| PPS Acute Care Hospital Service Types Billed to QIOs(DRGs) |
Paid Claims Error Rate |
| Error Rate |
Number of Claims (Sample) |
Projected Improper Payments |
Standard Error |
95% Confidence Interval |
/
|
/
|
/
|
/
|
/
|
/
|
| ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W CC |
15.0% |
937 |
$187,082,865 |
1.7% |
11.6% - 18.3% |
| CHEST PAIN |
23.6% |
651 |
$140,684,158 |
2.7% |
18.4% - 28.9% |
| CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH |
8.2% |
145 |
$136,371,770 |
4.0% |
0.5% - 16.0% |
| OTHER PERMANENT CARDIAC PACEMAKER IMPLANT |
10.3% |
299 |
$113,304,004 |
3.1% |
4.1% - 16.5% |
| NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W CC |
9.9% |
744 |
$99,778,098 |
1.4% |
7.1% - 12.6% |
| HEART FAILURE & SHOCK |
2.6% |
2016 |
$92,837,802 |
0.5% |
1.7% - 3.5% |
| MEDICAL BACK PROBLEMS |
24.6% |
295 |
$90,780,428 |
4.1% |
16.5% - 32.6% |
| OTHER KIDNEY & URINARY TRACT PROCEDURES |
19.0% |
109 |
$81,193,238 |
8.0% |
3.3% - 34.6% |
| OTHER CIRCULATORY SYSTEM DIAGNOSES W CC |
10.6% |
326 |
$79,400,460 |
2.4% |
5.9% - 15.2% |
| OTHER VASCULAR PROCEDURES W CC |
6.3% |
262 |
$76,812,888 |
2.1% |
2.1% - 10.4% |
| RENAL FAILURE |
5.0% |
618 |
$74,328,319 |
0.9% |
3.2% - 6.8% |
| CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O COMPLEX DIAG |
14.1% |
256 |
$69,093,147 |
3.0% |
8.2% - 20.0% |
| SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC |
2.4% |
1786 |
$68,261,315 |
0.5% |
1.5% - 3.4% |
| OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W CC |
11.9% |
319 |
$68,213,412 |
3.4% |
5.3% - 18.5% |
| KIDNEY & URINARY TRACT INFECTIONS AGE >17 W CC |
6.8% |
694 |
$66,603,196 |
1.5% |
3.9% - 9.6% |
| MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY |
1.7% |
1294 |
$66,321,336 |
0.7% |
0.4% - 3.1% |
| SEPTICEMIA AGE >17 |
2.3% |
875 |
$63,669,187 |
0.6% |
1.1% - 3.6% |
| SYNCOPE & COLLAPSE W CC |
11.7% |
388 |
$54,753,458 |
2.4% |
7.0% - 16.3% |
| CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC |
6.2% |
613 |
$53,711,183 |
1.3% |
3.7% - 8.8% |
| ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O CC |
25.2% |
238 |
$51,260,586 |
4.7% |
15.9% - 34.4% |
| CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH & COMPLEX DIAG |
5.5% |
357 |
$49,698,819 |
1.8% |
1.9% - 9.1% |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT |
1.8% |
371 |
$48,730,484 |
0.7% |
0.4% - 3.2% |
| G.I. HEMORRHAGE W CC |
3.5% |
859 |
$47,815,292 |
0.9% |
1.8% - 5.3% |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
2.3% |
1297 |
$43,491,122 |
0.5% |
1.3% - 3.4% |
| DIABETES AGE >35 |
10.9% |
278 |
$42,364,753 |
2.4% |
6.2% - 15.5% |
| MAJOR SMALL & LARGE BOWEL PROCEDURES W CC |
1.5% |
473 |
$40,228,595 |
0.7% |
0.2% - 2.9% |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS |
15.2% |
163 |
