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Top 10 Diagnosis
CODE
DIAGNOSIS
PLAN PAID
% PLAN PAID OF TOTAL
PLAN PAID
MEMBER PAID
I25.110
Athscl heart disease of native cor art w unstable ang
pctrs
$71,324.56
8.06%
$0.00
M17.11
Unilateral primary osteoarthritis, right knee
$67,915.36
7.68%
$454.01
G93.0
Cerebral cysts
$58,196.09
6.58%
$0.00
F50.2
Bulimia nervosa
$41,982.81
4.75%
$2,958.66
Z23
Encounter for immunization
$28,989.95
3.28%
$160.86
M50.32
Other cervical disc degeneration, mid-cervical region
$27,516.12
3.11%
$0.00
O13.3
Gestational htn w/o significant proteinuria, third
trimester
$21,194.67
2.40%
$2,032.95
Z00.00
Encntr for general adult medical exam w/o abnormal
findings
$17,904.99
2.02%
$288.84
Z00.129
Encntr for routine child health exam w/o abnormal
findings
$17,623.19
1.99%
$0.00
O14.13
Severe pre-eclampsia, third trimester
$15,826.18
1.79%
$1,477.82
Remaining
Diagnoses
$516,296.25
58.35%
$288,925.52
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