TABLE 13A - 1994 SPARCS - TOP 50 FEDERAL DRGS 1
RANK-DRG CODE AND NAME (FEDERAL DRG - TWELTH REVISION) NUMBER PERCENT AVE CARGE
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ALL DRGS 2524925 100.00 $9,811.10
1 391-NORMAL NEWBORN 178951 7.09 $1,205.84
2 373-VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 175334 6.94 $2,797.02
3 127-HEART FAILURE & SHOCK 63855 2.53 $10,648.79
4 430-PSYCHOSES 60019 2.38 $20,346.91
5 435-ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W/O CC 55456 2.20 $6,030.77
6 390-NEONATE W OTHER SIGNIFICANT PROBLEMS 50431 2.00 $2,260.28
7 371-CESAREAN SECTION W/O CC 43584 1.73 $5,152.29
8 089-SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 40583 1.61 $10,768.11
9 410-CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS 37359 1.48 $6,115.03
10 140-ANGINA PECTORIS 36102 1.43 $5,490.28
11 088-CHRONIC OBSTRUCTIVE PULMONARY DISEASE 32261 1.28 $9,174.74
12 014-SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TIA 30319 1.20 $14,941.90
13 143-CHEST PAIN 29019 1.15 $4,079.39
14 098-BRONCHITIS & ASTHMA AGE 0-17 28971 1.15 $3,932.01
15 182-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W CC 27310 1.08 $7,489.17
16 209-MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY 24242 0.96 $18,697.68
17 174-G.I. HEMORRHAGE W CC 23163 0.92 $9,734.83
18 489-HIV W MAJOR RELATED CONDITION 23113 0.92 $24,701.32
19 359-UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC 22234 0.88 $5,786.60
20 462-REHABILITATION 21248 0.84 $23,763.96
21 383-OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 20678 0.82 $4,031.89
22 372-VAGINAL DELIVERY W COMPLICATING DIAGNOSES 20452 0.81 $4,052.04
23 183-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O CC 20388 0.81 $4,177.29
24 389-FULL TERM NEONATE W MAJOR PROBLEMS 19838 0.79 $7,138.68
25 370-CESAREAN SECTION W CC 18976 0.75 $7,662.98
26 112-PERCUTANEOUS CARDIOVASCULAR PROCEDURES 18925 0.75 $12,570.44
27 138-CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 18820 0.75 $8,204.29
28 296-NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W CC 18636 0.74 $11,485.34
29 433-ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 18147 0.72 $3,786.85
30 494-LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC 17702 0.70 $4,855.86
31 148-MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 16743 0.66 $24,912.57
32 121-CIRCULATORY DISORDERS W AMI & C.V. COMP DISCH ALIVE 16705 0.66 $14,037.95
33 320-KIDNEY & URINARY TRACT INFECTIONS AGE >17 W CC 16100 0.64 $11,032.39
34 434-ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W CC 15980 0.63 $7,633.36
35 294-DIABETES AGE >35 15911 0.63 $8,839.73
36 015-TRANSIENT ISCHEMIC ATTACK & PRECEREBRAL OCCLUSIONS 15536 0.62 $7,322.67
37 097-BRONCHITIS & ASTHMA AGE >17 W/O CC 15211 0.60 $4,775.48
38 122-CIRCULATORY DISORDERS W AMI W/O C.V. COMP DISCH ALIVE 15033 0.60 $9,373.02
39 416-SEPTICEMIA AGE >17 14594 0.58 $16,082.61
40 215-BACK & NECK PROCEDURES W/O CC 14139 0.56 $7,119.53
41 124-CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH & COMPLEX DIAG 14086 0.56 $9,686.80