$39,976,366 |
4.0% |
7.4% - 23.1% |
| TRANSIENT ISCHEMIA |
10.3% |
320 |
$38,106,705 |
2.3% |
5.7% - 14.9% |
| RED BLOOD CELL DISORDERS AGE >17 |
7.2% |
334 |
$35,409,639 |
2.1% |
3.1% - 11.4% |
| EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
3.0% |
169 |
$35,328,601 |
1.2% |
0.6% - 5.3% |
| CORONARY BYPASS W CARDIAC CATH |
2.4% |
158 |
$34,252,368 |
1.9% |
( 1.3%) - 6.1% |
| NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
10.4% |
83 |
$33,381,255 |
3.4% |
3.7% - 17.2% |
| SEIZURE & HEADACHE AGE >17 W CC |
9.7% |
180 |
$32,730,034 |
2.4% |
4.9% - 14.5% |
| OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W CC |
9.3% |
184 |
$31,457,234 |
2.5% |
4.5% - 14.1% |
| PERMANENT CARDIAC PACEMAKER IMPL W MAJ CV DX OR AICD LEAD OR GNRTR |
13.1% |
58 |
$30,768,690 |
10.0% |
( 6.6%) - 32.8% |
| EPISTAXIS |
130.3% |
37 |
$30,527,299 |
127.8% |
( 120.2%) -380.9% |
| CELLULITIS AGE >17 W CC |
5.8% |
367 |
$30,469,292 |
1.4% |
3.0% - 8.6% |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION |
1.7% |
829 |
$29,546,756 |
0.4% |
0.8% - 2.5% |
| RESPIRATORY NEOPLASMS |
6.2% |
193 |
$29,119,412 |
2.3% |
1.6% - 10.8% |
| RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W CC |
2.1% |
502 |
$28,792,005 |
0.8% |
0.5% - 3.7% |
| PULMONARY EDEMA & RESPIRATORY FAILURE |
3.9% |
302 |
$27,964,778 |
1.5% |
1.0% - 6.8% |
| PSYCHOSES |
9.5% |
216 |
$27,945,052 |
5.1% |
( 0.4%) - 19.5% |
| SYNCOPE & COLLAPSE W/O CC |
20.8% |
137 |
$27,548,570 |
5.1% |
10.9% - 30.7% |
| SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W CC |
10.7% |
75 |
$27,368,720 |
5.5% |
( 0.1%) - 21.4% |
| SIGNS & SYMPTOMS W CC |
23.3% |
88 |
$27,303,141 |
7.6% |
8.5% - 38.1% |
| PERCUTANEOUS CARDIOVASCULAR PROC W DRUG-ELUTING STENT W/O AMI |
1.2% |
582 |
$26,664,135 |
0.3% |
0.5% - 1.9% |
| PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W CC |
11.0% |
61 |
$26,180,665 |
5.4% |
0.5% - 21.5% |
| PATHOLOGICAL FRACTURES & MUSCULOSKELETAL & CONN TISS MALIGNANCY |
12.2% |
150 |
$26,028,359 |
3.9% |
4.5% - 19.9% |
| OTHER RESP SYSTEM O.R. PROCEDURES W CC |
3.2% |
136 |
$25,220,946 |
1.6% |
0.0% - 6.4% |
| OTHER PERMANENT CARDIAC PACEMAKER IMPLANT W/O MAJOR CV DX |
11.4% |
64 |
$25,161,300 |
6.9% |
( 2.0%) - 24.9% |
| O.R. PROCEDURE FOR INFECTIOUS & PARASITIC DISEASES |
1.9% |
184 |
$25,012,034 |
0.9% |
0.1% - 3.7% |
| DYSEQUILIBRIUM |
22.5% |
126 |
$24,671,207 |
6.4% |
10.0% - 35.1% |
| G.I. OBSTRUCTION W CC |
5.5% |
295 |
$24,596,969 |
1.8% |
1.8% - 9.1% |
| BONE DISEASES & SPECIFIC ARTHROPATHIES W CC |
37.7% |
61 |
$23,526,866 |
11.4% |
15.3% - 60.2% |
| CIRRHOSIS & ALCOHOLIC HEPATITIS |
11.0% |
94 |
$23,230,397 |
6.5% |
( 1.7%) - 23.7% |
| SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE |
38.7% |
78 |
$22,952,627 |
10.5% |
18.0% - 59.3% |
| ATHEROSCLEROSIS W CC |
