
|
|
4379 - Cerebrovasc disease NOS |
4379 |
$1,827,433 |
19,564 |
$324,791 |
9,047 |
$2,686 |
40 |
$25,635 |
333 |
* |
* |
$4,916 |
67 |
|
|
* |
* |
* |
* |
* |
* |
$34,378 |
346 |
$26,255 |
239 |
$2,190 |
13 |
$9,725 |
34 |
$67,680 |
479 |
$7,173 |
23 |
$11,757 |
89 |
$5,672 |
36 |
$20,505 |
85 |
$589,943 |
4,891 |
$4,792 |
33 |
$683,126 |
3,654 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
$498 |
13 |
|
|
|
|
|
|
|
|
|
|
|
|
$921 |
11 |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
$449 |
29 |
$1,672 |
34 |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,010 |
12 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
$1,140 |
19 |
$298 |
18 |
* |
* |
$221 |
19 |
|
7937 - Nonsp abn find-ms system |
7937 |
$1,875,279 |
19,510 |
$2,870 |
74 |
* |
* |
$1,139 |
14 |
$2,372 |
26 |
$4,820 |
77 |
$712 |
12 |
$1,333 |
21 |
$6,460 |
70 |
* |
* |
* |
* |
$1,715 |
13 |
* |
* |
$4,010 |
17 |
* |
* |
|
|
* |
* |
|
|
* |
* |
$1,007 |
11 |
* |
* |
$8,611 |
52 |
$21,129 |
246 |
$24,054 |
264 |
$3,592 |
33 |
$1,674 |
13 |
* |
* |
$5,213 |
16 |
|
|
$19,807 |
397 |
$1,078 |
18 |
$10,155 |
208 |
$1,199 |
25 |
$15,383 |
290 |
$2,887 |
41 |
$1,082 |
12 |
$24,308 |
262 |
$6,857 |
36 |
$31,828 |
314 |
$50,086 |
472 |
$13,299 |
86 |
$37,326 |
240 |
$69,991 |
453 |
$67,987 |
464 |
$14,447 |
256 |
$2,881 |
30 |
* |
* |
$34,949 |
212 |
$41,893 |
195 |
$21,090 |
298 |
$1,632 |
21 |
$34,966 |
178 |
$34,623 |
138 |
$83,590 |
604 |
$8,564 |
52 |
$18,928 |
81 |
$45,093 |
673 |
$6,553 |
94 |
* |
* |
$122,622 |
627 |
$76,922 |
383 |
$177,682 |
1,270 |
$6,340 |
35 |
$29,588 |
159 |
* |
* |
* |
* |
* |
* |
$1,855 |
11 |
* |
* |
* |
* |
$7,390 |
72 |
$18,896 |
153 |
$6,205 |
35 |
* |
* |
* |
* |
$2,650 |
12 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
$28,894 |
2,383 |
$107,501 |
2,006 |
$613 |
14 |
|
|
$10,948 |
224 |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$7,999 |
203 |
$214,969 |
3,183 |
$82,614 |
947 |
$18,094 |
345 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$3,945 |
79 |
$2,045 |
42 |
* |
* |
$109,691 |
168 |
$44,623 |
50 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
55090 - Unilat inguinal hernia |
55090 |
$1,766,436 |
19,446 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$1,895 |
37 |
$3,675 |
68 |
* |
* |
$839 |
14 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$64,378 |
1,025 |
$46,493 |
605 |
$10,217 |
81 |
$20,785 |
120 |
$32,214 |
142 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,566 |
27 |
* |
* |
* |
* |
* |
* |
* |
* |
$2,135 |
18 |
|
|
* |
* |
|
|
$1,835 |
34 |
$1,103 |
13 |
* |
* |
$12,044 |
118 |
$1,277 |
13 |
$567,079 |
7,045 |
$777,749 |
8,559 |
$208,471 |
1,296 |
* |
* |
* |
* |
$4,232 |
23 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$2,573 |
26 |
|
|
$1,669 |
98 |
$4,205 |
84 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
7822 - Local suprficial swellng |
7822 |
$2,648,981 |
19,371 |
$19,301 |
604 |
$855 |
15 |
$2,964 |
43 |
$5,513 |
72 |
$16,151 |
316 |
$4,332 |
72 |
$14,462 |
170 |
$50,386 |
606 |
$13,138 |
95 |
* |
* |
* |
* |
$7,207 |
40 |
$31,418 |
132 |
* |
* |
|
|
* |
* |
|
|
|
|
$4,110 |
35 |
* |
* |
$12,224 |
72 |
$26,746 |
404 |
$48,211 |
683 |
$7,901 |
54 |
$1,659 |
15 |
$11,121 |
61 |
$40,897 |
144 |
* |
* |
$3,112 |
58 |
* |
* |
$2,150 |
42 |
$1,089 |
19 |
$2,251 |
38 |
$859 |
17 |
* |
* |
$2,089 |
17 |
* |
* |
$7,342 |
60 |
$5,658 |
48 |
$2,239 |
13 |
$4,139 |
31 |
$20,922 |
138 |
$12,904 |
89 |
$12,184 |
213 |
$12,228 |
172 |
$2,292 |
28 |
$25,196 |
141 |
$67,467 |
313 |
$33,334 |
500 |
$18,293 |
252 |
$183,032 |
1,051 |
$295,523 |
1,352 |
$96,085 |
791 |
$4,571 |
34 |
$157,260 |
769 |
$49,460 |
751 |
$36,572 |
517 |
$2,459 |
21 |
$309,679 |
1,763 |
$553,134 |
2,595 |
$75,134 |
589 |
$6,542 |
37 |
$115,543 |
631 |
|
|
$2,258 |
33 |
$4,873 |
66 |
$1,977 |
18 |
* |
* |
* |
* |
$16,592 |
187 |
$47,271 |
460 |
$12,692 |
75 |
$2,678 |
18 |
* |
* |
$12,072 |
48 |
* |
* |
|
|
$1,350 |
12 |
|
|
|
|
|
|
* |
* |
$2,731 |
17 |
* |
* |
$1,384 |
83 |
$3,931 |
74 |
$551 |
14 |
|
|
$60,827 |
1,294 |
* |
* |
* |
* |
$3,864 |
11 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$847 |
14 |
* |
* |
* |
* |
|
|
|
|
$435 |
14 |
$5,506 |
103 |
$2,211 |
26 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$18,173 |
62 |
$7,424 |
19 |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
1628 - Mal neo bronch/lung NEC |
1628 |
$3,043,463 |
19,198 |
$1,001 |
18 |
$2,572 |
38 |
$9,516 |
101 |
|
|
* |
* |
|
|
$1,369 |
14 |
$5,245 |
66 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$2,104 |
20 |
* |
* |
$66,221 |
445 |
$61,121 |
837 |
$201,086 |
2,410 |
$16,893 |
116 |
$1,450 |
17 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$3,350 |
18 |
$2,000 |
14 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$3,682 |
58 |
$20,129 |
285 |
$8,770 |
51 |
|
|
|
|
$16,752 |
171 |
$101,344 |
716 |
$20,211 |
97 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$214 |
27 |
$1,687 |
40 |
* |
* |
$1,861 |
17 |
$3,621 |
68 |
* |
* |
$705,887 |
10,805 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$8,912 |
107 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$11,295 |
22 |
$1,595,663 |
2,439 |
$169,506 |
181 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
7873 - Flatul/eructat/gas pain |
7873 |
$1,649,095 |
18,867 |
$575 |
18 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$3,074 |
62 |
$6,190 |
119 |
* |
* |
$1,064 |
13 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$998 |
17 |
$1,006 |
16 |
* |
* |
$4,649 |
21 |
$12,752 |
76 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$16,515 |
259 |
$18,632 |
217 |
$12,389 |
107 |
$8,557 |
58 |
$2,107 |
20 |
$465,601 |
6,125 |
$725,325 |
7,734 |
$119,282 |
722 |
$7,971 |
69 |
* |
* |
$34,845 |
164 |
* |
* |
$2,718 |
20 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$2,644 |
153 |
$2,578 |
55 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$13,610 |
193 |
$41,875 |
436 |
$144,138 |
2,193 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
5739 - Liver disorder NOS |
5739 |
$2,058,959 |
18,685 |
$497 |
16 |
* |
* |
* |
* |
|
|
$1,017 |
15 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$6,510 |
109 |
$23,783 |
435 |
$2,022 |
22 |
$1,298 |
15 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$1,354 |
34 |
* |
* |
$2,288 |
15 |
$10,128 |
68 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$24,764 |
401 |
$69,486 |
960 |
$169,981 |
1,560 |
$10,412 |
70 |
$7,075 |
85 |
$142,008 |
1,714 |
$451,586 |
4,433 |
$240,807 |
1,579 |
$51,437 |
420 |
$6,942 |
49 |
$653,985 |
3,334 |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
$2,516 |
171 |
$3,882 |
77 |
$1,419 |
32 |
|
|
$127,098 |
2,750 |
$10,390 |
67 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$2,039 |
39 |
$1,391 |
25 |
|
|
* |
* |
|
|
$2,641 |
59 |
|
|
* |
* |
|
|
$1,117 |
13 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$1,255 |
25 |
* |
* |
* |
* |
|
|
$27,675 |
79 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
$156 |
14 |
|
85220 - Traumatic subdural hem |
85220 |
$780,488 |
18,678 |
$649,769 |
17,036 |
$1,332 |
27 |
$7,984 |
111 |
$1,089 |
18 |
$8,956 |
200 |
|
|
* |
* |
* |
* |
|
|
$7,776 |
110 |
$2,458 |
42 |
|
|
* |
* |
$4,712 |
44 |
* |
* |
* |
* |
* |
* |
* |
* |
$45,017 |
422 |
* |
* |
$33,502 |
214 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$15,584 |
395 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$890 |
12 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$256 |
20 |
$1,164 |
27 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
60000 - BPH w/o urinary obs/LUTS |
60000 |
$2,567,022 |
18,669 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$2,953 |
46 |
$6,620 |
111 |
$993 |
12 |
$1,025 |
13 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$23,802 |
365 |
$20,616 |
269 |
$9,270 |
74 |
$103,112 |
529 |
$617,957 |
2,306 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$738 |
13 |
* |
* |
* |
* |
* |
* |
* |
* |
$3,657 |
26 |
|
|
* |
* |
* |
* |
$2,211 |
32 |
$1,134 |
17 |
$2,167 |
23 |
$18,101 |
153 |
$2,118 |
18 |
$429,372 |
4,742 |
$495,423 |
4,733 |
$769,158 |
4,222 |
* |
* |
|
|
$16,551 |
75 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$4,719 |
38 |
* |
* |
$6,688 |
359 |
$24,485 |
423 |
* |
* |
|
|
* |
* |
|
|
$521 |
11 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
$3,630 |
59 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
5990 - Urin tract infection NOS |
5990 |
$2,027,609 |
18,559 |
$48,754 |
1,527 |
* |
* |
* |
* |
* |
* |
$834 |
19 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
$1,453 |
25 |
|
|
$1,907 |
17 |
$3,381 |
64 |
$2,902 |
60 |
* |
* |
$4,291 |
58 |
|
|
* |
* |
|
|
$3,649 |
94 |
* |
* |
* |
* |
|
|
$1,580 |
39 |
|
|
* |
* |
* |
* |
|
|
* |
* |
$774 |
13 |
|
|
|
|
* |
* |
* |
* |
$6,771 |
115 |
$4,718 |
57 |
$3,348 |
35 |
$10,722 |
59 |
$22,831 |
121 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$500 |
12 |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
$5,611 |
98 |
$2,167 |
24 |
$7,379 |
69 |
$3,012 |
20 |
* |
* |
$811,118 |
8,264 |
$173,044 |
1,924 |
$846,370 |
4,700 |
$2,689 |
24 |
* |
* |
$13,085 |
55 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$5,392 |
340 |
$17,629 |
340 |
$485 |
13 |
|
|
$589 |
13 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
$1,695 |
19 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$671 |
11 |
|
|
|
|
|
|
$3,509 |
45 |
$13,305 |
223 |
* |
* |
* |
* |
$825 |
18 |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
$351 |
21 |
|
|
$266 |
23 |
|
3688 - Visual disturbances NEC |
3688 |
$1,464,323 |
18,504 |
$318,835 |
9,323 |
$3,647 |
72 |
$36,352 |
531 |
$13,656 |
188 |
$4,103 |
82 |
* |
* |
* |
* |
* |
* |
* |
* |
$33,889 |
410 |
$23,204 |
318 |
$23,020 |
139 |
$173,963 |
797 |
$64,078 |
592 |
$5,924 |
39 |
$10,530 |
104 |
$5,790 |
53 |
$22,249 |
134 |
$245,800 |
2,537 |
$5,147 |
41 |
$472,306 |
3,086 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
$908 |
20 |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$377 |
26 |
$547 |
12 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
4293 - Cardiomegaly |
4293 |
$1,338,521 |
18,124 |
$4,486 |
128 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,066 |
18 |
|
|
$1,911 |
11 |
$165,611 |
2,709 |
$158,484 |
2,621 |
$28,491 |
257 |
$215,625 |
2,483 |
$2,741 |
17 |
$2,709 |
12 |
$5,391 |
45 |
* |
* |
* |
* |
$566 |
11 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$543 |
15 |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$848 |
13 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,119 |
31 |
$2,402 |
39 |
$1,510 |
14 |
$9,253 |
91 |
$2,600 |
31 |
$35,964 |
446 |
$40,295 |
461 |
$16,745 |
98 |
$986 |
12 |
|
|
* |
* |
* |
* |
* |
* |
$93,660 |
656 |
$7,436 |
328 |
$375 |
14 |
$6,014 |
65 |
$10,040 |
81 |
$1,626 |
15 |
|
|
$8,839 |
482 |
$24,753 |
357 |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
$3,552 |
36 |
$358,469 |
1,853 |
$837 |
17 |
$8,785 |
100 |
$6,354 |
27 |
$630 |
12 |
$4,900 |
113 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$54,748 |
1,043 |
$21,901 |
1,336 |
$3,187 |
135 |
$21,066 |
1,891 |
|
78902 - Abdmnal pain lft up quad |
78902 |
$1,722,838 |
17,924 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$5,097 |
103 |
$14,357 |
243 |
$1,346 |
13 |
$4,351 |
57 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$3,948 |
