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Top 10 Diagnoses
Z00.00
K57.32
M17.12
M84.661P
C78.01
M75.122
R39.15
M51.26
C64.1
C78.02
$0
$9,000
$18,000
$27,000
$36,000
$45,000
$54,000
$63,000
$72,000
MEMBER PAID
% PLAN PAID
OF TOTAL
PLAN PAID
PLAN PAID
DIAGNOSIS
CODE
$3,613.35
4.70 %
$72,998.97
Secondary malignant neoplasm of left
lung
C78.02
$3,841.62
4.07 %
$63,188.19
Malignant neoplasm of right kidney,
except renal pelvis
C64.1
$0.00
3.35 %
$51,988.23
Other intervertebral disc displacement,
lumbar region
M51.26
$1,816.74
2.84 %
$44,079.71
Urgency of urination
R39.15
$3,551.53
2.72 %
$42,175.51
Complete rotatr-cuff tear/ruptr of left
shoulder, not trauma
M75.122
$481.26
2.53 %
$39,233.98
Secondary malignant neoplasm of right
lung
C78.01
$0.00
2.49 %
$38,682.04
Path fx in oth disease, r tibia, subs for fx
w malunion
M84.661P
$3,144.27
2.40 %
$37,278.22
Unilateral primary osteoarthritis, left
knee
M17.12
$212.17
2.29 %
$35,600.13
Dvtrcli of lg int w/o perforation or
abscess w/o bleeding
K57.32
$4,137.21
1.98 %
$30,681.43
Encntr for general adult medical exam
w/o abnormal findings
Z00.00
$286,382.02
70.62 %
$1,096,079.95
Remaining
Diagnoses
Page 13 of 28
Paid: 7/1/2016 to 6/29/2017
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