7.8% |
307 |
$22,728,115 |
1.9% |
4.1% - 11.6% |
| SKIN ULCERS |
19.6% |
79 |
$22,493,355 |
8.6% |
2.8% - 36.5% |
| URINARY STONES W CC, &/OR ESW LITHOTRIPSY |
26.0% |
75 |
$20,821,454 |
12.4% |
1.7% - 50.3% |
| OTHER CIRCULATORY SYSTEM O.R. PROCEDURES |
4.5% |
90 |
$20,648,280 |
2.7% |
( 0.7%) - 9.7% |
| FRACTURES OF HIP & PELVIS |
14.4% |
136 |
$20,542,220 |
4.8% |
5.0% - 23.7% |
| PRM CARD PACEM IMPL W AMI/HF/SHOCK OR AICD LEAD OR GNRTR PROC |
5.8% |
49 |
$19,879,161 |
2.7% |
0.6% - 11.0% |
| OTHER DISORDERS OF NERVOUS SYSTEM W CC |
12.8% |
95 |
$19,720,650 |
4.2% |
4.5% - 21.1% |
| OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC |
9.5% |
69 |
$19,622,572 |
5.6% |
( 1.5%) - 20.4% |
| PERIPHERAL VASCULAR DISORDERS W CC |
4.6% |
251 |
$19,487,346 |
1.1% |
2.4% - 6.8% |
| OTHER VASCULAR PROCEDURES W/O CC |
9.0% |
97 |
$19,066,843 |
5.0% |
( 0.9%) - 18.8% |
| NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W/O CC |
20.8% |
130 |
$18,534,861 |
4.9% |
11.2% - 30.4% |
| PLEURAL EFFUSION W CC |
12.1% |
79 |
$17,992,852 |
5.4% |
1.6% - 22.7% |
| OTHER VASCULAR PROCEDURES W CC W/O MAJOR CV DX |
7.9% |
53 |
$17,918,555 |
5.6% |
( 3.1%) - 18.8% |
| CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC |
11.1% |
253 |
$17,846,713 |
3.7% |
3.8% - 18.4% |
| ORGANIC DISTURBANCES & MENTAL RETARDATION |
18.8% |
66 |
$17,816,671 |
9.9% |
( 0.6%) - 38.3% |
| HYPERTENSION |
15.3% |
115 |
$17,194,360 |
5.3% |
5.0% - 25.7% |
| BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE |
8.3% |
51 |
$17,105,863 |
5.5% |
( 2.5%) - 19.1% |
| KIDNEY,URETER & MAJOR BLADDER PROC FOR NON-NEOPL W CC |
8.2% |
35 |
$17,044,520 |
6.1% |
( 3.7%) - 20.1% |
| OTHER VASCULAR PROCEDURES W CC W MAJOR CV DX |
8.2% |
35 |
$16,253,393 |
4.3% |
( 0.2%) - 16.5% |
| SPINAL FUSION EXCEPT CERVICAL W/O CC |
5.1% |
83 |
$16,174,971 |
3.9% |
( 2.6%) - 12.8% |
| DISORDERS OF THE BILIARY TRACT W CC |
6.7% |
107 |
$16,083,035 |
3.8% |
( 0.8%) - 14.2% |
| OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC |
28.3% |
30 |
$15,806,666 |
12.6% |
3.7% - 52.9% |
| BACK & NECK PROCEDURES EXCEPT SPINAL FUSION W CC |
6.0% |
120 |
$15,541,807 |
2.3% |
1.6% - 10.4% |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS |
6.2% |
95 |
$15,159,135 |
2.8% |
0.7% - 11.6% |
| CIRCULATORY DISORDERS W AMI & MAJOR COMP, DISCHARGED ALIVE |
1.3% |
459 |
$15,153,481 |
0.5% |
0.3% - 2.3% |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
3.7% |
227 |
$15,051,302 |
1.7% |
0.3% - 7.0% |
| SIMPLE PNEUMONIA & PLEURISY AGE >17 W/O CC |
12.9% |
167 |
$15,023,489 |
4.5% |
4.1% - 21.7% |
| PERCUTANEOUS CARDIOVASC PROC W/O CORONARY ARTERY STENT OR AMI |
4.5% |
79 |
$14,506,032 |
2.1% |
0.4% - 8.6% |
| INTERSTITIAL LUNG DISEASE W CC |
13.8% |
51 |
$14,254,315 |
7.3% |
( 0.6%) - 28.2% |
