TABLE 13A - 1995 SPARCS - TOP 50 FEDERAL DRGS 1
RANK-DRG CODE AND NAME (FEDERAL DRG - TWELFTH REVISION) NUMBER PERCENT AVE CHARGE
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ALL DRGS 2521355 100.00 $9,839.98
1 391-NORMAL NEWBORN 188842 7.49 $1,183.21
2 373-VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 170103 6.75 $2,813.23
3 430-PSYCHOSES 65373 2.59 $17,988.05
4 127-HEART FAILURE & SHOCK 64249 2.55 $10,337.50
5 435-ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W/O CC 57224 2.27 $5,369.68
6 089-SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 43632 1.73 $10,619.15
7 371-CESAREAN SECTION W/O CC 42501 1.69 $5,204.79
8 390-NEONATE W OTHER SIGNIFICANT PROBLEMS 33667 1.34 $2,624.25
9 410-CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS 33557 1.33 $6,117.55
10 088-CHRONIC OBSTRUCTIVE PULMONARY DISEASE 33064 1.31 $9,092.88
11 098-BRONCHITIS & ASTHMA AGE 0-17 32097 1.27 $4,059.69
12 014-SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TIA 31700 1.26 $14,537.38
13 143-CHEST PAIN 30412 1.21 $3,985.89
14 489-HIV W MAJOR RELATED CONDITION 29668 1.18 $22,506.23
15 140-ANGINA PECTORIS 27581 1.09 $5,360.01
16 182-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W CC 26920 1.07 $6,861.68
17 209-MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY 25578 1.01 $18,185.39
18 462-REHABILITATION 24728 0.98 $23,536.11
19 112-PERCUTANEOUS CARDIOVASCULAR PROCEDURES 23169 0.92 $13,391.60
20 359-UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC 23110 0.92 $5,840.84
21 174-G.I. HEMORRHAGE W CC 22256 0.88 $9,602.24
22 372-VAGINAL DELIVERY W COMPLICATING DIAGNOSES 21535 0.85 $4,012.49
23 389-FULL TERM NEONATE W MAJOR PROBLEMS 20607 0.82 $6,976.78
24 183-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O CC 19691 0.78 $4,235.05
25 383-OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 19335 0.77 $4,002.62
26 296-NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W CC 19332 0.77 $11,231.49
27 138-CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 19331 0.77 $7,864.97
28 433-ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 19110 0.76 $3,649.15
29 494-LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC 18204 0.72 $5,040.86
30 370-CESAREAN SECTION W CC 18120 0.72 $7,580.48
31 148-MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 16899 0.67 $25,653.87
32 121-CIRCULATORY DISORDERS W AMI & C.V. COMP DISCH ALIVE 16573 0.66 $13,999.67
33 434-ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W CC 16548 0.66 $7,162.72
34 294-DIABETES AGE >35 15821 0.63 $8,803.34
35 320-KIDNEY & URINARY TRACT INFECTIONS AGE >17 W CC 15778 0.63 $10,333.60
36 124-CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH & COMPLEX DIAG 15736 0.62 $9,771.73
37 122-CIRCULATORY DISORDERS W AMI W/O C.V. COMP DISCH ALIVE 15197 0.60 $9,462.68
38 015-TRANSIENT ISCHEMIC ATTACK & PRECEREBRAL OCCLUSIONS 15015 0.60 $7,076.17
39 416-SEPTICEMIA AGE >17 14947 0.59 $15,679.28
40 097-BRONCHITIS & ASTHMA AGE >17 W/O CC 14623 0.58 $4,681.25