42 395-RED BLOOD CELL DISORDERS AGE >17 14007 0.55 $8,828.54
43 277-CELLULITIS AGE >17 W CC 13730 0.54 $9,834.70
44 096-BRONCHITIS & ASTHMA AGE >17 W CC 13006 0.52 $7,267.50
45 184-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE 0-17 12972 0.51 $3,267.99
46 243-MEDICAL BACK PROBLEMS 12820 0.51 $6,981.38
47 079-RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W CC 12395 0.49 $19,117.38
48 475-RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT 11804 0.47 $28,006.72
49 125-CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O COMPLEX DIAG 11779 0.47 $5,403.35
50 381-ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 11526 0.46 $2,811.80
ALL OTHER 1044732 41.38 $12,653.94
TABLE 13B - 1994 SPARCS - TOP 50 PRINCIPAL DIAGNOSTIC CATEGORIES 2
RANK-DIAGNOSTIC CATEGORY AND NAME (ICD-9-CM CODE AND NAME) NUMBER PERCENT AVE CHARGE
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ALL PRINCIPAL DIAGNOSTIC CATEGORIES 2524925 100.00 $9,811.10
1 V30-SINGLE LIVEBORN 257424 10.20 $2,945.92
2 428-HEART FAILURE 62988 2.49 $12,621.17
3 486-PNEUMONIA, ORGANISM NOS 56210 2.23 $11,379.27
4 650-NORMAL DELIVERY 52047 2.06 $2,559.01
5 493-ASTHMA 52026 2.06 $6,060.66
6 304-DRUG DEPENDENCE 47716 1.89 $6,206.30
7 V58-ENCOUNTR PROC/AFTRCR NEC 45159 1.79 $6,930.56
8 664-PERINEAL TRAUM W DELIVER 44251 1.75 $2,799.54
9 780-GENERAL SYMPTOMS 43393 1.72 $7,430.88
10 410-ACUTE MYOCARDIAL INFARCT 43373 1.72 $16,233.43
11 414-OTH CHR ISCHEMIC HRT DIS 41321 1.64 $16,481.87
12 786-RESP SYS/OTH CHEST SYMP 37140 1.47 $4,420.64
13 427-CARDIAC DYSRHYTHMIAS 36684 1.45 $9,925.97
14 574-CHOLELITHIASIS 36517 1.45 $8,211.39
15 411-OTH AC ISCHEMIC HRT DIS 34724 1.38 $7,413.01
16 303-ALCOHOL DEPENDENCE SYNDR 34522 1.37 $5,738.03
17 250-DIABETES MELLITUS 32891 1.30 $12,801.70
18 296-AFFECTIVE PSYCHOSES 29642 1.17 $17,064.79
19 996-REPLACE & GRAFT COMPLIC 27711 1.10 $16,000.36
20 276-FLUID/ELECTROLYTE DIS 26825 1.06 $9,929.49
21 682-OTHER CELLULITIS/ABSCESS 25915 1.03 $9,168.97
22 295-SCHIZOPHRENIC DISORDERS 23985 0.95 $25,890.94
23 648-OTH CURRENT COND IN PREG 23409 0.93 $3,913.10
24 434-CEREBRAL ARTERY OCCLUS 23064 0.91 $17,058.37
25 654-ABN PELVIC ORGAN IN PREG 22980 0.91 $4,187.70
26 V57-REHABILITATION PROCEDURE 21672 0.86 $24,256.14
27 599-OTH URINARY TRACT DISOR 20985 0.83 $10,769.07
28 644-EARLY/THREATENED LABOR 20936 0.83 $3,746.43
29 656-OTH FETAL PROB AFF MOTH 20510 0.81 $4,463.22
30 658-OTH AMNIOTIC CAVITY PROB 19753 0.78 $4,261.90
31 820-FRACTURE NECK OF FEMUR 18714 0.74 $18,582.77
32 038-SEPTICEMIA 18248 0.72 $19,915.75
33 715-OSTEOARTHROSIS ET AL 17718 0.70 $16,771.13
34 722-INTERVERTEBRAL DISC DIS 17223 0.68 $7,210.24
35 558-OTH NONINF GASTROENTERIT 16908 0.67 $5,182.60
36 661-ABNORMAL FORCES OF LABOR 16228 0.64 $4,469.35
37 663-UMBILICAL CORD COMPLIC 15872 0.63 $2,705.25
38 560-INTESTINAL OBSTRUCTION 15183 0.60 $12,627.18
39 482-OTH BACTERIAL PNEUMONIA 14797 0.59 $21,386.27
40 592-RENAL/URETERAL CALCULUS 14796 0.59 $4,919.36
41 218-UTERINE LEIOMYOMA 14582 0.58 $6,977.97
42 491-CHRONIC BRONCHITIS 14413 0.57 $10,061.91