| TRANSURETHRAL PROCEDURES W CC |
9.2% |
70 |
$14,150,630 |
5.3% |
( 1.3%) - 19.6% |
| HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W CC |
9.8% |
63 |
$13,988,836 |
6.1% |
( 2.1%) - 21.8% |
| CRANIAL & PERIPHERAL NERVE DISORDERS W CC |
8.0% |
78 |
$13,810,481 |
4.1% |
( 0.1%) - 16.1% |
| INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W CC |
22.0% |
35 |
$13,793,096 |
21.9% |
( 20.9%) - 64.9% |
| LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR AGE >17 W CC |
5.3% |
80 |
$13,741,246 |
3.5% |
( 1.5%) - 12.1% |
| SEIZURE & HEADACHE AGE >17 W/O CC |
17.0% |
65 |
$13,733,905 |
6.9% |
3.5% - 30.5% |
| STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE >17 W CC |
2.0% |
107 |
$13,614,383 |
1.7% |
( 1.4%) - 5.4% |
| CONNECTIVE TISSUE DISORDERS W CC |
13.2% |
35 |
$13,540,832 |
10.1% |
( 6.6%) - 33.1% |
| EXTRACRANIAL PROCEDURES W CC |
3.4% |
162 |
$13,425,416 |
1.7% |
0.0% - 6.7% |
| POSTOPERATIVE & POST-TRAUMATIC INFECTIONS |
7.2% |
102 |
$13,178,208 |
3.2% |
0.9% - 13.4% |
| OTHER SKIN, SUBCUT TISS & BREAST PROC W CC |
11.2% |
30 |
$12,389,702 |
8.5% |
( 5.5%) - 27.9% |
| COAGULATION DISORDERS |
8.4% |
44 |
$11,958,302 |
3.8% |
0.9% - 15.9% |
| FX, SPRN, STRN & DISL OF UPARM,LOWLEG EX FOOT AGE >17 W CC |
12.6% |
93 |
$11,922,716 |
5.0% |
2.9% - 22.3% |
| KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC |
14.6% |
100 |
$11,871,372 |
4.8% |
5.2% - 23.9% |
| RESPIRATORY SIGNS & SYMPTOMS W CC |
15.9% |
64 |
$11,860,899 |
6.9% |
2.4% - 29.3% |
| LYMPHOMA & NON-ACUTE LEUKEMIA W CC |
3.4% |
99 |
$11,527,373 |
1.1% |
1.3% - 5.5% |
| CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS |
5.8% |
87 |
$11,520,696 |
2.9% |
0.1% - 11.4% |
| LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR AGE >17 W/O CC |
10.9% |
80 |
$11,480,376 |
6.9% |
( 2.6%) - 24.3% |
| OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W/O CC |
31.5% |
39 |
$11,478,447 |
16.8% |
( 1.4%) - 64.4% |
| ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION |
28.1% |
50 |
$11,350,359 |
10.5% |
7.6% - 48.6% |
| PERCUTANEOUS CARDIOVASCULAR PROC W DRUG-ELUTING STENT W/O MAJ CV DX |
2.0% |
153 |
$11,100,244 |
1.6% |
( 1.0%) - 5.1% |
| ALCOHOL/DRUG ABUSE OR DEPENDENCE W CC |
9.1% |
129 |
$10,932,139 |
2.6% |
4.0% - 14.2% |
| HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 W/O CC |
6.7% |
87 |
$10,780,601 |
4.7% |
( 2.6%) - 15.9% |
| CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC |
4.7% |
50 |
$10,715,385 |
4.1% |
( 3.3%) - 12.7% |
| DIGESTIVE MALIGNANCY W CC |
4.1% |
115 |
$10,663,205 |
1.4% |
1.3% - 6.8% |
| ANGINA PECTORIS |
15.6% |
93 |
$10,589,738 |
7.0% |
1.9% - 29.3% |
| SPINAL FUSION EXCEPT CERVICAL W CC |
1.5% |
130 |
$10,265,319 |
1.0% |
( 0.4%) - 3.4% |
| BACK & NECK PROCEDURES EXCEPT SPINAL FUSION W/O CC |
