TABLE 13A - 1999 SPARCS - TOP 50 FEDERAL DRGS 1
RANK-DRG CODE AND NAME (FEDERAL DRG - TWELFTH REVISION) NUMBER PERCENT AVE CHARGE
-----------------------------------------------------------------------------------------------------------------------------
ALL DRGS 2429691 100.00 $12,364.54
1 391-NORMAL NEWBORN 179065 7.37 $1,707.43
2 373-VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 158860 6.54 $4,196.65
3 430-PSYCHOSES 78903 3.25 $18,888.82
4 127-HEART FAILURE & SHOCK 64935 2.67 $12,069.17
5 089-SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 50403 2.07 $12,631.17
6 435-ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W/O CC 45269 1.86 $6,165.95
7 371-CESAREAN SECTION W/O CC 44193 1.82 $7,241.43
8 143-CHEST PAIN 42455 1.75 $4,927.86
9 088-CHRONIC OBSTRUCTIVE PULMONARY DISEASE 38857 1.60 $10,415.66
10 116-OTH PERM CARDIAC PACEMAKER IMPLANT OR AICD LEAD OR GENERATOR PROC 37631 1.55 $19,115.34
11 462-REHABILITATION 34242 1.41 $23,343.65
12 390-NEONATE W OTHER SIGNIFICANT PROBLEMS 29806 1.23 $3,213.95
13 014-SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TIA 29469 1.21 $16,229.80
14 209-MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY 29285 1.21 $19,526.21
15 098-BRONCHITIS & ASTHMA AGE 0-17 28096 1.16 $5,410.16
16 182-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W CC 26385 1.09 $8,930.18
17 359-UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC 24250 1.00 $7,256.58
18 296-NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W CC 22253 0.92 $12,126.43
19 174-G.I. HEMORRHAGE W CC 21974 0.90 $11,753.94
20 183-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O CC 21117 0.87 $5,753.41
21 138-CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 19239 0.79 $10,058.32
22 132-ATHEROSCLEROSIS W CC 19050 0.78 $7,210.09
23 372-VAGINAL DELIVERY W COMPLICATING DIAGNOSES 18910 0.78 $5,483.80
24 389-FULL TERM NEONATE W MAJOR PROBLEMS 18571 0.76 $9,348.73
25 294-DIABETES AGE >35 17038 0.70 $9,800.97
26 416-SEPTICEMIA AGE >17 16737 0.69 $19,933.52
27 410-CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS 16664 0.69 $9,630.17
28 148-MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 16113 0.66 $30,807.55
29 320-KIDNEY & URINARY TRACT INFECTIONS AGE >17 W CC 16080 0.66 $11,737.08
30 015-TRANSIENT ISCHEMIC ATTACK & PRECEREBRAL OCCLUSIONS 15983 0.66 $8,544.98
31 121-CIRCULATORY DISORDERS W AMI & C.V. COMP DISCH ALIVE 15873 0.65 $16,660.13
32 395-RED BLOOD CELL DISORDERS AGE >17 15707 0.65 $10,486.20
33 433-ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 15667 0.64 $3,994.76
34 383-OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 15298 0.63 $5,419.67
35 097-BRONCHITIS & ASTHMA AGE >17 W/O CC 15064 0.62 $6,224.93
36 124-CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH & COMPLEX DIAG 14682 0.60 $13,203.70
37 475-RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT 14460 0.60 $38,940.60
38 434-ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W CC 14285 0.59 $8,201.38
39 370-CESAREAN SECTION W CC 13760 0.57 $10,110.87
40 277-CELLULITIS AGE >17 W CC 13519 0.56 $11,279.22
41 139-CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC 13459 0.55 $5,806.31
42 122-CIRCULATORY DISORDERS W AMI W/O C.V. COMP DISCH ALIVE 13037 0.54 $10,531.33
43 494-LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC 12957 0.53 $7,742.79