20 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$50,430 |
741 |
$113,866 |
1,366 |
$46,702 |
377 |
$7,572 |
65 |
$3,966 |
40 |
$390,131 |
4,663 |
$775,021 |
8,218 |
$194,352 |
1,122 |
$13,076 |
100 |
* |
* |
$53,808 |
221 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$2,458 |
128 |
$5,140 |
96 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,293 |
54 |
$8,566 |
93 |
$25,356 |
204 |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
78791 - Diarrhea |
78791 |
$1,711,744 |
17,887 |
$3,744 |
116 |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$2,460 |
46 |
$6,546 |
113 |
$1,051 |
12 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$712 |
15 |
$2,174 |
27 |
* |
* |
$4,739 |
29 |
$24,796 |
159 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$6,115 |
95 |
$10,826 |
130 |
$12,421 |
96 |
$10,232 |
84 |
$2,587 |
22 |
$439,776 |
5,637 |
$872,351 |
8,846 |
$168,153 |
957 |
$11,008 |
89 |
$1,622 |
12 |
$66,636 |
320 |
* |
* |
$7,892 |
55 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$1,679 |
118 |
$4,443 |
97 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$4,522 |
95 |
$17,323 |
246 |
$19,236 |
323 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$8,700 |
148 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
72981 - Swelling of limb |
72981 |
$1,865,972 |
17,839 |
$18,208 |
601 |
* |
* |
* |
* |
$3,306 |
56 |
$19,399 |
444 |
$1,979 |
40 |
$1,769 |
33 |
$5,685 |
100 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
$1,195 |
15 |
* |
* |
* |
* |
$6,074 |
111 |
$18,677 |
293 |
$1,532 |
17 |
$34,003 |
348 |
* |
* |
* |
* |
* |
* |
$2,240 |
61 |
* |
* |
* |
* |
|
|
$527 |
11 |
* |
* |
|
|
$1,656 |
16 |
|
|
* |
* |
$1,095 |
11 |
|
|
* |
* |
* |
* |
$1,423 |
11 |
$6,913 |
137 |
$9,500 |
153 |
$1,697 |
12 |
$6,215 |
45 |
$5,619 |
36 |
$40,065 |
767 |
$13,312 |
264 |
$98,185 |
610 |
$63,975 |
343 |
$61,569 |
522 |
* |
* |
$20,738 |
132 |
$142,493 |
2,543 |
$49,036 |
834 |
$21,266 |
185 |
$456,689 |
2,761 |
$232,521 |
1,254 |
$223,236 |
2,031 |
$2,772 |
19 |
$42,852 |
271 |
$6,583 |
34 |
* |
* |
$893 |
13 |
* |
* |
$23,661 |
116 |
$1,654 |
17 |
$23,785 |
248 |
$69,220 |
580 |
$14,285 |
77 |
* |
* |
* |
* |
* |
* |
$2,907 |
16 |
|
|
|
|
* |
* |
|
|
|
|
|
|
$38,309 |
285 |
* |
* |
$1,740 |
120 |
$5,200 |
137 |
* |
* |
|
|
$906 |
17 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$5,561 |
94 |
|
|
|
|
|
|
|
|
$1,529 |
53 |
$4,642 |
91 |
$32,283 |
537 |
$1,224 |
26 |
|
|
$4,604 |
20 |
|
|
|
|
|
|
* |
* |
$4,248 |
104 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$3,198 |
90 |
$1,503 |
33 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$356 |
21 |
* |
* |
$258 |
23 |
|
78702 - Nausea alone |
78702 |
$1,340,761 |
17,611 |
$55,531 |
1,644 |
$1,319 |
20 |
$9,716 |
117 |
* |
* |
$784 |
11 |
* |
* |
* |
* |
$1,166 |
14 |
* |
* |
$1,191 |
15 |
* |
* |
|
|
* |
* |
$1,394 |
23 |
* |
* |
* |
* |
* |
* |
* |
* |
$10,206 |
102 |
* |
* |
$26,163 |
159 |
$3,681 |
64 |
$7,966 |
142 |
* |
* |
$3,645 |
50 |
|
|
|
|
|
|
$975 |
20 |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$548 |
11 |
|
|
* |
* |
$4,545 |
32 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$10,163 |
156 |
$20,864 |
227 |
$13,691 |
97 |
$6,259 |
64 |
$3,623 |
39 |
$170,876 |
2,231 |
$328,337 |
3,278 |
$72,705 |
437 |
$15,632 |
119 |
* |
* |
$32,372 |
142 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,057 |
73 |
$841 |
16 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$43,035 |
730 |
$135,475 |
1,734 |
$352,049 |
5,751 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
$3,340 |
17 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
$754 |
14 |
$491 |
30 |
|
|
$370 |
32 |
|
1540 - Mal neo rectosigmoid jct |
1540 |
$3,487,646 |
17,305 |
$334 |
11 |
* |
* |
$1,230 |
18 |
|
|
* |
* |
* |
* |
$774 |
12 |
$3,392 |
46 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$7,806 |
54 |
$23,261 |
366 |
$159,459 |
2,905 |
$8,351 |
84 |
$1,630 |
16 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$2,144 |
12 |
* |
* |
$1,607 |
17 |
* |
* |
$5,709 |
32 |
$31,980 |
200 |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$1,291 |
22 |
$5,662 |
71 |
$7,260 |
75 |
|
|
$1,897 |
11 |
$43,959 |
497 |
$404,565 |
3,750 |
$100,825 |
559 |
$1,283 |
17 |
* |
* |
$35,846 |
225 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$980 |
91 |
$2,781 |
48 |
* |
* |
* |
* |
$1,442 |
31 |
* |
* |
$274,358 |
3,826 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$4,734 |
85 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
$514 |
15 |
|
|
|
|
$38,354 |
89 |
$2,147,212 |
3,906 |
$167,005 |
214 |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
3899 - Hearing loss NOS |
3899 |
$2,638,493 |
17,229 |
$31,255 |
721 |
$3,394 |
46 |
$20,458 |
248 |
$290,041 |
3,289 |
$11,446 |
160 |
$1,030 |
12 |
* |
* |
$2,269 |
30 |
* |
* |
$4,546 |
36 |
$1,878 |
17 |
$6,077 |
41 |
$67,991 |
308 |
$13,721 |
105 |
* |
* |
$1,850 |
16 |
* |
* |
$3,324 |
13 |
$175,797 |
1,410 |
$24,125 |
144 |
$1,972,073 |
10,324 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$4,816 |
273 |
$2,404 |
36 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
7892 - Splenomegaly |
7892 |
$1,720,134 |
17,154 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$1,092 |
15 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$23,117 |
396 |
$53,346 |
849 |
$4,468 |
49 |
$4,240 |
52 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$5,796 |
41 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$31,208 |
473 |
$64,719 |
843 |
$67,908 |
649 |
$9,575 |
88 |
$3,707 |
36 |
$313,150 |
4,000 |
$628,553 |
6,493 |
$193,547 |
1,229 |
$40,082 |
312 |
$2,610 |
22 |
$230,825 |
1,202 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
$1,544 |
17 |
|
|
$2,121 |
123 |
$3,034 |
63 |
* |
* |
|
|
$4,325 |
91 |
|
|
$2,346 |
38 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
$28,822 |
73 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
4738 - Chronic sinusitis NEC |
4738 |
$1,596,083 |
17,036 |
$31,812 |
998 |
$583 |
11 |
$2,770 |
37 |
$8,770 |
99 |
$1,396,231 |
14,331 |
$7,189 |
104 |
$1,415 |
18 |
$5,929 |
67 |
$1,252 |
12 |
$1,360 |
12 |
* |
* |
$2,536 |
11 |
$10,662 |
49 |
* |
* |
|
|
|
|
|
|
* |
* |
$16,927 |
177 |
* |
* |
$32,382 |
234 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,137 |
162 |
$8,512 |
171 |
$19,731 |
254 |
$44,883 |
289 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
71597 - Osteoarthros NOS-ankle |
71597 |
$2,285,295 |
16,920 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
$988 |
11 |
* |
* |
$2,513 |
13 |
* |
* |
$1,362 |
15 |
* |
* |
* |
* |
$322,122 |
4,316 |
$7,112 |
97 |
* |
* |
$1,071,675 |
5,761 |
$254,577 |
1,136 |
$513,556 |
4,139 |
$1,269 |
12 |
$53,594 |
290 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$2,704 |
169 |
$10,677 |
218 |
|
|
|
|
$877 |
20 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,744 |
47 |
$13,555 |
295 |
$24,402 |
353 |
$1,568 |
28 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
1719 - Mal neo soft tissue NOS |
1719 |
$1,852,702 |
16,706 |
$1,668 |
44 |
$1,430 |
31 |
$2,837 |
48 |
* |
* |
$612 |
13 |
* |
* |
$2,299 |
38 |
$17,134 |
273 |
$1,409 |
12 |
|
|
* |
* |
* |
* |
$10,626 |
66 |
* |
* |
|
|
|
|
|
|
|
|
$1,952 |
17 |
* |
* |
$29,179 |
218 |
$87,085 |
1,673 |
$213,122 |
3,858 |
$10,001 |
111 |
$2,216 |
19 |
$725 |
11 |
$11,152 |
66 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$839 |
15 |
$577 |
11 |
* |
* |
$4,692 |
43 |
$8,756 |
74 |
$12,795 |
100 |
$1,316 |
25 |
$2,334 |
35 |
* |
* |
$8,362 |
68 |
$59,479 |
390 |
$817 |
12 |
$840 |
12 |
$3,883 |
26 |
$22,544 |
151 |
$1,858 |
19 |
* |
* |
$6,529 |
58 |
$3,945 |
62 |
$7,464 |
118 |
* |
* |
$10,764 |
105 |
$84,282 |
587 |
$2,318 |
26 |
* |
* |
$13,107 |
99 |
|
|
$1,663 |
34 |
$8,155 |
122 |
$2,815 |
29 |
* |
* |
* |
* |
$51,380 |
611 |
$354,398 |
3,504 |
$55,573 |
333 |
$2,806 |
38 |
* |
* |
$39,726 |
226 |
|
|
|
|
$1,503 |
11 |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$3,854 |
318 |
$1,041 |
24 |
* |
* |
|
|
$2,521 |
47 |
* |
* |
$81,537 |
1,384 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$10,177 |
167 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$2,182 |
23 |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$810 |
11 |
$410,102 |
921 |
$171,508 |
369 |
|
|
|
|
|
|
|
|
|
|
|
|
|
79439 - Abn cardiovasc study NEC |
79439 |
$1,334,271 |
16,523 |
$408 |
14 |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
$5,228 |
32 |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$2,494 |
34 |
$3,476 |
39 |
* |
* |
$10,669 |
65 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$814 |
12 |
$1,782 |
20 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
$11,451 |
53 |
$274 |
11 |
$1,103 |
38 |
$3,618 |
51 |
$111,679 |
784 |
$3,319 |
17 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$9,398 |
107 |
$898,725 |
6,097 |
$2,988 |
58 |
$2,978 |
46 |
$75,629 |
124 |
* |
* |
$508 |
12 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$90,633 |
1,754 |
$47,852 |
2,945 |
$5,526 |
246 |
$43,718 |
3,964 |
|
1570 - Mal neo pancreas head |
1570 |
$1,929,841 |
16,501 |
* |
* |
* |
* |
$1,124 |
12 |
|
|
|
|
|
|
* |
* |
$2,160 |
24 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,385 |
21 |
$8,220 |
111 |
$75,616 |
1,133 |
$5,295 |
51 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
$1,107 |
17 |
|
|
* |
* |
$4,004 |
28 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,770 |
41 |
$18,022 |
212 |
$16,186 |
145 |
$1,267 |
12 |
$3,841 |
28 |
$14,183 |
146 |
$173,417 |
1,292 |
$81,271 |
477 |
$2,481 |
23 |
* |
* |
$50,142 |
231 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$857 |
52 |
$1,547 |
27 |
* |
* |
* |
* |
$1,914 |
33 |
* |
* |
$750,117 |
11,438 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$2,298 |
27 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
$8,140 |
14 |
$663,173 |
869 |
$37,306 |
37 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
7949 - Abn function study NEC |
7949 |
$1,213,029 |
16,148 |
$1,880 |
40 |
* |
* |
$1,091 |
13 |
* |
* |
$1,258 |
14 |
* |
* |
* |
* |
$1,953 |
25 |
* |
* |
* |
* |
* |
* |
* |
* |
$2,118 |
12 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$3,376 |
25 |
$4,252 |
69 |
$5,698 |
73 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
$835 |
15 |
* |
* |
* |
* |
* |
* |
|
|
$1,899 |
18 |
$2,527 |
22 |
* |
* |
* |
* |
$5,774 |
33 |
$6,691 |
41 |
$1,869 |
34 |
* |
* |
* |
* |
$4,357 |
24 |
$9,930 |
52 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$1,240 |
20 |
* |
* |
* |
* |
$2,190 |
19 |
$4,358 |
15 |
$3,473 |
22 |
|
|
$1,532 |
11 |
|
|
$946 |
19 |
$2,067 |
29 |
$3,445 |
33 |
* |
* |
* |
* |
$7,546 |
87 |
$16,806 |
157 |
$6,368 |
50 |
$2,160 |
19 |
|
|
$10,430 |
54 |
|
|
$10,342 |
64 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
$251 |
22 |
* |
* |
* |
* |
|
|
$2,838 |
59 |
|
|
* |
* |
* |
* |
$13,815 |
396 |
$1,886 |
44 |
$2,486 |
39 |
$2,186 |
38 |
$2,399 |
23 |
$1,275 |
23 |
$17,277 |
252 |
$39,710 |
377 |
$12,022 |
195 |
$748 |
19 |
$24,182 |
572 |
$404,693 |
7,471 |
$270,743 |
3,593 |
$60,204 |
864 |
* |
* |
$1,068 |
17 |
|
|
* |
* |
|
|
* |
* |
$2,123 |
52 |
* |
* |
$1,606 |
29 |
* |
* |
* |
* |
$1,765 |
34 |
$4,392 |
92 |
$13,961 |
288 |
$6,212 |
154 |
* |
* |
$170,596 |
344 |
$26,179 |
42 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
2558 - Adrenal disorder NEC |
2558 |
$1,722,192 |