5.1% |
172 |
$10,236,828 |
2.1% |
1.0% - 9.2% |
| HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 W CC |
0.8% |
454 |
$9,989,977 |
0.4% |
0.0% - 1.6% |
| MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY |
0.9% |
440 |
$9,927,055 |
0.5% |
( 0.1%) - 1.9% |
| VIRAL ILLNESS AGE >17 |
18.9% |
53 |
$9,854,872 |
11.3% |
( 3.2%) - 41.1% |
| LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC |
1.6% |
181 |
$9,710,332 |
0.8% |
0.0% - 3.3% |
| COMPLICATED PEPTIC ULCER |
11.3% |
42 |
$9,541,535 |
7.4% |
( 3.2%) - 25.9% |
| PULMONARY EMBOLISM |
2.9% |
170 |
$9,465,435 |
2.4% |
( 1.9%) - 7.7% |
| NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
11.2% |
47 |
$9,137,553 |
7.0% |
( 2.5%) - 24.9% |
| TRANSURETHRAL PROSTATECTOMY W/O CC |
17.1% |
92 |
$8,975,890 |
7.1% |
3.2% - 31.1% |
| TENDONITIS, MYOSITIS & BURSITIS |
12.1% |
50 |
$8,782,912 |
6.1% |
0.2% - 24.0% |
| NONSPECIFIC CEREBROVASCULAR DISORDERS W CC |
7.2% |
45 |
$8,765,684 |
3.9% |
( 0.3%) - 14.8% |
| WND DEBRID & SKN GRFT EXCEPT HAND,FOR MUSCSKELET & CONN TISS DIS |
3.1% |
33 |
$8,685,653 |
2.9% |
( 2.6%) - 8.8% |
| THYROID PROCEDURES |
16.0% |
43 |
$8,683,239 |
9.7% |
( 3.1%) - 35.1% |
| G.I. HEMORRHAGE W/O CC |
11.8% |
103 |
$8,607,141 |
4.2% |
3.6% - 20.1% |
| BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY |
3.1% |
68 |
$8,518,496 |
2.1% |
( 1.1%) - 7.2% |
| OTHER RESPIRATORY SYSTEM DIAGNOSES W CC |
8.1% |
86 |
$8,517,649 |
3.5% |
1.2% - 15.1% |
| DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AGE >17 |
27.8% |
31 |
$8,281,019 |
15.7% |
( 2.9%) - 58.6% |
| BRONCHITIS & ASTHMA AGE >17 W/O CC |
13.3% |
96 |
$8,252,791 |
5.3% |
3.0% - 23.7% |
| HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W/O CC |
18.2% |
35 |
$8,088,523 |
7.3% |
3.9% - 32.5% |
| DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC |
3.4% |
101 |
$7,743,294 |
2.1% |
( 0.7%) - 7.4% |
| FX, SPRN, STRN & DISL OF UPARM,LOWLEG EX FOOT AGE >17 W/O CC |
43.3% |
41 |
$7,715,498 |
22.1% |
( 0.0%) - 86.6% |
| ENDOCRINE DISORDERS W CC |
5.7% |
72 |
$7,399,965 |
2.2% |
1.4% - 9.9% |
| BRONCHITIS & ASTHMA AGE >17 W CC |
3.5% |
150 |
$7,165,846 |
1.1% |
1.4% - 5.6% |
| TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W CC |
10.1% |
55 |
$6,866,627 |
3.9% |
2.4% - 17.8% |
| COMPLICATIONS OF TREATMENT W CC |
4.0% |
101 |
$6,797,175 |
1.4% |
1.3% - 6.6% |
| VAGINA, CERVIX & VULVA PROCEDURES |
11.4% |
66 |
$6,647,377 |
8.1% |
( 4.4%) - 27.2% |
| OTITIS MEDIA & URI AGE >17 W CC |
11.3% |
68 |
$6,620,885 |
4.5% |
2.5% - 20.1% |
| CIRCULATORY DISORDERS W AMI W/O MAJOR COMP, DISCHARGED ALIVE |
2.5% |
180 |
$6,371,523 |
1.1% |
0.3% - 4.8% |
| UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC |
6.3% |
96 |
$6,334,028 |
3.9% |
( 1.3%) - 14.0% |
| AMPUTATION FOR MUSCULOSKELETAL SYSTEM & CONN TISSUE DISORDERS |
