130 / 208
Top 20 Diagnoses
F11.20
D25.9
K43.0
S06.5X0A
I25.10
L40.0
Z12.11
F10.20
I21.02
M51.17
I82.4Z2
S32.402A
M17.12
P07.18
A41.81
D69.3
K72.10
N18.6
F19.20
M86.9
$0
$50,000
$100,000
$150,000
$200,000
$250,000
$300,000
$350,000
MEMBER PAID
% PLAN PAID
OF TOTAL
PLAN PAID
PLAN PAID
DIAGNOSIS
CODE
$2,228.55
5.78 %
$328,138.20
Osteomyelitis, unspecified
M86.9
$3,357.80
3.20 %
$181,597.52
Other psychoactive substance
dependence, uncomplicated
F19.20
$4,987.64
2.60 %
$147,531.70
End stage renal disease
N18.6
$0.00
2.48 %
$140,565.00
Chronic hepatic failure without coma
K72.10
$50.00
2.39 %
$135,883.59
Immune thrombocytopenic purpura
D69.3
$124.04
1.55 %
$87,768.56
Sepsis due to Enterococcus
A41.81
$0.00
1.43 %
$80,922.53
Other low birth weight newborn, 2000-
2499 grams
P07.18
$9,670.88
1.34 %
$75,819.33
Unilateral primary osteoarthritis, left
knee
M17.12
$0.00
1.25 %
$70,905.20
Unsp fracture of left acetabulum, init for
clos fx
S32.402A
$1,401.10
1.15 %
$65,505.19
Ac emblsm and thombos unsp deep veins
of left dist low extrm
I82.4Z2
$0.00
1.15 %
$65,450.43
Intvrt disc disorders w radiculopathy,
lumbosacral region
M51.17
Page 29 of 41
Incurred: 2/1/2016 to 1/31/2017
Episode Treatment Groups, third party software included in Design180 ™, is the proprietary and copyrighted
intellectual property of Symmetry ™. Copyright © 2015, NavigatorMD, Inc.
Sample Company