15,959 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$1,426 |
20 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$1,717 |
11 |
$9,715 |
162 |
$19,777 |
344 |
$1,512 |
18 |
$4,698 |
57 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$3,038 |
18 |
$9,108 |
57 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$97,274 |
1,531 |
$45,598 |
616 |
$179,863 |
1,684 |
$11,583 |
105 |
$5,394 |
54 |
$179,965 |
2,226 |
$408,116 |
4,302 |
$213,729 |
1,449 |
$133,053 |
908 |
$3,962 |
23 |
$340,084 |
1,578 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$1,934 |
18 |
|
|
$1,283 |
70 |
$1,973 |
38 |
$2,068 |
38 |
|
|
$25,583 |
559 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$877 |
19 |
|
|
|
|
|
|
$18,865 |
54 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
5770 - Acute pancreatitis |
5770 |
$1,440,895 |
15,882 |
$623 |
20 |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$2,177 |
43 |
$5,379 |
94 |
* |
* |
$2,635 |
37 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$833 |
12 |
* |
* |
* |
* |
$2,672 |
18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$24,754 |
395 |
$69,999 |
1,022 |
$79,365 |
753 |
$7,113 |
71 |
$4,577 |
57 |
$211,532 |
2,976 |
$474,598 |
6,050 |
$123,824 |
945 |
$127,479 |
1,194 |
$5,197 |
37 |
$278,941 |
1,513 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$3,950 |
331 |
$3,801 |
104 |
* |
* |
|
|
$493 |
11 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,473 |
81 |
$6,663 |
101 |
$816 |
17 |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
42789 - Cardiac dysrhythmias NEC |
42789 |
$972,656 |
15,823 |
$7,936 |
241 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$835 |
15 |
|
|
* |
* |
$2,151 |
47 |
$4,875 |
95 |
* |
* |
$14,593 |
171 |
* |
* |
|
|
* |
* |
$611 |
14 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$1,184 |
17 |
$1,551 |
22 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
$9,453 |
61 |
* |
* |
* |
* |
* |
* |
$4,867 |
29 |
$2,720 |
12 |
|
|
$250 |
16 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$7,540 |
54 |
$597,774 |
3,132 |
$657 |
13 |
$1,590 |
18 |
$26,310 |
38 |
* |
* |
$1,353 |
32 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$168,629 |
3,136 |
$58,289 |
3,567 |
$6,011 |
253 |
$53,477 |
4,840 |
|
1611 - Malig neo supraglottis |
1611 |
$1,517,945 |
15,767 |
* |
* |
$860 |
14 |
$1,754 |
30 |
|
|
* |
* |
* |
* |
$5,788 |
83 |
$58,101 |
770 |
$4,609 |
40 |
|
|
|
|
* |
* |
$5,504 |
22 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$1,362 |
12 |
$5,830 |
98 |
$27,948 |
360 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,125 |
19 |
* |
* |
|
|
|
|
$1,992 |
21 |
$5,033 |
46 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$743,242 |
12,964 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,303 |
19 |
$641,307 |
1,241 |
$10,189 |
28 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
5758 - Dis of gallbladder NEC |
5758 |
$1,277,119 |
15,738 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$1,053 |
19 |
$2,813 |
48 |
* |
* |
$1,009 |
17 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
$1,879 |
12 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$12,645 |
207 |
$23,597 |
309 |
$16,209 |
157 |
$9,137 |
103 |
$2,855 |
40 |
$312,011 |
4,351 |
$439,474 |
5,682 |
$80,108 |
590 |
$48,201 |
447 |
* |
* |
$85,540 |
428 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$1,738 |
13 |
* |
* |
$1,648 |
133 |
$1,787 |
41 |
* |
* |
|
|
$587 |
13 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$56,724 |
936 |
$178,104 |
2,192 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
3320 - Paralysis agitans |
3320 |
$1,635,838 |
15,734 |
$149,180 |
3,274 |
$1,809 |
35 |
$15,344 |
199 |
* |
* |
* |
* |
|
|
* |
* |
$990 |
11 |
* |
* |
$4,052 |
29 |
$1,834 |
11 |
* |
* |
* |
* |
$16,498 |
109 |
* |
* |
$5,107 |
27 |
* |
* |
$4,870 |
21 |
$676,695 |
5,865 |
$15,013 |
195 |
$419,575 |
2,678 |
* |
* |
$1,372 |
17 |
* |
* |
* |
* |
|
|
|
|
|
|
$4,293 |
94 |
* |
* |
* |
* |
* |
* |
$974 |
19 |
|
|
|
|
$17,468 |
188 |
* |
* |
$1,872 |
27 |
$5,141 |
55 |
|
|
$4,739 |
32 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
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* |
* |
* |
* |
|
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* |
* |
|
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* |
* |
|
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* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
$1,393 |
12 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$693 |
45 |
$2,497 |
58 |
* |
* |
$4,483 |
95 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$1,207 |
20 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
$273,478 |
2,605 |
$5,261 |
13 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
7843 - Aphasia |
7843 |
$903,797 |
15,709 |
$281,166 |
8,582 |
$1,659 |
39 |
$14,334 |
217 |
|
|
* |
* |
|
|
* |
* |
$2,222 |
32 |
* |
* |
$58,861 |
852 |
$40,338 |
725 |
* |
* |
* |
* |
$47,691 |
627 |
$3,908 |
26 |
$11,173 |
164 |
$4,606 |
67 |
$17,401 |
154 |
$220,247 |
2,729 |
$1,367 |
13 |
$189,041 |
1,420 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$898 |
24 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
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* |
* |
* |
* |
|
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* |
* |
|
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* |
* |
|
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* |
* |
|
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* |
* |
|
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* |
* |
* |
* |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$224 |
16 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$8,663 |
22 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
4370 - Cerebral atherosclerosis |
4370 |
$1,179,268 |
15,702 |
$251,776 |
7,395 |
$2,716 |
52 |
$19,764 |
267 |
* |
* |
$2,680 |
37 |
|
|
* |
* |
$916 |
19 |
* |
* |
$184,841 |
2,102 |
$60,178 |
800 |
* |
* |
$3,387 |
12 |
$178,867 |
1,749 |
$21,748 |
94 |
$8,249 |
99 |
$4,793 |
42 |
$13,053 |
90 |
$178,548 |
1,489 |
$6,330 |
36 |
$225,669 |
1,172 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$729 |
18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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* |
* |
|
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* |
* |
|
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* |
* |
|
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|
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|
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|
|
|
|
|
|
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|
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|
|
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* |
* |
|
|
|
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* |
* |
* |
* |
* |
* |
|
|
|
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* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
$6,621 |
131 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$6,354 |
18 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$1,226 |
22 |
$459 |
27 |
* |
* |
$364 |
31 |
|
8730 - Open wound of scalp |
8730 |
$478,641 |
15,630 |
$392,855 |
13,572 |
$1,356 |
30 |
$1,152 |
18 |
$1,399 |
28 |
$16,455 |
388 |
* |
* |
* |
* |
* |
* |
|
|
$1,064 |
16 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
$1,434 |
17 |
|
|
$2,634 |
23 |
* |
* |
$784 |
21 |
|
|
* |
* |
|
|
|
|
|
|
$55,268 |
1,386 |
* |
* |
$540 |
18 |
|
|
$415 |
14 |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,482 |
20 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$292 |
35 |
$1,511 |
44 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
|
* |
* |
|
|
|
|
|
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|
|
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|
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|
|
|
|
|
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|
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|
|
|
|
|
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* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
412 - Old myocardial infarct |
412 |
$2,295,149 |
15,566 |
$2,158 |
59 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$1,361 |
15 |
|
|
* |
* |
$755 |
14 |
* |
* |
* |
* |
$1,399 |
21 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$5,802 |
38 |
$826 |
25 |
* |
* |
* |
* |
$3,543 |
21 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$8,967 |
62 |
$1,425,642 |
5,908 |
$1,488 |
23 |
$9,271 |
80 |
$559,178 |
543 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$203,929 |
3,777 |
$35,840 |
2,166 |
$7,326 |
306 |
$27,666 |
2,508 |
|
8082 - Fracture of pubis-closed |
8082 |
$859,272 |
15,395 |
$2,464 |
91 |
* |
* |
|
|
* |
* |
$759 |
17 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$875 |
26 |
$1,431 |
39 |
* |
* |
* |
* |
|
|
|
|
|
|
$1,640 |
45 |
|
|
$398 |
13 |
* |
* |
$1,741 |
53 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$339,726 |
7,803 |
$6,370 |
123 |
$1,780 |
25 |
$96,829 |
701 |
$14,095 |
76 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$121,793 |
2,841 |
$1,946 |
30 |
* |
* |
$4,042 |
32 |
* |
* |
$94,427 |
876 |
* |
* |
$3,207 |
24 |
* |
* |
* |
* |
* |
* |
* |
* |
$1,607 |
20 |
* |
* |
$53,065 |
764 |
$86,583 |
1,198 |
$6,937 |
65 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$1,745 |
191 |
$8,395 |
227 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$4,001 |
75 |
$3,416 |
40 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
3489 - Brain condition NOS |
3489 |
$1,487,476 |
15,369 |
$206,613 |
5,805 |
$5,423 |
96 |
$27,735 |
400 |
$1,004 |
11 |
$1,157 |
21 |
* |
* |
* |
* |
$1,211 |
17 |
* |
* |
$14,327 |
157 |
$3,892 |
53 |
$2,256 |
12 |
$17,165 |
89 |
$17,627 |
162 |
$2,523 |
12 |
$1,308 |
19 |
* |
* |
* |
* |
$341,070 |
2,893 |
$21,282 |
204 |
$802,268 |
5,093 |
* |
* |
$2,171 |
42 |
* |
* |
* |
* |
|
|
|
|
|
|
$1,670 |
36 |
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,178 |
17 |
* |
* |
* |
* |
* |
* |
* |
* |
$1,324 |
11 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$4,116 |
41 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$520 |
41 |
$1,715 |
47 |
|
|
* |
* |
|
|
|
|
$661 |
18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$365 |
12 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,743 |
48 |
$4,152 |
12 |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
78703 - Vomiting alone |
78703 |
$956,721 |
15,247 |
$75,177 |
2,476 |
* |
* |
$1,886 |
33 |
|
|
$439 |
11 |
|
|
$674 |
12 |
$963 |
17 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$561 |
12 |
* |
* |
* |
* |
|
|
* |
* |
$2,835 |
39 |
* |
* |
$9,419 |
70 |
$3,686 |
104 |
$5,968 |
138 |
* |
* |
$4,304 |
58 |
|
|
|
|
|
|
$2,131 |
53 |
* |
* |
* |
* |
|
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* |
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|
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$4,173 |
76 |
$4,737 |
69 |
$2,834 |
22 |
$3,391 |
38 |
$690 |
11 |
$340,289 |
4,951 |
$370,032 |
5,026 |
$19,877 |
169 |
$3,599 |
32 |
* |
* |
$7,349 |
42 |
|
|
* |
* |
|
|
|
|
|
|
|
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* |
* |
|
|
$352 |
31 |
$668 |
16 |
|
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* |
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|
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|
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* |