6.1% |
34 |
$6,253,877 |
4.9% |
( 3.5%) - 15.6% |
| LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC |
5.2% |
71 |
$6,101,448 |
3.4% |
( 1.4%) - 11.9% |
| MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY |
3.0% |
84 |
$6,020,820 |
2.9% |
( 2.8%) - 8.7% |
| MAJOR MALE PELVIC PROCEDURES W/O CC |
9.3% |
44 |
$5,963,065 |
6.1% |
( 2.7%) - 21.3% |
| G.I. OBSTRUCTION W/O CC |
9.6% |
87 |
$5,709,713 |
5.1% |
( 0.5%) - 19.7% |
| CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK |
1.1% |
50 |
$5,649,990 |
1.1% |
( 1.0%) - 3.1% |
| CERVICAL SPINAL FUSION W/O CC |
4.1% |
62 |
$5,633,127 |
3.1% |
( 2.1%) - 10.2% |
| CELLULITIS AGE >17 W/O CC |
6.2% |
92 |
$4,917,038 |
2.6% |
1.2% - 11.3% |
| UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC |
3.8% |
65 |
$4,709,506 |
2.5% |
( 1.0%) - 8.7% |
| FEVER OF UNKNOWN ORIGIN AGE >17 W CC |
5.7% |
65 |
$4,660,019 |
3.8% |
( 1.8%) - 13.1% |
| PNEUMOTHORAX W CC |
5.8% |
50 |
$4,605,132 |
4.6% |
( 3.2%) - 14.8% |
| OTHER O.R. PROCEDURES FOR INJURIES W CC |
1.6% |
61 |
$4,464,617 |
0.8% |
0.0% - 3.1% |
| NONTRAUMATIC STUPOR & COMA |
9.6% |
43 |
$4,438,619 |
3.8% |
2.2% - 17.0% |
| CRANIOTOMY AGE >17 W CC |
0.8% |
96 |
$4,234,114 |
0.6% |
( 0.4%) - 2.0% |
| MAJOR MALE PELVIC PROCEDURES W CC |
6.1% |
40 |
$4,216,417 |
3.2% |
( 0.2%) - 12.3% |
| ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O CC |
13.2% |
44 |
$3,933,757 |
7.7% |
( 1.8%) - 28.2% |
| TRAUMATIC STUPOR & COMA, COMA <1 HR AGE >17 W CC |
2.4% |
65 |
$3,711,141 |
1.6% |
( 0.6%) - 5.5% |
| PERCUTANEOUS CARDIOVASCULAR PROC W DRUG-ELUTING STENT W AMI |
0.4% |
217 |
$3,421,100 |
0.2% |
( 0.1%) - 0.8% |
| POISONING & TOXIC EFFECTS OF DRUGS AGE >17 W CC |
1.8% |
125 |
$3,296,234 |
0.8% |
0.2% - 3.4% |
| CIRCULATORY DISORDERS W AMI, EXPIRED |
1.3% |
100 |
$3,281,889 |
1.1% |
( 0.9%) - 3.6% |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC |
1.0% |
56 |
$3,139,896 |
0.8% |
( 0.5%) - 2.5% |
| AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE |
6.3% |
54 |
$3,123,050 |
2.5% |
1.4% - 11.2% |
| RECTAL RESECTION W CC |
2.0% |
45 |
$3,059,525 |
2.0% |
( 1.9%) - 5.9% |
| PERCUTANEOUS CARDIOVASCULAR PROC W NON-DRUG ELUTING STENT W/O AMI |
1.5% |
59 |
$2,901,806 |
1.1% |
( 0.6%) - 3.6% |
| FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES |
4.0% |
82 |
$2,865,784 |
2.6% |
( 1.2%) - 9.1% |
| INFLAMMATORY BOWEL DISEASE |
3.4% |
51 |
$2,829,458 |
1.9% |
( 0.3%) - 7.1% |
| RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC |
2.0% |
60 |
$2,709,365 |
1.1% |
( 0.1%) - 4.2% |
| TOTAL MASTECTOMY FOR MALIGNANCY W CC |
4.4% |
51 |
$2,512,509 |
4.4% |
( 4.1%) - 12.9% |
| MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC |
1.7% |
73 |
$2,385,700 |
1.6% |
( 1.5%) - 4.9% |