43 562-DIVERTICULA OF INTESTINE 14281 0.57 $11,321.12
44 540-ACUTE APPENDICITIS 13834 0.55 $7,545.74
45 435-TRANSIENT CEREB ISCHEMIA 12949 0.51 $7,216.05
46 466-AC BRONCHITIS/BRONCHIOL 12608 0.50 $5,543.73
47 535-GASTRITIS AND DUODENITIS 12077 0.48 $7,588.16
48 174-MALIG NEO FEMALE BREAST 12037 0.48 $8,412.26
49 642-HYPERTENSION COMPL PREG 11308 0.45 $5,513.31
50 789-OTH ABDOMEN/PELVIS SYMP 11009 0.44 $4,561.73
ALL OTHER 964367 38.19 $11,848.21
TABLE 13C - 1994 SPARCS - TOP 50 SURGICAL PRINCIPAL PROCEDURE CATEGORIES 3
RANK-SURGICAL PROCEDURE CATEGORY (ICD-9-CM CODE AND NAME) NUMBER PERCENT AVE CHARGE
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ALL SURGICAL PROCEDURE CATEGORIES 1138161 100.00 $11,612.22
1 73-ASSIST/INDUCE DELIV NEC 116812 10.26 $2,905.12
2 64-OPERATIONS ON PENIS 80154 7.04 $1,803.10
3 45-INTEST INCIS/EXCIS/ANAST 72824 6.40 $14,896.46
4 75-OTHER OBSTETRIC OPS 64011 5.62 $3,067.96
5 74-C-SECTION/REMOVAL FETUS 62607 5.50 $5,916.98
6 37-OTHER HEART/PERICARD OPS 51721 4.54 $13,727.37
7 86-SKIN & SUBQ OPERATIONS 43171 3.79 $17,720.40
8 81-JOINT REPAIR 42200 3.71 $15,645.27
9 51-BILIARY TRACT OPERATION 41461 3.64 $9,908.53
10 79-REDUCTION FX/DISLOCATION 37724 3.31 $12,564.54
11 36-OPS ON HEART VESSELS 32929 2.89 $24,404.09
12 68-OTHER UTERINE INCIS/EXC 29787 2.62 $7,973.75
13 39-OTHER OPS ON VESSELS 29546 2.60 $19,679.65
14 03-SPINAL CORD & CANAL OPS 27857 2.45 $12,524.36
15 38-VESSEL INC/EXCIS/OCCLUS 24468 2.15 $20,620.69
16 54-OTHER ABDOMEN REGION OPS 19597 1.72 $16,033.09
17 57-URINARY BLADDER OPS 18893 1.66 $10,300.27
18 60-PROSTATE & SEMIN VES OPS 17336 1.52 $9,876.61
19 85-OPERATIONS ON THE BREAST 16598 1.46 $7,136.18
20 80-INCISION/EXCISION JOINT 16348 1.44 $8,245.91
21 69-OTHER UTERUS/SUPPORT OPS 16003 1.41 $3,683.86
22 72-FORCEP/VAC/BREECH DELIV 15024 1.32 $3,157.66
23 47-OPERATIONS ON APPENDIX 14836 1.30 $7,142.64
24 53-REPAIR OF HERNIA 14559 1.28 $8,459.59
25 34-THORAX OPS EXCEPT LUNG 14028 1.23 $17,042.67
26 33-OTHER BRONCHIAL/LUNG OPS 13738 1.21 $23,396.31
27 66-FALLOPIAN TUBE OPERATION 10853 0.95 $4,931.54
28 43-GASTRIC INCISION/EXCIS 8923 0.78 $28,722.85
29 31-LARYNX TRACHEA OPS NEC 8838 0.78 $88,193.72
30 83-OTHER MUS/TEN/FAS/BUR OP 7969 0.70 $8,670.46
31 65-OPERATIONS ON OVARY 7873 0.69 $7,260.62
32 41-BONE MARROW & SPLEEN OPS 7812 0.69 $30,887.47
33 84-OTHER MUSCULOSKELET PROC 7722 0.68 $28,624.34
34 55-OPERATIONS ON KIDNEY 7630 0.67 $19,907.99
35 01-INCISE-EXCIS BRAIN/SKULL 6476 0.57 $29,359.40
36 44-OTHER GASTRIC OPERATIONS 5978 0.53 $18,762.84
37 35-HEART VALVES & SEPTA OPS 5974 0.52 $46,334.69
38 77-INCIS/EXCIS/DIV BONE NEC 5956 0.52 $12,434.74
39 06-THYROID/PARATHYROID OPS 5681 0.50 $6,709.10
40 28-TONSIL & ADENOID OPS 5558 0.49 $3,368.51
41 40-LYMPHATIC SYSTEM OPS 5511 0.48 $14,905.45
42 14-POSTERIOR SEGMENT OPS 5399 0.47 $5,487.83
43 48-RECTAL & PERIRECTAL OPS 5349 0.47 $15,182.72
44 46-OTHER INTESTINAL OPS 4905 0.43 $22,204.23
45 78-OTH BONE OPS EXCPT FACE 4806 0.42 $11,470.85
46 32-LUNG & BRONCHUS EXCISION 4693 0.41 $22,801.64
