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Diagnosis Categories
MAJOR DIAGNOSTIC CATEGORY
PLAN PAID
% PLAN PAID OF
TOTAL PLAN PAID
# OF CLAIMANTS
MEMBER PAID
Orthopedics & rheumatology
$201,802.16
22.99%
113
$66,439.85
Cardiology
$95,895.93
10.93%
34
$17,060.19
Preventive & administrative
$94,057.63
10.72%
256
$4,657.03
Neurology
$78,415.73
8.93%
29
$10,187.86
Gastroenterology
$78,160.35
8.91%
54
$18,487.87
Psychiatry
$69,067.46
7.87%
46
$19,647.42
Obstetrics
$61,285.28
6.98%
11
$22,024.33
Isolated signs & symptoms
$34,101.01
3.89%
149
$10,650.49
Otolaryngology
$27,998.96
3.19%
141
$29,840.66
Hepatology
$20,674.74
2.36%
9
$7,317.61
Urology
$19,011.17
2.17%
37
$7,643.46
Pulmonology
$18,991.03
2.16%
46
$12,457.32
Neonatology
$18,047.77
2.06%
8
$611.32
Dermatology
$17,374.60
1.98%
115
$32,642.63
Gynecology
$15,659.88
1.78%
28
$9,929.59
Ophthalmology
$14,767.00
1.68%
49
$12,538.55
Endocrinology
$4,849.84
0.55%
78
$5,826.83
Late effects, environmental trauma & poisonings
$3,970.68
0.45%
4
$1,612.29
Infectious diseases
$3,013.59
0.34%
7
$498.05
Hematology
$345.94
0.04%
6
$415.51
Nephrology
$113.38
0.01%
3
$100.00
Chemical dependency
$21.65
0.00%
1
$0.00
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