| PERIPHERAL VASCULAR DISORDERS W/O CC |
3.7% |
83 |
$2,059,872 |
1.4% |
0.9% - 6.5% |
| MAJOR CARDIOVASCULAR PROCEDURES W CC |
0.1% |
180 |
$1,967,051 |
0.1% |
( 0.0%) - 0.3% |
| ANAL & STOMAL PROCEDURES W CC |
3.3% |
34 |
$1,852,207 |
2.0% |
( 0.7%) - 7.2% |
| EXTRACRANIAL PROCEDURES W/O CC |
0.8% |
142 |
$1,705,922 |
0.8% |
( 0.7%) - 2.3% |
| HIV W MAJOR RELATED CONDITION |
1.0% |
45 |
$1,663,469 |
0.7% |
( 0.3%) - 2.2% |
| CORONARY BYPASS W/O CARDIAC CATH |
0.2% |
124 |
$1,530,298 |
0.2% |
( 0.2%) - 0.6% |
| CERVICAL SPINAL FUSION W CC |
0.8% |
47 |
$1,521,895 |
0.4% |
0.0% - 1.7% |
| TRANSURETHRAL PROSTATECTOMY W CC |
1.1% |
103 |
$1,291,089 |
0.8% |
( 0.4%) - 2.6% |
| NERVOUS SYSTEM NEOPLASMS W CC |
1.0% |
67 |
$1,248,433 |
0.5% |
( 0.1%) - 2.0% |
| MAJOR CHEST PROCEDURES |
0.1% |
145 |
$1,043,799 |
0.1% |
( 0.1%) - 0.3% |
| O.R. PROCEDURES FOR OBESITY |
0.8% |
43 |
$1,022,866 |
0.7% |
( 0.6%) - 2.1% |
| CRANIOTOMY AGE >17 W/O CC |
0.9% |
32 |
$1,012,708 |
0.8% |
( 0.7%) - 2.4% |
| AMPUTATION FOR CIRC SYSTEM DISORDERS EXCEPT UPPER LIMB & TOE |
0.1% |
94 |
$782,121 |
0.1% |
( 0.1%) - 0.4% |
| MAJOR SHOULDER/ELBOW PROC, OR OTHER UPPER EXTREMITY PROC W CC |
0.9% |
38 |
$623,315 |
0.7% |
( 0.5%) - 2.3% |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES W AMI |
0.1% |
49 |
$243,228 |
0.1% |
( 0.0%) - 0.3% |
| AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DISORDERS |
0.2% |
34 |
$155,928 |
0.2% |
( 0.1%) - 0.5% |
| TOTAL MASTECTOMY FOR MALIGNANCY W/O CC |
0.4% |
40 |
$143,119 |
0.4% |
( 0.3%) - 1.1% |
| PERCUTANEOUS CARDIOVASCULAR PROC W DRUG-ELUTING STENT W MAJOR CV DX |
0.0% |
95 |
$0 |
0.0% |
0.0% - 0.0% |
| CORONARY BYPASS W/O CARDIAC CATH W/O MAJOR CV DX |
0.0% |
35 |
$0 |
0.0% |
0.0% - 0.0% |
| REVISION OF HIP OR KNEE REPLACEMENT |
0.0% |
50 |
$0 |
0.0% |
0.0% - 0.0% |
| TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK DIAG W/O MAJ O.R. |
0.0% |
64 |
$0 |
0.0% |
0.0% - 0.0% |
| TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK DIAG W MAJ O.R. |
0.0% |
66 |
$0 |
0.0% |
0.0% - 0.0% |
| CORONARY BYPASS W CARDIAC CATH W/O MAJOR CV DX |
0.0% |
33 |
$0 |
0.0% |
0.0% - 0.0% |
| KIDNEY,URETER & MAJOR BLADDER PROCEDURES FOR NEOPLASM |
0.0% |
73 |
$0 |
0.0% |
0.0% - 0.0% |
| KIDNEY TRANSPLANT |
0.0% |
33 |
$0 |
0.0% |
0.0% - 0.0% |
| PANCREAS, LIVER & SHUNT PROCEDURES W CC |
0.0% |
30 |
$0 |
0.0% |
0.0% - 0.0% |
| PERITONEAL ADHESIOLYSIS W CC |
0.0% |
78 |
$0 |
0.0% |
0.0% - 0.0% |
| OTHER CARDIOTHORACIC PROCEDURES |
0.0% |
35 |
$0 |
0.0% |
0.0% - 0.0% |
| CARDIAC VALVE & OTHER MAJOR CARDIOTHORACIC PROC W/O CARDIAC CATH |
0.0% |
112 |
$0 |
0.0% |
0.0% - 0.0% |
| CARDIAC VALVE & OTHER MAJOR CARDIOTHORACIC PROC W CARDIAC CATH |
0.0% |
52 |
$0 |
0.0% |
0.0% - 0.0% |
| Overall |
4.9% |
N/A |
$4,934,641,908 |
0.2% |
4.5% - 5.2% |
|
|