* |
|
|
|
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|
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$4,114 |
102 |
$11,771 |
182 |
$74,803 |
1,457 |
* |
* |
|
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* |
* |
* |
* |
|
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* |
* |
|
1960 - Mal neo lymph-head/neck |
1960 |
$1,273,248 |
15,228 |
* |
* |
$894 |
16 |
$1,266 |
15 |
* |
* |
* |
* |
* |
* |
$3,734 |
62 |
$39,608 |
496 |
$3,912 |
32 |
|
|
* |
* |
* |
* |
$14,844 |
76 |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$8,001 |
51 |
$2,225 |
45 |
$13,496 |
200 |
$953 |
11 |
* |
* |
* |
* |
* |
* |
|
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* |
* |
* |
* |
|
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|
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$1,015 |
12 |
$7,876 |
61 |
$3,275 |
13 |
|
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* |
* |
|
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|
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$181 |
13 |
$810 |
14 |
|
|
* |
* |
$771 |
15 |
|
|
$826,108 |
13,393 |
|
|
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* |
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* |
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|
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* |
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$314,741 |
656 |
$29,539 |
47 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
179 - Malig neopl uterus NOS |
179 |
$2,167,479 |
15,201 |
$1,231 |
35 |
$1,021 |
18 |
$1,505 |
27 |
|
|
* |
* |
|
|
$1,198 |
15 |
$2,917 |
46 |
* |
* |
|
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* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
$11,359 |
71 |
$32,351 |
502 |
$199,343 |
3,419 |
$8,851 |
99 |
$1,754 |
15 |
* |
* |
* |
* |
|
|
* |
* |
|
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* |
* |
* |
* |
* |
* |
* |
* |
* |
$1,898 |
14 |
$2,622 |
50 |
$2,313 |
40 |
* |
* |
$3,306 |
28 |
$39,850 |
215 |
* |
* |
|
|
* |
* |
|
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* |
* |
|
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* |
* |
* |
* |
|
|
* |
* |
|
|
$668 |
13 |
$3,054 |
33 |
$1,509 |
14 |
* |
* |
* |
* |
$66,094 |
743 |
$608,022 |
5,053 |
$103,348 |
608 |
* |
* |
* |
* |
$16,704 |
84 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$1,153 |
110 |
$1,621 |
27 |
* |
* |
|
|
$1,942 |
40 |
* |
* |
$123,989 |
2,032 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
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* |
* |
$9,647 |
148 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$615 |
11 |
* |
* |
|
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* |
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|
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* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$3,638 |
19 |
$889,194 |
1,619 |
$24,761 |
53 |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
78002 - Trans alter awareness |
78002 |
$637,149 |
14,966 |
$398,687 |
12,654 |
$845 |
19 |
$7,843 |
119 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$5,644 |
68 |
$3,115 |
45 |
|
|
* |
* |
$14,464 |
138 |
* |
* |
$2,812 |
30 |
* |
* |
$5,108 |
28 |
$92,318 |
1,067 |
* |
* |
$91,270 |
630 |
* |
* |
* |
* |
|
|
$1,494 |
21 |
|
|
|
|
|
|
$2,029 |
51 |
|
|
* |
* |
|
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* |
* |
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|
|
|
|
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|
|
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|
|
* |
* |
|
|
$771 |
12 |
* |
* |
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$764 |
25 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$8,615 |
24 |
|
|
|
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|
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* |
* |
* |
* |
* |
* |
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,249 |
23 |
* |
* |
* |
* |
$119 |
12 |
|
25200 - Hyperparathyroidism NOS |
25200 |
$1,089,857 |
14,924 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
$10,577 |
109 |
$32,323 |
368 |
$68,745 |
643 |
* |
* |
$7,765 |
53 |
$3,012 |
23 |
$21,998 |
115 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$3,006 |
17 |
$956 |
14 |
$2,265 |
38 |
* |
* |
* |
* |
|
|
* |
* |
|
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* |
* |
|
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* |
* |
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* |
* |
* |
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* |
* |
|
|
* |
* |
$2,452 |
47 |
$612 |
17 |
|
|
|
|
|
|
|
|
|
|
$6,243 |
168 |
* |
* |
$382,782 |
6,920 |
$277,738 |
3,578 |
$249,388 |
2,578 |
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,365 |
27 |
* |
* |
* |
* |
* |
* |
* |
* |
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* |
* |
* |
* |
|
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|
|
|
|
|
|
$15,934 |
175 |
|
|
* |
* |
|
|
* |
* |
|
|
$2,697 |
34 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
72293 - Disc dis NEC/NOS-lumbar |
72293 |
$1,587,184 |
14,890 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
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* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
$1,067 |
16 |
* |
* |
$1,259 |
17 |
* |
* |
$120,906 |
2,178 |
$21,748 |
387 |
$4,776 |
50 |
$8,482 |
80 |
|
|
$5,646 |
56 |
$1,015,103 |
9,122 |
$9,129 |
71 |
$1,456 |
12 |
$1,632 |
18 |
$368,867 |
2,422 |
* |
* |
* |
* |
|
|
$5,082 |
28 |
* |
* |
|
|
|
|
|
|
|
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* |
* |
|
|
|
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* |
* |
* |
* |
|
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* |
* |
|
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* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$1,601 |
15 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,824 |
86 |
$2,063 |
36 |
|
|
|
|
$8,646 |
185 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$5,018 |
65 |
$1,145 |
16 |
$1,273 |
18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$459 |
12 |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
78652 - Painful respiration |
78652 |
$1,070,721 |
14,841 |
$3,030 |
101 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$154,233 |
2,264 |
$233,352 |
3,347 |
$14,882 |
165 |
$461,529 |
5,597 |
$17,675 |
85 |
$13,860 |
61 |
* |
* |
$1,056 |
29 |
|
|
$536 |
19 |
|
|
$330 |
11 |
|
|
|
|
* |
* |
|
|
$4,851 |
40 |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$1,433 |
22 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$1,540 |
21 |
$1,657 |
22 |
* |
* |
$2,132 |
21 |
$616 |
12 |
$6,316 |
90 |
$12,387 |
163 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$1,077 |
79 |
$1,282 |
30 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$2,539 |
11 |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$3,076 |
61 |
$23,723 |
411 |
$2,158 |
25 |
$1,032 |
17 |
* |
* |
$34,009 |
193 |
|
|
* |
* |
* |
* |
$1,968 |
57 |
$36,982 |
872 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$22,961 |
392 |
$4,861 |
304 |
$324 |
15 |
$3,315 |
304 |
|
2396 - Brain neoplasm NOS |
2396 |
$1,750,870 |
14,597 |
$58,702 |
1,539 |
$6,885 |
124 |
$31,328 |
468 |
$1,072 |
16 |
$1,296 |
18 |
* |
* |
* |
* |
$658 |
12 |
* |
* |
$7,021 |
76 |
$1,454 |
19 |
* |
* |
$11,469 |
63 |
$21,590 |
200 |
$7,629 |
34 |
$2,506 |
17 |
* |
* |
$6,960 |
31 |
$78,016 |
818 |
$61,786 |
591 |
$1,369,494 |
9,684 |
$1,475 |
26 |
$8,669 |
157 |
$1,447 |
18 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$1,845 |
21 |
* |
* |
* |
* |
* |
* |
* |
* |
$7,120 |
52 |
$5,325 |
35 |
$4,611 |
40 |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
$1,362 |
16 |
$13,551 |
138 |
$4,327 |
25 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$697 |
55 |
$2,744 |
69 |
* |
* |
$1,275 |
22 |
* |
* |
|
|
$6,183 |
135 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,196 |
22 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
$21,178 |
56 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
71943 - Joint pain-forearm |
71943 |
$2,119,492 |
14,491 |
$2,278 |
70 |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$591 |
12 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$145,080 |
1,915 |
$7,271 |
81 |
$198,735 |
777 |
$17,699 |
84 |
$1,468,482 |
9,802 |
$90,893 |
481 |
$148,465 |
650 |
$1,467 |
23 |
* |
* |
|
|
$2,971 |
13 |
|
|
$9,182 |
69 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,523 |
106 |
$5,504 |
109 |
|
|
|
|
$2,946 |
32 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,185 |
58 |
$3,492 |
67 |
$10,727 |
142 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
79093 - Elvtd prstate spcf antgn |
79093 |
$2,684,190 |
14,483 |
$624 |
16 |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$5,549 |
68 |
$8,556 |
163 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$3,354 |
40 |
$4,153 |
45 |
$3,816 |
28 |
$73,394 |
427 |
$1,995,881 |
7,172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
$1,767 |
19 |
* |
* |
|
|
$38,622 |
348 |
$98,579 |
846 |
$93,665 |
500 |
$1,561 |
13 |
* |
* |
$20,046 |
92 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,433 |
19 |
$4,869 |
271 |
$86,586 |
1,455 |
* |
* |
|
|
$1,796 |
34 |
|
|
$8,390 |
121 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$177,344 |
2,631 |
* |
* |
$3,879 |
69 |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$4,547 |
45 |
|
|
|
|
|
|
$25,606 |
39 |
$20,173 |
22 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
V1011 - Hx-bronchogenic malignan |
V1011 |
$1,669,190 |
14,475 |
$4,973 |
127 |
$2,819 |
60 |
$10,085 |
151 |
|
|
* |
* |
|
|
$2,677 |
43 |
$9,500 |
122 |
* |
* |
|
|
* |
* |
* |
* |
$2,639 |
11 |
* |
* |
|
|
|
|
|
|
|
|
$7,460 |
66 |
$1,534 |
16 |
$124,506 |
839 |
$310,039 |
4,194 |
$290,234 |
3,971 |
$14,713 |
127 |
$5,700 |
62 |
* |
* |
* |
* |
|
|
$646 |
11 |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
$1,000 |
13 |
$1,090 |
12 |
|
|
$1,712 |
12 |
$5,940 |
34 |
$2,018 |
20 |
* |
* |
* |
* |
* |
* |
* |
* |
$2,622 |
16 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$5,151 |
96 |
$25,382 |
387 |
$2,666 |
28 |
* |
* |
* |
* |
$17,437 |
200 |
$109,654 |
992 |
$25,550 |
142 |
* |
* |
|
|
$8,163 |
34 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$9,071 |
593 |
$1,589 |
25 |
* |
* |
* |
* |
$1,557 |
34 |
|
|
$1,277 |
36 |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$17,004 |
308 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$462 |
11 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$8,214 |
30 |
$609,819 |
1,608 |
$24,285 |
44 |
|
|
|
|
|
|
|
|
|
|
|
|
|
7243 - Sciatica |
7243 |
$1,900,034 |
14,439 |
$500 |
15 |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,110 |
12 |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$932 |
17 |
* |
* |
$1,436 |
28 |
$825 |
12 |
$97,092 |
1,308 |
$9,975 |
130 |
$1,504 |
14 |
$16,315 |
143 |
* |
* |
$11,985 |
118 |
$1,372,357 |
10,257 |
$7,457 |
39 |
$3,498 |
15 |
$3,320 |
24 |
$239,203 |
1,192 |
$3,947 |
73 |
$745 |
12 |
|
|
$58,803 |
325 |
$20,996 |
89 |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
$2,349 |
33 |
* |
* |
* |
* |
$3,936 |
20 |
* |
* |
$12,244 |
107 |
* |
* |
$3,193 |
12 |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
$3,678 |
50 |
$2,368 |
24 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$1,165 |