41 395-RED BLOOD CELL DISORDERS AGE >17 13990 0.55 $8,980.01
42 215-BACK & NECK PROCEDURES W/O CC 13924 0.55 $7,173.11
43 277-CELLULITIS AGE >17 W CC 13381 0.53 $9,115.13
44 096-BRONCHITIS & ASTHMA AGE >17 W CC 12659 0.50 $6,965.12
45 079-RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W CC 12531 0.50 $17,589.63
46 475-RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT 12504 0.50 $29,008.84
47 184-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE 0-17 12242 0.49 $3,378.32
48 132-ATHEROSCLEROSIS W CC 12080 0.48 $6,075.04
49 358-UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC 11996 0.48 $8,555.17
50 478-OTHER VASCULAR PROCEDURES W CC 11923 0.47 $20,392.12
ALL OTHER 1032292 40.94 $12,527.32
TABLE 13B - 1995 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 2521355 100.00 $9,839.98
1 V30-SINGLE LIVEBORN 250923 9.95 $3,016.99
2 428-HEART FAILURE 63017 2.50 $12,338.47
3 486-PNEUMONIA, ORGANISM NOS 58150 2.31 $10,921.89
4 414-OTH CHR ISCHEMIC HRT DIS 54973 2.18 $15,940.48
5 493-ASTHMA 51907 2.06 $5,901.67
6 304-DRUG DEPENDENCE 49018 1.94 $5,507.07
7 650-NORMAL DELIVERY 46294 1.84 $2,604.01
8 664-PERINEAL TRAUM W DELIVER 45530 1.81 $2,770.30
9 410-ACUTE MYOCARDIAL INFARCT 45496 1.80 $16,677.78
10 780-GENERAL SYMPTOMS 44360 1.76 $6,930.01
11 V58-ENCOUNTR PROC/AFTRCR NEC 40818 1.62 $6,964.04
12 786-RESP SYS/OTH CHEST SYMP 38905 1.54 $4,352.60
13 427-CARDIAC DYSRHYTHMIAS 38359 1.52 $9,951.18
14 574-CHOLELITHIASIS 35822 1.42 $8,300.81
15 303-ALCOHOL DEPENDENCE SYNDR 35007 1.39 $5,509.55
16 250-DIABETES MELLITUS 32951 1.31 $13,016.08
17 296-AFFECTIVE PSYCHOSES 32091 1.27 $15,565.76
18 042-ACQ IMMUNODEFIC SYNDROME 31880 1.26 $23,143.49
19 276-FLUID/ELECTROLYTE DIS 27781 1.10 $9,266.60
20 996-REPLACE & GRAFT COMPLIC 27316 1.08 $16,099.88
21 295-SCHIZOPHRENIC DISORDERS 26363 1.05 $22,409.49
22 411-OTH AC ISCHEMIC HRT DIS 25755 1.02 $6,953.05
23 V57-REHABILITATION PROCEDURE 25203 1.00 $23,969.35
24 682-OTHER CELLULITIS/ABSCESS 25150 1.00 $8,789.29
25 434-CEREBRAL ARTERY OCCLUS 23639 0.94 $16,719.86
26 648-OTH CURRENT COND IN PREG 22475 0.89 $3,842.57
27 654-ABN PELVIC ORGAN IN PREG 21688 0.86 $4,205.76
28 658-OTH AMNIOTIC CAVITY PROB 20528 0.81 $4,231.87
29 599-OTH URINARY TRACT DISOR 20527 0.81 $10,157.45
30 656-OTH FETAL PROB AFF MOTH 20378 0.81 $4,405.45
31 644-EARLY/THREATENED LABOR 19752 0.78 $3,975.47
32 715-OSTEOARTHROSIS ET AL 19007 0.75 $16,513.48
33 820-FRACTURE NECK OF FEMUR 18493 0.73 $18,483.29
34 038-SEPTICEMIA 17741 0.70 $19,329.98
35 491-CHRONIC BRONCHITIS 17131 0.68 $9,938.97
36 661-ABNORMAL FORCES OF LABOR 16118 0.64 $4,532.92
37 722-INTERVERTEBRAL DISC DIS 16063 0.64 $7,060.96
38 218-UTERINE LEIOMYOMA 15845 0.63 $7,081.98
39 560-INTESTINAL OBSTRUCTION 15287 0.61 $12,467.34
40 558-OTH NONINF GASTROENTERIT 15146 0.60 $4,615.00
41 663-UMBILICAL CORD COMPLIC 15136 0.60 $2,783.64
42 466-AC BRONCHITIS/BRONCHIOL 14625 0.58 $5,591.57
43 562-DIVERTICULA OF INTESTINE 14077 0.56 $11,313.00