44 489-HIV W MAJOR RELATED CONDITION 12953 0.53 $27,802.24
45 140-ANGINA PECTORIS 12848 0.53 $6,075.10
46 141-SYNCOPE & COLLAPSE W CC 12120 0.50 $8,898.74
47 426-DEPRESSIVE NEUROSES 12035 0.50 $6,888.05
48 478-OTHER VASCULAR PROCEDURES W CC 11586 0.48 $25,216.53
49 125-CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O COMPLEX DIAG 11247 0.46 $8,640.11
50 184-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE 0-17 11097 0.46 $4,181.00
ALL OTHER 976204 40.18 $16,146.68
TABLE 13B - 1999 SPARCS - TOP 50 PRINCIPAL DIAGNOSTIC CATEGORIES 2
RANK-DIAGNOSTIC CATEGORY AND NAME (ICD-9-CM CODE AND NAME) NUMBER PERCENT AVE CHARGE
--------------------------------------------------------------------------------------------------------------
ALL PRINCIPAL DIAGNOSTIC CATEGORIES 2429691 100.00 $12,364.54
1 V30-SINGLE LIVEBORN 233777 9.62 $4,067.06
2 414-OTH CHR ISCHEMIC HRT DIS 72543 2.99 $17,894.96
3 486-PNEUMONIA, ORGANISM NOS 69018 2.84 $14,070.99
4 428-HEART FAILURE 64599 2.66 $14,874.61
5 786-RESP SYST/OTH CHEST SX 51244 2.11 $5,495.14
6 664-PERINEAL TRAUMA W DEL 50300 2.07 $4,218.60
7 780-GENERAL SYMPTOMS 50155 2.06 $8,536.15
8 493-ASTHMA 46310 1.91 $7,640.25
9 410-AMI 46014 1.89 $21,888.04
10 427-CARDIAC DYSRHYTHMIAS 42580 1.75 $13,468.12
11 296-AFFECTIVE PSYCHOSES 39649 1.63 $15,360.31
12 650-NORMAL DELIVERY 34942 1.44 $3,983.56
13 V57-REHABILITATION PROCEDURE 34801 1.43 $23,783.09
14 250-DIABETES MELLITUS 34463 1.42 $14,884.75
15 276-FLUID/ELECTROLYTE DISORD 33202 1.37 $10,053.34
16 295-SCHIZOPHRENIC DISORDERS 31501 1.30 $24,400.87
17 304-DRUG DEPENDENCE 30601 1.26 $6,514.40
18 303-ALCOHOL DEPENDENCE SYND 28379 1.17 $6,640.65
19 996-REPLACEMENT & GRAFT COMP 27325 1.12 $20,457.39
20 574-CHOLELITHIASIS 26309 1.08 $11,279.55
21 682-OTHER CELLULITIS/ABSCESS 26112 1.07 $10,578.27
22 491-CHRONIC BRONCHITIS 25557 1.05 $11,998.66
23 V58-ENCOUNTER PX/AFTRCR NEC 23314 0.96 $11,346.00
24 715-OSTEOARTHROSIS ET AL 22900 0.94 $17,838.79
25 599-OTH URINARY TRACT DISORD 22011 0.91 $11,622.93
26 654-ABN PELVIC ORGAN IN PREG 21855 0.90 $6,079.68
27 434-CEREBRAL ARTERY OCCLUS 21480 0.88 $18,689.70
28 038-SEPTICEMIA 19282 0.79 $25,009.20
29 648-OTH CURRENT COND IN PREG 19127 0.79 $5,037.98
30 658-OTH AMNIOTIC CAVITY PROB 18281 0.75 $6,126.65
31 820-FRACTURE NECK OF FEMUR 18227 0.75 $19,160.81
32 218-UTERINE LEIOMYOMA 16654 0.69 $8,387.65
33 722-INTERVERTEBRAL DISC DIS 16642 0.68 $10,176.98
34 562-DIVERTICULA OF INTESTINE 16400 0.67 $13,712.25
35 560-INTESTINAL OBSTRUCTION 15983 0.66 $14,614.17
36 540-ACUTE APPENDICITIS 15499 0.64 $9,408.69
37 644-EARLY/THREATENED LABOR 15296 0.63 $6,154.87
38 661-ABNORMAL FORCES OF LABOR 14708 0.61 $6,336.67
39 466-AC BRONCHITIS/BRONCHIOL 14700 0.61 $6,966.16
40 435-TRANSIENT CEREB ISCHEMIA 14497 0.60 $8,469.56
41 663-UMBILICAL CORD COMP 14379 0.59 $4,088.10
42 042-HIV DISEASE 14065 0.58 $29,332.62
43 659-OTH INDICATION CARE-DEL 13752 0.57 $5,535.81
44 998-OTH SURGICAL COMP NEC 13205 0.54 $15,744.66
45 558-OTH NONINF GASTROENTERIT 13134 0.54 $5,879.16
46 592-RENAL/URETERAL CALCULUS 12269 0.50 $6,657.97
47 291-ALCOHOLIC PSYCHOSES 11684 0.48 $7,922.36
48 789-OTH ABDOMEN/PELVIS SX 11310 0.47 $6,023.88
49 577-DISEASES OF PANCREAS 11263 0.46 $17,080.45
50 292-DRUG PSYCHOSES 11246 0.46 $6,762.68
ALL OTHER 877147 36.10 $14,609.45
TABLE 13C - 1999 SPARCS - TOP 50 SURGICAL PRINCIPAL PROCEDURE CATEGORIES 3
