109 / 208
Age Ranges
TOP CONDITION
PMPM
MEMBER PAID
% PLAN PAID OF
TOTAL PLAN PAID
PLAN PAID
# OF
CLAIMANTS
AGE
RANGE
Other minor perinatal disorder,
w comp
$25.08
$201,026.14
7.34 %
$541,182.94
350
<20
Other drug dependence, w
comorb
$46.24
$358,616.36
13.54 %
$997,947.54
392
20-29
Chronic skin ulcer, wo comp, w
comorb, w surg
$77.13
$443,290.57
22.59 %
$1,664,670.29
502
30-39
Psoriasis, w comp, wo comorb
$33.65
$340,011.00
9.86 %
$726,290.90
360
40-49
Thrombocytopenia, w comp,
wo comorb, wo surg
$99.50
$408,918.73
29.15 %
$2,147,464.82
333
50-59
Cirrhosis, w comp, w comorb,
w surg
$59.80
$161,018.07
17.51 %
$1,290,511.91
125
60+
$341.40
$1,912,880.87
$7,368,068.40
2,062
Page 8 of 41
Incurred: 2/1/2016 to 1/31/2017
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