44 592-RENAL/URETERAL CALCULUS 13956 0.55 $5,137.93
45 540-ACUTE APPENDICITIS 13577 0.54 $7,509.47
46 435-TRANSIENT CEREB ISCHEMIA 12912 0.51 $7,265.09
47 482-OTH BACTERIAL PNEUMONIA 12788 0.51 $21,610.70
48 174-MALIG NEO FEMALE BREAST 12095 0.48 $8,418.84
49 642-HYPERTENSION COMPL PREG 11378 0.45 $5,281.01
50 535-GASTRITIS AND DUODENITIS 11278 0.45 $7,374.02
ALL OTHER 936646 37.15 $11,481.76
TABLE 13C - 1995 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 1130351 100.00 $11,895.89
1 73-ASSIST/INDUCE DELIV NEC 113169 10.01 $2,944.07
2 64-OPERATIONS ON PENIS 79704 7.05 $1,897.29
3 45-INTEST INCIS/EXCIS/ANAST 71827 6.35 $15,065.54
4 75-OTHER OBSTETRIC OPS 63801 5.64 $3,062.52
5 74-C-SECTION/REMOVAL FETUS 60661 5.37 $5,922.02
6 37-OTHER HEART/PERICARD OPS 54212 4.80 $14,407.15
7 81-JOINT REPAIR 43322 3.83 $15,752.04
8 86-SKIN & SUBQ OPERATIONS 42614 3.77 $17,709.95
9 51-BILIARY TRACT OPERATION 41444 3.67 $9,979.29
10 36-OPS ON HEART VESSELS 37585 3.33 $24,735.73
11 79-REDUCTION FX/DISLOCATION 35176 3.11 $12,911.36
12 68-OTHER UTERINE INCIS/EXC 31768 2.81 $7,923.67
13 39-OTHER OPS ON VESSELS 31247 2.76 $19,279.58
14 03-SPINAL CORD & CANAL OPS 28838 2.55 $11,711.01
15 38-VESSEL INC/EXCIS/OCCLUS 28005 2.48 $19,707.29
16 54-OTHER ABDOMEN REGION OPS 18572 1.64 $16,581.28
17 57-URINARY BLADDER OPS 17631 1.56 $10,327.89
18 85-OPERATIONS ON THE BREAST 16566 1.47 $7,042.98
19 60-PROSTATE & SEMIN VES OPS 16553 1.46 $9,606.35
20 80-INCISION/EXCISION JOINT 15630 1.38 $8,422.38
21 72-FORCEP/VAC/BREECH DELIV 14765 1.31 $3,179.27
22 47-OPERATIONS ON APPENDIX 14511 1.28 $7,224.10
23 34-THORAX OPS EXCEPT LUNG 14206 1.26 $17,107.89
24 69-OTHER UTERUS/SUPPORT OPS 13828 1.22 $3,852.50
25 53-REPAIR OF HERNIA 13662 1.21 $8,876.09
26 33-OTHER BRONCHIAL/LUNG OPS 13150 1.16 $23,093.14
27 66-FALLOPIAN TUBE OPERATION 10576 0.94 $4,850.67
28 31-LARYNX TRACHEA OPS NEC 9073 0.80 $91,777.46
29 43-GASTRIC INCISION/EXCIS 8853 0.78 $27,503.46
30 84-OTHER MUSCULOSKELET PROC 8091 0.72 $28,368.01
31 55-OPERATIONS ON KIDNEY 8067 0.71 $18,690.15
32 83-OTHER MUS/TEN/FAS/BUR OP 7705 0.68 $8,974.98
33 65-OPERATIONS ON OVARY 7660 0.68 $7,310.21
34 41-BONE MARROW & SPLEEN OPS 7479 0.66 $30,644.35
35 01-INCISE-EXCIS BRAIN/SKULL 6645 0.59 $28,789.28
36 35-HEART VALVES & SEPTA OPS 6412 0.57 $48,543.60
37 06-THYROID/PARATHYROID OPS 5995 0.53 $6,563.50
38 44-OTHER GASTRIC OPERATIONS 5785 0.51 $19,277.47
39 48-RECTAL & PERIRECTAL OPS 5498 0.49 $15,400.01
40 77-INCIS/EXCIS/DIV BONE NEC 5469 0.48 $13,091.15
41 40-LYMPHATIC SYSTEM OPS 5302 0.47 $13,940.86
42 32-LUNG & BRONCHUS EXCISION 4925 0.44 $23,335.47
43 46-OTHER INTESTINAL OPS 4917 0.43 $22,142.49
44 78-OTH BONE OPS EXCPT FACE 4648 0.41 $11,763.63
45 14-POSTERIOR SEGMENT OPS 4605 0.41 $5,661.31
46 28-TONSIL & ADENOID OPS 4492 0.40 $3,424.01
47 59-OTHER URINARY TRACT OPS 4436 0.39 $7,045.76
48 76-FACIAL BONE & JOINT OPS 4167 0.37 $9,504.24
49 56-OPERATIONS ON URETER 4017 0.36 $8,602.02