56 |
$747 |
16 |
* |
* |
|
|
$12,634 |
189 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$4,788 |
91 |
* |
* |
$931 |
18 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
42769 - Premature beats NEC |
42769 |
$865,838 |
14,419 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$23,180 |
167 |
$662 |
42 |
* |
* |
* |
* |
$1,920 |
17 |
|
|
* |
* |
$236 |
11 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$4,342 |
36 |
$547,097 |
2,607 |
* |
* |
* |
* |
$21,349 |
45 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$150,056 |
2,763 |
$58,626 |
3,625 |
$4,763 |
193 |
$53,608 |
4,913 |
|
34690 - Migrne unsp wo ntrc mgrn |
34690 |
$1,288,545 |
14,320 |
$210,792 |
5,782 |
$3,742 |
62 |
$33,333 |
491 |
* |
* |
$9,640 |
129 |
* |
* |
|
|
* |
* |
* |
* |
$25,734 |
257 |
$9,507 |
101 |
$1,904 |
11 |
$11,746 |
58 |
$63,745 |
494 |
$8,557 |
31 |
$9,293 |
51 |
$2,794 |
19 |
$12,252 |
63 |
$390,717 |
3,564 |
$5,649 |
45 |
$476,351 |
2,993 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$1,233 |
31 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
$6,147 |
68 |
|
|
* |
* |
* |
* |
|
|
$4,358 |
28 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$552 |
31 |
$500 |
11 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
78720 - Dysphagia NOS |
78720 |
$1,072,822 |
14,203 |
$41,187 |
1,239 |
$1,007 |
21 |
$5,094 |
74 |
* |
* |
$7,433 |
107 |
$1,037 |
14 |
$131,272 |
2,064 |
$404,148 |
5,522 |
$66,837 |
571 |
$3,011 |
37 |
$5,136 |
68 |
$13,654 |
69 |
$57,448 |
245 |
$2,766 |
28 |
|
|
* |
* |
* |
* |
$2,391 |
16 |
$37,170 |
363 |
* |
* |
$47,819 |
320 |
$24,022 |
458 |
$61,006 |
922 |
$6,430 |
58 |
$2,653 |
34 |
* |
* |
* |
* |
|
|
$4,433 |
75 |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
$3,922 |
42 |
|
|
* |
* |
* |
* |
|
|
$4,076 |
27 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,170 |
58 |
$7,032 |
103 |
$1,589 |
21 |
* |
* |
* |
* |
$11,273 |
136 |
$37,289 |
343 |
$10,189 |
58 |
* |
* |
|
|
$4,094 |
14 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$872 |
58 |
$2,208 |
36 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$2,765 |
81 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$688 |
18 |
$3,711 |
52 |
$48,435 |
835 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$5,553 |
16 |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
1748 - Malign neopl breast NEC |
1748 |
$3,054,138 |
14,098 |
$1,361 |
24 |
$873 |
18 |
$3,047 |
47 |
* |
* |
* |
* |
|
|
$3,121 |
27 |
$10,894 |
121 |
$5,064 |
28 |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$24,030 |
137 |
$37,900 |
418 |
$134,996 |
1,686 |
$14,560 |
87 |
$1,574 |
11 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$2,924 |
17 |
$3,145 |
20 |
$2,344 |
21 |
* |
* |
* |
* |
|
|
* |
* |
$2,341 |
13 |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
$2,066 |
32 |
$12,135 |
136 |
$4,633 |
28 |
* |
* |
* |
* |
$28,339 |
264 |
$167,450 |
1,115 |
$53,558 |
232 |
* |
* |
|
|
$4,366 |
26 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$725 |
66 |
$8,230 |
155 |
* |
* |
* |
* |
$1,721 |
26 |
* |
* |
$314,521 |
4,379 |
$236,119 |
1,233 |
|
|
|
|
|
|
|
|
|
|
$40,401 |
483 |
|
|
|
|
|
|
|
|
|
|
$75,741 |
782 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$4,835 |
65 |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
$48,174 |
59 |
$1,635,709 |
2,141 |
$167,239 |
201 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
8738 - Open wound of head NEC |
8738 |
$419,459 |
14,079 |
$352,594 |
12,425 |
* |
* |
$447 |
11 |
$783 |
16 |
$9,742 |
225 |
* |
* |
* |
* |
* |
* |
|
|
$676 |
12 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$1,949 |
20 |
|
|
* |
* |
$353 |
11 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$50,921 |
1,285 |
* |
* |
$337 |
11 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$813 |
11 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$307 |
36 |
$536 |
16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2410 - Nontox uninodular goiter |
2410 |
$1,053,399 |
14,027 |
$971 |
34 |
* |
* |
$1,113 |
16 |
* |
* |
$2,118 |
35 |
* |
* |
$79,201 |
1,015 |
$267,497 |
3,248 |
$70,483 |
535 |
$7,470 |
87 |
$25,651 |
278 |
$14,189 |
66 |
$68,977 |
258 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
$1,782 |
16 |
$57,698 |
824 |
$80,716 |
1,254 |
$9,440 |
102 |
$11,642 |
129 |
* |
* |
* |
* |
|
|
$6,586 |
170 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
$1,672 |
21 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$1,354 |
17 |
$20,521 |
188 |
$4,576 |
24 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
$2,177 |
20 |
$1,055 |
53 |
$15,274 |
234 |
* |
* |
|
|
$3,705 |
80 |
|
|
|
|
|
|
$236,161 |
4,690 |
$1,980 |
27 |
$11,451 |
186 |
$9,450 |
139 |
$10,042 |
107 |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$3,494 |
27 |
|
|
* |
* |
|
|
$17,891 |
50 |
* |
* |
$7,063 |
97 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
1420 - Malig neo parotid |
1420 |
$1,802,443 |
14,026 |
$1,475 |
41 |
$1,670 |
37 |
$3,668 |
59 |
* |
* |
$1,084 |
18 |
$1,896 |
34 |
$11,488 |
156 |
$83,346 |
1,029 |
$9,029 |
76 |
* |
* |
* |
* |
$3,619 |
28 |
$77,004 |
398 |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$16,122 |
120 |
$8,895 |
134 |
$32,247 |
486 |
$2,810 |
21 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,895 |
33 |
* |
* |
|
|
* |
* |
$3,266 |
31 |
$19,694 |
162 |
$3,027 |
21 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$215 |
15 |
* |
* |
|
|
* |
* |
* |
* |
|
|
$614,071 |
9,498 |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$1,140 |
15 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$10,963 |
22 |
$831,743 |
1,497 |
$62,077 |
95 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
78060 - Fever NOS |
78060 |
$826,987 |
13,817 |
$93,227 |
3,011 |
$702 |
16 |
$2,105 |
46 |
$831 |
17 |
$19,135 |
359 |
$2,695 |
48 |
$2,696 |
46 |
$12,845 |
225 |
$1,399 |
14 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
$3,706 |
51 |
|
|
$8,232 |
64 |
$54,275 |
1,223 |
$67,106 |
1,308 |
$3,374 |
51 |
$34,461 |
451 |
|
|
* |
* |
* |
* |
$2,037 |
50 |
* |
* |
$408 |
11 |
* |
* |
$912 |
26 |
$1,663 |
36 |
* |
* |
* |
* |
* |
* |
$723 |
15 |
$1,358 |
19 |
|
|
$1,128 |
14 |
$1,220 |
13 |
$3,636 |
33 |
$1,308 |
33 |
$2,298 |
49 |
* |
* |
* |
* |
$1,010 |
11 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
$1,199 |
26 |
$763 |
16 |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$2,478 |
43 |
$4,554 |
64 |
$1,192 |
12 |
$1,532 |
18 |
* |
* |
$166,099 |
2,349 |
$261,645 |
3,108 |
$26,945 |
222 |
$1,473 |
13 |
|
|
$2,875 |
18 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
$820 |
73 |
$1,071 |
23 |
* |
* |
|
|
$588 |
13 |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$851 |
22 |
* |
* |
* |
* |
|
|
* |
* |
$1,849 |
27 |
$1,246 |
15 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$2,230 |
48 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$674 |
16 |
$2,062 |
53 |
$16,328 |
349 |
|
|
$3,595 |
19 |
* |
* |
|
|
|
|
* |
* |
$223 |
13 |
|
|
$205 |
17 |
|
1610 - Malignant neo glottis |
1610 |
$1,415,261 |
13,755 |
* |
* |
* |
* |
$718 |
13 |
* |
* |
* |
* |
* |
* |
$6,849 |
94 |
$64,829 |
803 |
$6,977 |
58 |
|
|
* |
* |
* |
* |
$9,475 |
46 |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
$2,667 |
16 |
$5,696 |
85 |
$26,921 |
338 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$865 |
15 |
* |
* |
|
|
* |
* |
$1,791 |
16 |
$5,443 |
45 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$756,293 |
11,226 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$5,838 |
15 |
$506,447 |
957 |
$14,452 |
28 |
|
|
|
|
|
|
|
|
|
|
|
|
|
3689 - Visual disturbance NOS |
3689 |
$1,299,898 |
13,715 |
$191,403 |
5,374 |
$2,787 |
54 |
$41,267 |
523 |
$12,697 |
153 |
$3,208 |
48 |
* |
* |
* |
* |
* |
* |
* |
* |
$33,568 |
380 |
$21,986 |
285 |
$18,188 |
119 |
$154,343 |
694 |
$68,688 |
573 |
$5,645 |
27 |
$11,411 |
92 |
$5,544 |
48 |
$29,747 |
158 |
$233,414 |
2,262 |
$3,788 |
34 |
$461,335 |
2,865 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$139 |
13 |
$740 |
13 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
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|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
7177 - Chondromalacia patellae |
7177 |
$2,010,964 |
13,678 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
$3,378 |
23 |
* |
* |
* |
* |
$7,628 |
82 |
$16,250 |
145 |
* |
* |
$6,705 |
47 |
$3,116 |
11 |
$1,918,136 |
13,090 |
$20,551 |
89 |
$33,798 |
139 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$371 |
35 |
$1,031 |
17 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
41402 - Crn ath atlg vn bps grft |
41402 |
$2,243,461 |
13,634 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$7,676 |
42 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$5,503 |
36 |
$1,481,374 |
5,117 |
* |
* |
$2,692 |
23 |
$472,472 |
520 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$223,903 |
4,279 |
$25,883 |
1,625 |
$4,703 |
192 |
$19,255 |
1,800 |
|
1542 - Malig neopl anal canal |
1542 |
$1,523,363 |
13,433 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$4,823 |
66 |
$27,988 |
392 |
$1,652 |
17 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$1,632 |
14 |
* |
* |
* |
* |
$16,031 |
71 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
$8,582 |
89 |
$72,403 |
517 |
$15,717 |
73 |
* |
* |
|
|
$4,885 |
20 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$160 |
13 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$769,596 |
11,331 |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$7,661 |
22 |
$571,988 |
773 |
$20,244 |
35 |
|
|
|
|
|
|
|
|
|
|
|
|
|
20200 - Ndlr lym unsp xtrndl org |
20200 |
$2,842,636 |
13,393 |
* |
* |
$556 |
12 |
$1,384 |
21 |
* |
* |
$1,170 |
14 |
$1,760 |
20 |
$11,019 |
158 |
$76,741 |
1,217 |
$1,369 |
16 |
|
|
|
|
* |
* |
$5,368 |
27 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$9,107 |
69 |
$33,318 |
532 |
$191,878 |
3,078 |
$4,523 |
49 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$2,563 |
20 |
$3,322 |
25 |
* |
* |
* |
* |
|
|
* |
* |
$2,013 |
15 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
$1,309 |
19 |
$4,591 |
56 |
$2,461 |
20 |
* |
* |
* |
* |
$44,833 |
514 |
$361,620 |
2,941 |
$45,345 |
218 |
* |
* |
* |
* |
$3,505 |
17 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$685 |
55 |
$876 |
15 |
* |
* |
|
|
$4,773 |
97 |
* |
* |
$39,144 |
570 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$2,083 |
29 |
* |
* |
|
|
|
|
|
|
|
|
$1,405 |
14 |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
$11,126 |
49 |
$1,856,595 |
3,314 |
$116,195 |
192 |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
5531 - Umbilical hernia |
5531 |
$1,201,913 |
13,121 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,766 |
18 |
$2,463 |
47 |
|
|
$739 |
11 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$6,370 |
113 |
$3,984 |
64 |
$1,258 |
12 |
$2,545 |
16 |
$4,478 |
23 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$28,197 |
424 |
$26,762 |
328 |
$18,279 |
145 |
$7,663 |
65 |
$1,499 |
19 |
$394,291 |
4,870 |
$542,133 |
5,868 |
$138,148 |
882 |
$4,679 |
24 |
* |
* |
$12,981 |
44 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$2,161 |
119 |
$1,518 |
29 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
1543 - Malignant neo anus NOS |
1543 |
$1,956,809 |
13,096 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$3,916 |