47 76-FACIAL BONE & JOINT OPS 4257 0.37 $9,813.35
48 59-OTHER URINARY TRACT OPS 4175 0.37 $7,418.60
49 56-OPERATIONS ON URETER 4165 0.37 $7,924.97
50 21-OPERATIONS ON NOSE 4035 0.35 $5,341.23
ALL OTHER 53391 4.69 $11,698.86
TABLE 13D - 1994 SPARCS - TOP 50 SURGICAL PROCEDURE CATEGORIES (ANY OCCURRENCE) 4
RANK-SURGICAL PROCEDURE CATEGORY (ICD-9-CM CODE AND NAME) NUMBER PERCENT AVE CHARGE
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ALL SURGICAL PROCEDURE CATEGORIES 2178173 100.00 $15,107.71
1 75-OTHER OBSTETRIC OPS 246008 11.29 $3,776.22
2 73-ASSIST/INDUCE DELIV NEC 211377 9.70 $3,156.18
3 45-INTEST INCIS/EXCIS/ANAST 129156 5.93 $20,411.49
4 37-OTHER HEART/PERICARD OPS 99809 4.58 $20,782.63
5 86-SKIN & SUBQ OPERATIONS 91367 4.19 $25,509.49
6 64-OPERATIONS ON PENIS 85329 3.92 $2,705.65
7 39-OTHER OPS ON VESSELS 82397 3.78 $27,687.47
8 38-VESSEL INC/EXCIS/OCCLUS 73576 3.38 $32,520.05
9 54-OTHER ABDOMEN REGION OPS 71833 3.30 $18,903.59
10 57-URINARY BLADDER OPS 67230 3.09 $13,484.48
11 74-C-SECTION/REMOVAL FETUS 62788 2.88 $5,935.31
12 51-BILIARY TRACT OPERATION 57974 2.66 $13,571.79
13 03-SPINAL CORD & CANAL OPS 55593 2.55 $18,246.85
14 81-JOINT REPAIR 51451 2.36 $16,045.83
15 36-OPS ON HEART VESSELS 47861 2.20 $27,462.16
16 79-REDUCTION FX/DISLOCATION 46030 2.11 $14,256.53
17 34-THORAX OPS EXCEPT LUNG 36395 1.67 $28,293.93
18 68-OTHER UTERINE INCIS/EXC 33930 1.56 $8,339.21
19 65-OPERATIONS ON OVARY 32626 1.50 $8,373.37
20 80-INCISION/EXCISION JOINT 29367 1.35 $9,431.43
21 66-FALLOPIAN TUBE OPERATION 26900 1.23 $5,206.85
22 33-OTHER BRONCHIAL/LUNG OPS 26732 1.23 $33,281.40
23 69-OTHER UTERUS/SUPPORT OPS 26463 1.21 $4,984.84
24 85-OPERATIONS ON THE BREAST 23534 1.08 $8,075.60
25 40-LYMPHATIC SYSTEM OPS 21038 0.97 $15,104.52
26 60-PROSTATE & SEMIN VES OPS 20702 0.95 $11,136.60
27 53-REPAIR OF HERNIA 20650 0.95 $11,594.79
28 47-OPERATIONS ON APPENDIX 19867 0.91 $9,337.31
29 77-INCIS/EXCIS/DIV BONE NEC 17538 0.81 $16,328.09
30 72-FORCEP/VAC/BREECH DELIV 17522 0.80 $3,248.19
31 83-OTHER MUS/TEN/FAS/BUR OP 16594 0.76 $13,537.35
32 43-GASTRIC INCISION/EXCIS 15812 0.73 $45,349.78
33 59-OTHER URINARY TRACT OPS 15494 0.71 $10,448.42
34 41-BONE MARROW & SPLEEN OPS 15399 0.71 $34,085.31
35 31-LARYNX TRACHEA OPS NEC 15120 0.69 $72,121.99
36 46-OTHER INTESTINAL OPS 13670 0.63 $35,489.80
37 78-OTH BONE OPS EXCPT FACE 12533 0.58 $16,498.77
38 42-OPERATIONS ON ESOPHAGUS 12237 0.56 $24,334.29
39 14-POSTERIOR SEGMENT OPS 12189 0.56 $6,667.81
40 70-VAGINA & CUL-DE-SAC OPS 11937 0.55 $7,357.26
41 44-OTHER GASTRIC OPERATIONS 10936 0.50 $27,187.20
42 84-OTHER MUSCULOSKELET PROC 10666 0.49 $36,370.30
43 55-OPERATIONS ON KIDNEY 10371 0.48 $23,335.03
44 48-RECTAL & PERIRECTAL OPS 10127 0.46 $17,666.28
45 21-OPERATIONS ON NOSE 9847 0.45 $7,169.22
46 01-INCISE-EXCIS BRAIN/SKULL 8993 0.41 $35,587.61
47 56-OPERATIONS ON URETER 8490 0.39 $11,008.49
48 50-OPERATIONS ON LIVER 7998 0.37 $30,145.50
49 76-FACIAL BONE & JOINT OPS 7993 0.37 $13,422.95
50 35-HEART VALVES & SEPTA OPS 7679 0.35 $51,628.69
ALL OTHER 111045 5.10 $12,484.81