50 21-OPERATIONS ON NOSE 3700 0.33 $5,466.84
ALL OTHER 49387 4.37 $12,236.82
TABLE 13D - 1995 SPARCS - TOP 50 SURGICAL PROCEDURE CATEGORIES (ANY OCCURRENCE) 4
RANK-SURGICAL PROCEDURE CATEGORY (ICD-9-CM CODE AND NAME) NUMBER PERCENT AVE CHARGE
-----------------------------------------------------------------------------------------------------------------------------
ALL SURGICAL PROCEDURE CATEGORIES 2165590 100.00 $15,341.49
1 75-OTHER OBSTETRIC OPS 236735 10.93 $3,735.46
2 73-ASSIST/INDUCE DELIV NEC 204457 9.44 $3,172.01
3 45-INTEST INCIS/EXCIS/ANAST 126046 5.82 $20,496.66
4 37-OTHER HEART/PERICARD OPS 107209 4.95 $21,471.73
5 86-SKIN & SUBQ OPERATIONS 90158 4.16 $25,247.08
6 39-OTHER OPS ON VESSELS 87960 4.06 $27,345.32
7 64-OPERATIONS ON PENIS 84914 3.92 $2,829.36
8 38-VESSEL INC/EXCIS/OCCLUS 79571 3.67 $31,583.80
9 54-OTHER ABDOMEN REGION OPS 70611 3.26 $19,079.52
10 57-URINARY BLADDER OPS 61886 2.86 $13,007.30
11 74-C-SECTION/REMOVAL FETUS 60886 2.81 $5,938.74
12 03-SPINAL CORD & CANAL OPS 58085 2.68 $16,719.19
13 51-BILIARY TRACT OPERATION 58028 2.68 $13,606.24
14 36-OPS ON HEART VESSELS 56428 2.61 $27,253.32
15 81-JOINT REPAIR 52587 2.43 $15,928.46
16 79-REDUCTION FX/DISLOCATION 43057 1.99 $14,810.00
17 34-THORAX OPS EXCEPT LUNG 36824 1.70 $28,252.17
18 68-OTHER UTERINE INCIS/EXC 35960 1.66 $8,267.53
19 65-OPERATIONS ON OVARY 33638 1.55 $8,379.58
20 80-INCISION/EXCISION JOINT 27861 1.29 $9,610.09
21 66-FALLOPIAN TUBE OPERATION 26361 1.22 $5,151.79
22 33-OTHER BRONCHIAL/LUNG OPS 26044 1.20 $32,563.45
23 69-OTHER UTERUS/SUPPORT OPS 23307 1.08 $5,136.72
24 85-OPERATIONS ON THE BREAST 23258 1.07 $8,066.56
25 40-LYMPHATIC SYSTEM OPS 21485 0.99 $14,248.76
26 53-REPAIR OF HERNIA 20079 0.93 $12,296.28
27 60-PROSTATE & SEMIN VES OPS 19926 0.92 $10,703.66
28 47-OPERATIONS ON APPENDIX 19536 0.90 $9,636.92
29 72-FORCEP/VAC/BREECH DELIV 17269 0.80 $3,270.69
30 77-INCIS/EXCIS/DIV BONE NEC 17205 0.79 $16,159.25
31 43-GASTRIC INCISION/EXCIS 16249 0.75 $45,650.58
32 59-OTHER URINARY TRACT OPS 16127 0.74 $10,661.82
33 83-OTHER MUS/TEN/FAS/BUR OP 16054 0.74 $13,500.70
34 31-LARYNX TRACHEA OPS NEC 15192 0.70 $73,934.99
35 41-BONE MARROW & SPLEEN OPS 14377 0.66 $34,757.56
36 42-OPERATIONS ON ESOPHAGUS 13834 0.64 $24,732.23
37 46-OTHER INTESTINAL OPS 13565 0.63 $35,639.10
38 70-VAGINA & CUL-DE-SAC OPS 12398 0.57 $7,430.29
39 78-OTH BONE OPS EXCPT FACE 12290 0.57 $16,720.37
40 14-POSTERIOR SEGMENT OPS 11086 0.51 $6,797.29
41 84-OTHER MUSCULOSKELET PROC 11043 0.51 $35,012.39
42 55-OPERATIONS ON KIDNEY 10684 0.49 $20,870.73
43 44-OTHER GASTRIC OPERATIONS 10561 0.49 $28,026.14
44 48-RECTAL & PERIRECTAL OPS 9915 0.46 $17,964.23
45 01-INCISE-EXCIS BRAIN/SKULL 9268 0.43 $34,130.86
46 21-OPERATIONS ON NOSE 8695 0.40 $7,444.35
47 56-OPERATIONS ON URETER 8362 0.39 $11,134.05
48 35-HEART VALVES & SEPTA OPS 8196 0.38 $52,518.33
49 50-OPERATIONS ON LIVER 7925 0.37 $30,078.84
50 76-FACIAL BONE & JOINT OPS 7847 0.36 $13,552.43
ALL OTHER 104551 4.83 $12,720.31