49 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$4,615 |
31 |
$9,949 |
175 |
$90,763 |
1,613 |
$4,745 |
45 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$1,505 |
25 |
$3,823 |
41 |
* |
* |
$4,585 |
40 |
$45,965 |
263 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$1,092 |
16 |
* |
* |
* |
* |
|
|
$20,794 |
243 |
$241,054 |
2,173 |
$42,574 |
239 |
* |
* |
* |
* |
$11,241 |
70 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$591 |
58 |
$976 |
18 |
* |
* |
* |
* |
$871 |
19 |
* |
* |
$328,686 |
5,614 |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
$3,369 |
48 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
$12,641 |
33 |
$1,085,020 |
2,193 |
$38,033 |
90 |
|
|
|
|
|
|
|
|
|
|
|
|
|
59689 - Disorders of bladder NEC |
59689 |
$1,270,101 |
13,020 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$672 |
18 |
$2,375 |
46 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
$2,545 |
31 |
* |
* |
|
|
|
|
* |
* |
$14,194 |
272 |
$8,498 |
124 |
$5,306 |
53 |
$16,892 |
112 |
$45,225 |
261 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$1,209 |
21 |
$1,112 |
19 |
$1,431 |
24 |
$6,032 |
57 |
* |
* |
$358,948 |
4,665 |
$344,871 |
4,131 |
$437,827 |
2,752 |
$1,139 |
15 |
* |
* |
$8,538 |
45 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$1,587 |
129 |
$9,119 |
194 |
* |
* |
|
|
$1,183 |
23 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
$921 |
17 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$476 |
11 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5779 - Pancreatic disease NOS |
5779 |
$1,522,255 |
12,994 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$5,082 |
103 |
$24,291 |
463 |
$919 |
15 |
$1,825 |
18 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
$4,991 |
123 |
|
|
$1,505 |
15 |
$8,464 |
63 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$17,400 |
264 |
$71,176 |
939 |
$120,292 |
1,049 |
$7,696 |
58 |
$17,868 |
194 |
$81,638 |
1,032 |
$299,093 |
3,076 |
$152,907 |
1,167 |
$76,205 |
624 |
$11,253 |
63 |
$550,954 |
2,757 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$3,595 |
272 |
$5,384 |
131 |
* |
* |
|
|
$19,914 |
422 |
* |
* |
$823 |
11 |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
$906 |
12 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
$1,433 |
31 |
|
|
|
|
* |
* |
$36,642 |
92 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
1619 - Malignant neo larynx NOS |
1619 |
$2,043,960 |
12,934 |
$1,722 |
50 |
$2,031 |
41 |
$1,980 |
43 |
* |
* |
* |
* |
$1,717 |
43 |
$21,458 |
308 |
$202,021 |
2,778 |
$17,338 |
169 |
* |
* |
* |
* |
$3,094 |
20 |
$27,611 |
142 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$8,711 |
72 |
$21,479 |
363 |
$97,355 |
1,520 |
$4,551 |
56 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$768 |
15 |
$4,331 |
74 |
$831 |
12 |
|
|
* |
* |
$3,863 |
36 |
$26,068 |
248 |
$5,547 |
39 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$354 |
29 |
$673 |
11 |
* |
* |
|
|
$696 |
13 |
|
|
$217,560 |
3,714 |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$2,156 |
44 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
$11,270 |
44 |
$1,312,895 |
2,960 |
$45,882 |
90 |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
78630 - Hemoptysis NOS |
78630 |
$932,112 |
12,906 |
$920 |
31 |
* |
* |
* |
* |
|
|
$8,690 |
125 |
* |
* |
$5,422 |
75 |
$18,747 |
257 |
$1,875 |
20 |
* |
* |
$1,090 |
14 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$296,711 |
4,396 |
$314,015 |
4,536 |
$48,054 |
397 |
$195,052 |
2,310 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
$1,633 |
26 |
* |
* |
* |
* |
* |
* |
$4,045 |
55 |
$9,490 |
112 |
$2,068 |
15 |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$1,853 |
151 |
$3,946 |
71 |
* |
* |
|
|
$943 |
21 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$456 |
12 |
$11,320 |
265 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$5,782 |
17 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
44021 - Ath ext ntv at w claudct |
44021 |
$2,114,389 |
12,762 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$2,649 |
18 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$5,087 |
52 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$1,113 |
12 |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
$2,618 |
41 |
$5,744 |
67 |
$87,113 |
420 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$301,262 |
1,224 |
* |
* |
* |
* |
* |
* |
$42,096 |
233 |
$33,741 |
161 |
$1,572 |
14 |
$5,945 |
60 |
* |
* |
* |
* |
|
|
* |
* |
$83,922 |
437 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$1,374,848 |
8,740 |
|
|
$161 |
11 |
* |
* |
|
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|
|
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* |
* |
$132,558 |
436 |
|
|
* |
* |
$7,751 |
11 |
|
|
|
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* |
* |
|
|
|
|
$19,578 |
367 |
$3,072 |
187 |
$1,026 |
45 |
$2,534 |
226 |
|
2411 - Nontox multinodul goiter |
2411 |
$932,132 |
12,635 |
$1,105 |
36 |
* |
* |
* |
* |
* |
* |
$1,681 |
22 |
$592 |
11 |
$85,891 |
1,058 |
$254,190 |
3,132 |
$65,984 |
508 |
$3,952 |
52 |
$18,680 |
193 |
$9,533 |
52 |
$50,406 |
201 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
$1,422 |
12 |
$31,550 |
488 |
$52,855 |
845 |
$7,811 |
70 |
$5,523 |
73 |
* |
* |
* |
* |
|
|
$4,488 |
109 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
$744 |
12 |
|
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* |
* |
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* |
* |
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* |
* |
* |
* |
* |
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* |
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$9,952 |
94 |
* |
* |
* |
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|
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* |
* |
* |
* |
$640 |
51 |
$54,595 |
833 |
* |
* |
|
|
$1,932 |
26 |
|
|
* |
* |
|
|
$227,560 |
4,306 |
* |
* |
$6,696 |
99 |
$6,591 |
75 |
$5,471 |
61 |
|
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* |
* |
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* |
* |
|
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$8,096 |
27 |
* |
* |
$14,193 |
189 |
|
|
|
|
|
|
|
|
* |
* |
|
44020 - Athscl extrm ntv art NOS |
44020 |
$1,766,876 |
12,540 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
$1,695 |
14 |
$7,550 |
52 |
|
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* |
* |
* |
* |
* |
* |
* |
* |
$961 |
11 |
* |
* |
|
|
* |
* |
* |
* |
$863 |
19 |
* |
* |
$10,065 |
126 |
|
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* |
* |
* |
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* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$4,586 |
80 |
$11,267 |
164 |
$91,489 |
617 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$308,355 |
1,188 |
* |
* |
$939 |
18 |
$862 |
11 |
$120,170 |
946 |
$22,124 |
194 |
$3,476 |
45 |
$16,236 |
204 |
$4,376 |
37 |
* |
* |
* |
* |
* |
* |
$73,316 |
439 |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$1,039,430 |
7,818 |
|
|
$165 |
14 |
* |
* |
* |
* |
|
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* |
* |
* |
* |
* |
* |
* |
* |
* |
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$37,884 |
149 |
|
|
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* |
* |
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* |
* |
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
$7,400 |
140 |
$1,762 |
105 |
$411 |
19 |
$1,494 |
130 |
|
3314 - Obstructiv hydrocephalus |
3314 |
$719,637 |
12,499 |
$397,411 |
9,651 |
$2,642 |
45 |
$13,852 |
197 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$4,150 |
49 |
$1,041 |
15 |
* |
* |
* |
* |
$4,374 |
35 |
* |
* |
* |
* |
|
|
* |
* |
$148,303 |
1,431 |
$3,647 |
31 |
$137,918 |
939 |
* |
* |
* |
* |
|
|
|
|
|
|
|
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|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
$2,349 |
29 |
* |
* |
$745 |
11 |
* |
* |
|
|
$1,643 |
14 |
* |
* |
* |
* |
|
|
|
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|
|
|
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|
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* |
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|
|
|
|
|
|
$495 |
30 |
$1,069 |
22 |
|
|
* |
* |
* |
* |
|
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|
|
|
* |
* |
|
|
* |
* |
|
2270 - Benign neoplasm adrenal |
2270 |
$1,481,989 |
12,271 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
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* |
* |
* |
* |
|
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|
|
|
|
|
|
|
|
* |
* |
* |
* |
$2,996 |
18 |
$15,311 |
242 |
$12,012 |
196 |
$2,973 |
30 |
$4,758 |
58 |
* |
* |
* |
* |
|
|
* |
* |
|
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* |
* |
|
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* |
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* |
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* |
* |
* |
* |
* |
* |
* |
* |
|
|
$1,712 |
12 |
$11,012 |
67 |
|
|
* |
* |
|
|
|
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|
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* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$104,766 |
1,572 |
$25,808 |
312 |
$161,900 |
1,447 |
$10,293 |
76 |
$2,963 |
25 |
$190,322 |
2,254 |
$151,982 |
1,543 |
$238,998 |
1,465 |
$138,011 |
911 |
$3,165 |
19 |
$372,470 |
1,628 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,717 |
17 |
|
|
$2,526 |
152 |
$4,107 |
76 |
$1,653 |
36 |
|
|
$1,123 |
25 |
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
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* |
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|
|
|
* |
* |
* |
* |
$2,193 |
42 |
|
|
|
|
|
|
$17,219 |
48 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
2189 - Uterine leiomyoma NOS |
2189 |
$1,520,493 |
12,223 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,712 |
31 |
$8,344 |
152 |
* |
* |
$786 |
11 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$9,668 |
184 |
$12,715 |
153 |
$5,284 |
38 |
$121,107 |
676 |
$473,811 |
2,002 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
$8,235 |
70 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$8,526 |
73 |
* |
* |
$208,421 |
2,601 |
$435,493 |
4,467 |
$160,880 |
905 |
$1,632 |
18 |
* |
* |
$26,310 |
110 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,240 |
11 |
|
|
$10,454 |
476 |
$13,710 |
207 |
* |
* |
|
|
* |
* |
|
|
$1,140 |
12 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
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* |
* |
* |
* |
* |
* |
|
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|
|
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|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$11,027 |
26 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
4409 - Atherosclerosis NOS |
4409 |
$927,546 |
12,119 |
$66,785 |
2,061 |
$731 |
14 |
$3,579 |
51 |
* |
* |
$1,066 |
17 |
* |
* |
$3,456 |
48 |
$10,516 |
151 |
* |
* |
$34,367 |
418 |
$51,057 |
621 |
|
|
|
|
$9,897 |
103 |
* |
* |
$3,956 |
30 |
$1,315 |
11 |
$9,090 |
52 |
$2,688 |
28 |
|
|
$2,928 |
21 |
$56,357 |
955 |
$48,374 |
841 |
$11,351 |
120 |
$64,146 |
726 |
|
|
* |
* |
* |
* |
$2,030 |
51 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
$3,168 |
60 |
$1,653 |
27 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
$3,241 |
48 |
$742 |
12 |
$5,234 |
40 |
|
|
|
|
* |
* |
|
|
* |
* |
$7,996 |
31 |
$5,862 |
93 |
$6,984 |
103 |
$4,681 |
47 |
$61,775 |
567 |
$27,020 |
252 |
$80,904 |
1,071 |
$87,882 |
1,016 |
$30,665 |
203 |
* |
* |
|
|
$2,785 |
14 |
$9,354 |
47 |
* |
* |
|
|
|
|
$2,596 |
72 |
* |
* |
$7,856 |
48 |
$99,956 |
726 |
|
|
$541 |
41 |
$2,037 |
37 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$39,580 |
179 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
$47,898 |
805 |
$1,913 |
119 |
* |
* |
$1,534 |
142 |
|
1624 - Mal neo middle lobe lung |
1624 |
$1,620,130 |
12,114 |
* |
* |
$1,377 |
13 |
$3,909 |
45 |
|
|
|
|
|
|
$999 |
12 |
$2,668 |
28 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,243 |
11 |
* |
* |
$19,823 |
118 |
$43,685 |
503 |
$85,675 |
956 |
$6,291 |
42 |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$2,353 |
35 |
$7,767 |
95 |
$3,028 |
17 |
|
|
|
|
$10,247 |
98 |
$40,047 |
255 |
$8,049 |
36 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$662 |
35 |
$964 |
14 |
|
|
$908 |
14 |
$2,334 |
51 |
* |
* |
$566,555 |
8,664 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,549 |
32 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$4,922 |
16 |
$769,945 |
989 |
$35,129 |
35 |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
9598 - Injury mlt site/site NEC |
9598 |
$461,987 |
12,062 |
$70,359 |
2,642 |
|
|
* |
* |
$4,034 |
79 |
$17,790 |
427 |
$532 |
14 |
* |
* |
* |
* |
* |
* |
$702 |
13 |
$2,709 |
53 |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
$9,095 |
299 |
$31,577 |
874 |
$754 |
17 |
$4,707 |
67 |
* |
* |
|
|
|
|
$113,663 |
3,131 |
$4,437 |
119 |
$25,875 |
886 |
$5,616 |
158 |
$27,158 |
918 |
$5,556 |
155 |
|
|
$1,412 |
22 |
|
|
$714 |
11 |
$1,985 |
20 |
|
|
* |
* |
* |
* |
* |
* |
$2,364 |
58 |
* |
* |
* |
* |
* |
* |
* |
* |
$1,685 |
39 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
$3,635 |
100 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$30,250 |
444 |
$90,368 |
1,314 |
$2,083 |
25 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,340 |
135 |
$663 |
18 |
|
|
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|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$924 |
24 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
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* |
* |
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2273 - Benign neo pituitary |
2273 |
$1,786,898 |
11,982 |
$12,815 |
311 |
$3,536 |
62 |
$15,856 |
210 |
$729 |
14 |
$7,434 |
103 |
* |
* |
* |
* |
* |
* |
* |
* |
$3,160 |
44 |
* |
* |
* |
* |
$19,760 |
94 |
$7,696 |
69 |
* |
* |
$1,462 |
13 |
* |
* |
* |
* |
$77,711 |
693 |
$17,105 |
162 |
$1,565,323 |
9,286 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
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* |
* |
|
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* |
* |
|
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* |
* |
* |
* |
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* |
* |
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* |
* |
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* |
* |
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* |
* |
|
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* |
* |
|
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* |
* |
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* |
* |
* |
* |
* |
* |
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* |
* |
|
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|
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* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
$386 |
25 |
$567 |
11 |
|
|
$2,326 |
24 |
|
|
|
|
$50,062 |
850 |
|
|
* |
* |
|
|
$969 |
11 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
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* |
* |
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* |
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* |
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|
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* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7891 - Hepatomegaly |
7891 |
$1,215,811 |
11,954 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$5,025 |
94 |
$12,429 |
224 |
$1,806 |
21 |
$2,692 |
37 |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
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* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
$3,381 |
22 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$23,440 |
348 |
$37,276 |
491 |
$55,971 |
504 |
$8,561 |
71 |
$2,564 |
25 |
$250,862 |
3,220 |
$395,913 |
4,312 |
$175,488 |
1,106 |
$36,419 |
279 |
$5,005 |
24 |
$180,360 |
801 |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
$2,290 |
152 |
$2,791 |
50 |
* |
* |
|
|
$3,052 |
66 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$6,801 |
55 |
$3,684 |
52 |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
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|
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|
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* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
430 - Subarachnoid hemorrhage |
430 |
$650,093 |
11,953 |
$322,495 |
8,432 |
$1,589 |
37 |
$4,754 |
86 |
* |
* |
$2,601 |
63 |
|
|
* |
* |
* |
* |
|
|
$90,718 |
1,168 |
$20,439 |
346 |
|
|
* |
* |
$69,920 |
486 |
$19,272 |
110 |
$5,112 |
32 |
$1,071 |
11 |
$3,664 |
22 |
$41,988 |
434 |
* |
* |
$54,253 |
411 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
$5,792 |
139 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
$1,002 |
13 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
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* |
* |
|
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* |
* |
|
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* |
* |
|
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* |
* |
* |
* |
|
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|
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* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$595 |
32 |
$4,828 |
131 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
7172 - Derang post med meniscus |
7172 |
$1,650,733 |
11,807 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
$1,309 |
14 |
|
|
|
|
$572 |
11 |
$2,834 |
27 |
|
|
$3,570 |
31 |
* |
* |
$1,614,406 |
11,591 |
$6,225 |
35 |
$21,816 |
98 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4419 - Aortic aneurysm NOS |
4419 |
$1,348,950 |
11,770 |
$603 |
15 |
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
$4,290 |
47 |
$2,683 |
29 |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
$109,882 |
1,513 |
$75,499 |
1,045 |
$16,895 |
198 |
$357,643 |
3,010 |
$6,270 |
31 |
$5,801 |
29 |
$47,204 |
329 |
* |
* |
|
|
* |
* |
* |
* |
$894 |
23 |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$470 |
11 |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$12,753 |
211 |
$10,043 |
135 |
$7,296 |
68 |
$298,258 |
1,631 |
$90,751 |
613 |
$86,375 |
906 |
$62,863 |
663 |
$30,768 |
237 |
$1,357 |
19 |
* |
* |
$2,513 |
14 |
$22,320 |
120 |
|
|
$4,542 |
36 |
$360 |
25 |
* |
* |
* |
* |
$4,876 |
35 |
$49,776 |
300 |
* |
* |
$934 |
60 |
$4,724 |
73 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
$23,527 |
95 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
$4,597 |
83 |
$1,199 |
74 |
* |
* |
$985 |
92 |
|
6259 - Fem genital symptoms NOS |
6259 |
$1,264,481 |
11,763 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$627 |
11 |
$2,306 |
41 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
$631 |
12 |
* |
* |
|
|
* |
* |
|
|
* |
* |
$1,105 |
15 |
|
|
|
|
* |
* |
$1,679 |
12 |
$113,994 |
2,289 |
$48,599 |
605 |
$21,388 |
181 |
$208,945 |
1,192 |
$269,677 |
1,147 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$1,296 |
28 |
* |
* |
|
|
* |
* |
* |
* |
$2,645 |
20 |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$3,023 |
21 |
* |
* |
$140,324 |
1,636 |
$276,941 |
2,638 |
$111,766 |
679 |
$2,149 |
16 |
* |
* |
$9,932 |
37 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$15,347 |
662 |
$17,337 |
261 |
* |
* |
|
|
$3,848 |
82 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$707 |
17 |
$5,314 |
104 |
$4,039 |
44 |
$862 |
13 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
43320 - Ocl vrtb art wo infrct |
43320 |
$1,217,035 |
11,728 |
$11,138 |
287 |
$2,129 |
53 |
$6,191 |
92 |
|
|
* |
* |
|
|
$1,077 |
20 |
$8,289 |
148 |
$4,944 |
58 |
$215,465 |
2,530 |
$351,851 |
3,863 |
* |
* |
* |
* |
$170,396 |
1,560 |
$22,102 |
118 |
$54,716 |
481 |
$40,386 |
466 |
$265,472 |
1,429 |
$22,099 |
284 |
|
|
$36,098 |
290 |
* |
* |
* |
* |
* |
* |
$4,157 |
34 |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$525 |
15 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
61172 - Lump or mass in breast |
61172 |
$2,051,034 |
11,377 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$1,252 |
19 |
|
|
* |
* |
$21,859 |
335 |
$45,379 |
786 |
$4,036 |
36 |
$2,653 |
38 |
$2,210 |
15 |
$13,864 |
37 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
$1,415 |
20 |
* |
* |
* |
* |
|
|
$3,858 |
45 |
$22,938 |
208 |
$4,255 |
28 |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$4,401 |
304 |
$36,228 |
619 |
* |
* |
* |
* |
$1,921 |
37 |
* |
* |
$618 |
15 |
$1,819,939 |
8,155 |
* |
* |
|
|
|
|
|
|
|
|
$26,902 |
510 |
|
|
* |
* |
|
|
|
|
* |
* |
$3,956 |
74 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$33,349 |
96 |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
|
24290 - Thyrotox NOS no crisis |
24290 |
$582,945 |
11,183 |
$1,095 |
29 |
* |
* |
* |
* |
$1,347 |
13 |
* |
* |
|
|
$1,426 |
18 |
$3,619 |
47 |
$2,907 |
23 |
|
|
|
|
* |
* |
$3,539 |
17 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
$5,223 |
34 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
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* |
* |
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* |
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* |
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* |
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* |
* |
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* |
* |
* |
* |
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* |
* |
* |
* |
* |
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* |
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|
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* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
$374,775 |
8,273 |
$1,492 |
33 |
$16,983 |
359 |
$8,799 |
138 |
$7,806 |
81 |
|
|
|
|
|
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* |
* |
|
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* |
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* |
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* |
* |
|
|
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|
|
|
|
|
|
$1,572 |
18 |
|
|
|
|
|
|
* |
* |
|
|
$152,363 |
2,100 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
470 - Deviated nasal septum |
470 |
$1,010,519 |
11,112 |
$10,897 |
300 |
* |
* |
* |
* |
$5,007 |
65 |
$927,720 |
9,958 |
$8,190 |
100 |
$1,191 |
12 |
$3,326 |
38 |
* |
* |
* |
* |
|
|
$1,823 |
12 |
$5,254 |
18 |
|
|
|
|
|
|
|
|
|
|
$2,075 |
20 |
* |
* |
$7,374 |
39 |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$3,142 |
147 |
$9,573 |
158 |
$11,550 |
158 |
$13,397 |
87 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
4130 - Angina decubitus |
4130 |
$2,249,825 |
10,590 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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* |
* |
|
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* |
* |
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$2,337 |
13 |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,313,603 |
3,952 |
* |
* |
$5,579 |
31 |
$692,935 |
655 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$202,880 |
3,876 |
$13,969 |
819 |
$8,250 |
339 |
$10,272 |
905 |
|
5368 - Stomach function dis NEC |
5368 |
$711,977 |
10,547 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,613 |
20 |
$832 |
17 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
* |
* |
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$4,193 |
64 |
$8,930 |
112 |
$3,823 |
34 |
$1,572 |
18 |
$986 |
11 |
$100,876 |
1,384 |
$164,740 |
1,868 |
$27,236 |
167 |
$6,730 |
48 |
|
|
$13,972 |
57 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
$493 |
36 |
$725 |
13 |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$9,541 |
123 |
$25,980 |
279 |
$339,006 |
6,274 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$592 |
11 |
* |
* |
* |
* |
$137 |
11 |
|
79902 - Hypoxemia |
79902 |
$670,871 |
10,532 |
$7,651 |
253 |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$828 |
13 |
|
|
* |
* |
$83,631 |
1,507 |
$84,210 |
1,593 |
$5,051 |
78 |
$371,723 |
4,436 |
* |
* |
|
|
* |
* |
$552 |
15 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$426 |
12 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$1,323 |
21 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
* |
* |
$3,104 |
43 |
$6,691 |
96 |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
$735 |
70 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
$4,034 |
30 |
* |
* |
|
|
|
|
$4,926 |
143 |
$91,248 |
2,038 |
$2,073 |
40 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$990 |
19 |
$864 |
51 |
* |
* |
$810 |
74 |
|
38830 - Tinnitus NOS |
38830 |
$1,667,082 |
10,391 |
$28,045 |
721 |
$2,870 |
43 |
$14,425 |
166 |
$72,086 |
813 |
$7,480 |
90 |
* |
* |
* |
* |
$3,975 |
49 |
* |
* |
$47,666 |
401 |
$26,336 |
221 |
$3,272 |
21 |
$45,947 |
183 |
$184,664 |
1,229 |
$37,780 |
145 |
$25,371 |
144 |
$10,390 |
65 |
$70,603 |
249 |
$119,895 |
916 |
$8,182 |
52 |
$955,524 |
4,787 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,272 |
75 |
$1,298 |
21 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
|
72273 - Lumb disc dis w myelopat |
72273 |
$1,216,372 |
10,344 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,294 |
14 |
* |
* |
* |
* |
* |
* |
$71,447 |
1,048 |
$15,627 |
301 |
$1,414 |
15 |
$5,120 |
45 |
|
|
$2,401 |
26 |
$915,062 |
7,653 |
$3,675 |
24 |
* |
* |
* |
* |
$197,116 |
1,175 |
* |
* |
|
|
|
|
$2,474 |
14 |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$261 |
13 |
$483 |
16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2251 - Benign neo cranial nerve |
2251 |
$1,597,454 |
10,298 |
$7,434 |
169 |
$2,130 |
40 |
$8,127 |
112 |
$8,534 |
102 |
$569 |
11 |
* |
* |
* |
* |
* |
* |
|
|
$1,280 |
11 |
* |
* |
$2,769 |
18 |
$46,787 |
243 |
$6,945 |
54 |
* |
* |
* |
* |
* |
* |
$3,588 |
11 |
$73,635 |
622 |
$29,641 |
271 |
$1,363,307 |
7,814 |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
$951 |
13 |
|
|
|
|
* |
* |
|
|
$2,298 |
15 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1,724 |
90 |
$1,980 |
36 |
* |
* |
$1,999 |
40 |
|
|
|
|
$33,756 |
626 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1809 - Mal neo cervix uteri NOS |
1809 |
$1,851,221 |
10,186 |
$482 |
16 |
* |
* |
* |
* |
|
|
|
|
|
|
$756 |
11 |
$4,292 |
62 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$3,996 |
30 |
$13,274 |
218 |
$66,078 |
1,119 |
$5,465 |
54 |
* |
* |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
$1,546 |
16 |
$2,998 |
59 |
$1,842 |
28 |
* |
* |
$10,618 |
132 |
$59,903 |
405 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
$2,226 |
27 |
$1,100 |
12 |
* |
* |
|
|
$36,072 |
410 |
$193,346 |
1,772 |
$37,405 |
239 |
$1,403 |
13 |
* |
* |
$10,776 |
57 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$396 |
44 |
$702 |
12 |
* |
* |
|
|
$831 |
16 |
|
|
$146,725 |
2,741 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
$4,813 |
81 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
$6,717 |
28 |
$1,213,129 |
2,532 |
$24,332 |
52 |
|
|
|
|
|
|
|
|
|
|
|
|
|
1419 - Malig neo tongue NOS |
1419 |
$1,904,110 |
10,070 |
$1,466 |
39 |
$2,029 |
48 |
$4,513 |
83 |
* |
* |
$1,106 |
15 |
$2,760 |
55 |
$15,640 |
212 |
$176,603 |
2,308 |
$16,366 |
132 |
* |
* |
* |
* |
$5,070 |
27 |
$61,618 |
312 |
* |
* |
|
|
* |
* |
* |
* |
|
|
$1,490 |
11 |
* |
* |
$12,409 |
79 |
$13,115 |
224 |
$68,171 |
961 |
$4,005 |
31 |
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
$671 |
12 |
$2,802 |
45 |
* |
* |
|
|
|
|
$2,832 |
32 |
$25,400 |
189 |
$5,844 |
26 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$273 |
26 |
* |
* |
* |
* |
|
|
$503 |
11 |
|
|
$118,417 |
2,308 |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$461 |
11 |
|
|
|
|
|
|
|
|
* |
* |
$1,346 |
34 |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$7,365 |
39 |
$1,291,371 |
2,690 |
$60,463 |
110 |
* |
* |
|
|
|
|
* |
* |
|
|
* |
* |
|
79399 - Nonsp abn find-body NEC |
79399 |
$1,430,260 |
10,031 |
$5,366 |
104 |
* |
* |
$4,974 |
53 |
$2,766 |
27 |
$6,049 |
71 |
* |
* |
$5,331 |
77 |
$30,961 |
294 |
$6,836 |
51 |
$11,429 |
78 |
$27,264 |
176 |
* |
* |
$14,866 |
64 |
$8,457 |
52 |
* |
* |
$3,573 |
26 |
$1,825 |
11 |
$8,565 |
31 |
$11,249 |
106 |
$3,597 |
22 |
$55,486 |
300 |
$176,186 |
1,880 |
$141,580 |
1,340 |
$24,492 |
175 |
$10,031 |
76 |
* |
* |
$2,847 |
11 |
* |
* |
$4,305 |
58 |
* |
* |
$2,248 |
32 |
* |
* |
$3,088 |
39 |
* |
* |
|
|
$7,752 |
69 |
$2,619 |
14 |
$10,273 |
87 |
$11,220 |
97 |
$4,908 |
29 |
$14,709 |
89 |
$22,248 |
129 |
$16,205 |
94 |
$6,204 |
97 |
$4,700 |
44 |
* |
* |
$10,197 |
58 |
$28,295 |
116 |
$3,035 |
38 |
* |
* |
$1,321 |
11 |
$3,879 |
18 |
$3,032 |
26 |
* |
* |
$2,845 |
12 |
$3,944 |
73 |
$1,143 |
16 |
$2,041 |
11 |
$8,535 |
48 |
$11,162 |
49 |
$8,574 |
73 |
* |
* |
$5,732 |
30 |
* |
* |
$6,591 |
86 |
$15,032 |
141 |
$42,713 |
304 |
$8,488 |
35 |
$5,506 |
27 |
$19,992 |
182 |
$69,457 |
477 |
$49,812 |
256 |
$23,340 |
147 |
* |
* |
$97,487 |
382 |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
$6,542 |
35 |
|
|
$1,104 |
69 |
$3,403 |
58 |
$985 |
23 |
|
|
$4,002 |
86 |
|
|
|
|
$5,997 |
21 |
$1,394 |
29 |
* |
* |
$1,089 |
11 |
* |
* |
* |
* |
* |
* |
$2,681 |
29 |
$4,737 |
42 |
$2,190 |
11 |
* |
* |
$1,616 |
34 |
$41,565 |
537 |
$6,545 |
73 |
$1,420 |
31 |
|
|
$5,377 |
31 |
|
|
|
|
* |
* |
* |
* |
$688 |
11 |
|
|
* |
* |
|
|
|
|
* |
* |
$1,127 |
11 |
* |
* |
* |
* |
* |
* |
$211,035 |
240 |
$18,161 |
20 |
|
|
|
|
$1,072 |
23 |
$681 |
41 |
* |
* |
$487 |
46 |
|
6202 - Ovarian cyst NEC/NOS |
6202 |
$1,104,759 |
9,989 |
* |
* |
|
|
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$809 |
13 |
$2,523 |
51 |
* |
* |
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$8,724 |
149 |
$14,729 |
179 |
$4,906 |
42 |
$59,111 |
340 |
$335,687 |
1,366 |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$2,076 |
14 |
|
|
* |
* |
|
|
* |
* |
$866 |
14 |
* |
* |
$2,391 |
29 |
* |
* |
$159,395 |
2,149 |
$382,728 |
4,486 |
$103,894 |
648 |
$2,940 |
27 |
* |
* |
$10,893 |
65 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
$6,435 |
308 |
$5,213 |
79 |
* |
* |
|
|
$1,438 |
30 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
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* |
* |
|
|
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* |
* |
|
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|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
72887 - Muscle weakness-general |
72887 |
$711,011 |
9,922 |
$159,473 |
4,730 |
$907 |
17 |
$10,119 |
121 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
$17,418 |
258 |
$11,875 |
214 |
* |
* |
* |
* |
$15,024 |
165 |
* |
* |
$4,447 |
46 |
$1,170 |
16 |
$6,237 |
42 |
$100,929 |
1,089 |
$1,842 |
16 |
$115,756 |
739 |
$1,812 |
30 |
$2,181 |
36 |
* |
* |
$2,383 |
33 |
* |
* |
$6,520 |
19 |
* |
* |
$6,710 |
145 |
* |
* |
$1,363 |
33 |
$961 |
15 |
$7,009 |
124 |
$1,695 |
23 |
* |
* |
$43,120 |
417 |
* |
* |
$19,638 |
225 |
$42,289 |
433 |
* |
* |
$20,518 |
154 |
$20,616 |
138 |
$22,491 |
167 |
* |
* |
* |
* |
|
|
$5,530 |
42 |
$5,780 |
25 |
* |
* |
* |
* |
$4,627 |
22 |
$6,306 |
22 |
$5,639 |
43 |
* |
* |
* |
* |
$844 |
11 |
|
|
* |
* |
$10,456 |
53 |
$10,448 |
30 |
$3,849 |
31 |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
$769 |
11 |
* |
* |
$3,031 |
41 |
$4,826 |
42 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
$1,649 |
14 |
|
|
$232 |
17 |
$967 |
20 |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
$1,080 |
18 |
* |
* |
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
* |
* |
$256 |
16 |
|
|
$218 |
19 |
|
41189 - Ac ischemic hrt dis NEC |
41189 |
$1,575,061 |
9,860 |
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
* |
* |
|
|
|
|
$1,355 |
14 |
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
$2,013 |
13 |
$1,195,060 |
4,218 |
$2,345 |
40 |
$5,458 |
32 |
$179,700 |
191 |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$153,116 |
2,840 |
$18,786 |
1,127 |
$3,295 |
122 |
$13,933 |
1,263 |
|
72761 - Rotator cuff rupture |
72761 |
$1,531,487 |
9,799 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
$10,826 |
134 |
$18,560 |
188 |
$7,859 |
58 |
* |
* |
$1,363,657 |
8,808 |
$81,749 |
362 |
$38,911 |
139 |
* |
* |
|
|
|
|
* |
* |
|
|
$4,961 |
43 |
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$228 |
11 |
$1,207 |
19 |
|
|
|
|
$3,529 |
37 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
|
|
|
20190 - Hdgk dis unsp xtrndl org |
20190 |
$1,920,569 |
9,773 |
$975 |
27 |
* |
* |
$1,161 |
20 |
* |
* |
$675 |
15 |
* |
* |
$5,946 |
99 |
$52,750 |
824 |
$1,853 |
26 |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
* |
* |
|
|
|
|
* |
* |
* |
* |
$8,924 |
58 |
$20,341 |
364 |
$130,178 |
2,147 |
$6,136 |
63 |
$1,865 |
19 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
$2,501 |
16 |
$2,410 |
19 |
$2,479 |
17 |
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
* |
* |
|
|
* |
* |
* |
* |
|
|
|
|
* |
* |
* |
* |
* |
* |
|
|
* |
* |
|
|
$701 |
11 |
$5,176 |
65 |
* |
* |
|
|
* |
* |
$22,254 |
281 |
$216,892 |
1,903 |
$34,875 |
170 |
* |
* |
|
|
$2,472 |
19 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
$532 |
52 |
$1,098 |
19 |
* |
* |
|
|
$3,996 |
85 |
|
|
$9,900 |
226 |
$3,632 |
13 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
* |
|
|
$2,200 |
48 |
* |
* |
* |
* |
|
|
* |
* |
|
|
$1,775 |
24 |
|
|
|
|
* |
* |
|
|
|
|
|
|
* |
* |
|
|
|
|
|
|
|
|
$18,550 |
60 |
$1,298,661 |
2,964 |
$59,662 |
119 |
* |
* |
* |
* |
|
|
* |
* |
|
|
* |
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
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|
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|
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|
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|
|
|
|
|
|
|
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|
|
|
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|
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|
|
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|
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|
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