RANK-SURGICAL PROCEDURE CATEGORY (ICD-9-CM CODE AND NAME) NUMBER PERCENT AVE CHARGE
-----------------------------------------------------------------------------------------------------------------------------
ALL SURGICAL PROCEDURE CATEGORIES 1060898 100.00 $15,337.45
1 73-ASSIST/INDUCE DEL NEC 100022 9.43 $4,281.14
2 45-INTESTINAL INC/EXC/ANAST 73570 6.93 $17,742.02
3 64-OPERATIONS ON PENIS 70470 6.64 $2,532.91
4 75-OTHER OBSTETRIC OPS 65124 6.14 $4,556.38
5 74-CD & REMOVAL FETUS 57764 5.44 $7,931.88
6 37-OTH HRT/PERICARDIUM OPS 57756 5.44 $19,639.54
7 81-JOINT REPAIR 48340 4.56 $18,781.96
8 36-OPS ON HEART VESSELS 47708 4.50 $27,174.10
9 86-SKIN & SUBCU OPERATIONS 38093 3.59 $20,524.15
10 38-VESSEL PROCEDURES NEC 35016 3.30 $22,095.18
11 39-OTHER OPS ON VESSELS 34249 3.23 $21,197.99
12 51-GB & BILIARY TRACT OPS 32485 3.06 $13,707.61
13 79-REDUCTION FX/DISLOCATION 32180 3.03 $14,778.03
14 68-OTHER UTERINE INC & EXC 31914 3.01 $9,285.67
15 03-SPINAL CORD & CANAL OPS 23209 2.19 $13,913.89
16 54-OTHER ABDOMEN REGION OPS 16909 1.59 $20,833.88
17 47-OPERATIONS ON APPENDIX 16268 1.53 $9,008.23
18 60-PROS/SEM VESICLES OPS 14219 1.34 $10,543.16
19 80-INC/EXC JOINT STRUCT 14079 1.33 $11,246.83
20 34-THORAX OPS EXCEPT LUNG 13561 1.28 $21,419.72
21 85-OPERATIONS ON THE BREAST 13285 1.25 $8,623.68
22 57-URINARY BLADDER OPS 13233 1.25 $13,599.25
23 53-REPAIR OF HERNIA 11142 1.05 $12,240.86
24 72-FORCEP/VACUUM/BREECH DEL 10758 1.01 $4,538.60
25 31-LARYNX/TRACHEA OPS NEC 9640 0.91 $120,759.89
26 33-OTHER BRONCHIAL/LUNG OPS 9345 0.88 $27,737.82
27 43-INC & EXC OF STOMACH 9173 0.86 $30,711.38
28 55-OPERATIONS ON KIDNEY 8785 0.83 $21,979.43
29 84-OTHER MUSCULOSKELETAL PX 8399 0.79 $32,103.99
30 69-OTH UTER/SUPP STRUCT OPS 8137 0.77 $5,529.01
31 66-FALLOPIAN TUBE OPERATION 7462 0.70 $6,069.77
32 35-HEART VALVES & SEPTA OPS 7288 0.69 $57,587.37
33 83-OTH MUSC/TEND/FASC OP 6909 0.65 $11,927.58
34 65-OPERATIONS ON OVARY 6764 0.64 $8,973.30
35 01-INC & EXC BRAIN/SKULL 6504 0.61 $33,205.24
36 44-OTHER GASTRIC OPERATIONS 6364 0.60 $21,658.27
37 06-THYROID/PARATHYROID OPS 6031 0.57 $8,012.10
38 41-BONE MARROW & SPLEEN OPS 5843 0.55 $40,719.28
39 48-RECTAL & PERIRECTAL OPS 5317 0.50 $18,496.92
40 59-OTHER URINARY TRACT OPS 5252 0.50 $9,161.43
41 32-LUNG & BRONCHUS EXCISION 5152 0.49 $26,119.01
42 46-OTHER INTESTINAL OPS 5065 0.48 $26,740.25
43 77-INC/EXC/DIV BONE NEC 4620 0.44 $17,661.67
44 78-OTHER BONE OPS X FACIAL 4034 0.38 $14,384.66
45 40-LYMPHATIC SYSTEM OPS 3966 0.37 $18,690.09
46 50-OPERATIONS ON LIVER 3855 0.36 $34,999.38
47 56-OPERATIONS ON URETER 3834 0.36 $10,403.83
48 02-OTHER SKULL/BRAIN OPS 3713 0.35 $32,588.46
49 70-VAGINA & CUL-DE-SAC OPS 3364 0.32 $7,619.04
50 42-OPERATIONS ON ESOPHAGUS 3197 0.30 $19,364.12
ALL OTHER 31531 2.97 $12,448.86
TABLE 13D - 1999 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 2010900 100.00 $19,131.07
1 75-OTHER OBSTETRIC OPS 206543 10.27 $5,045.18
2 73-ASSIST/INDUCE DEL NEC 185015 9.20 $4,478.71
3 45-INTESTINAL INC/EXC/ANAST 126567 6.29 $23,572.86
4 37-OTH HRT/PERICARDIUM OPS 125120 6.22 $25,789.92
5 36-OPS ON HEART VESSELS 95079 4.73 $27,199.48
6 38-VESSEL PROCEDURES NEC 91416 4.55 $35,969.83
7 39-OTHER OPS ON VESSELS 86346 4.29 $30,470.30
8 86-SKIN & SUBCU OPERATIONS 76894 3.82 $29,065.05
9 64-OPERATIONS ON PENIS 75491 3.75 $3,732.62
10 74-CD & REMOVAL FETUS 58141 2.89 $7,945.48
11 81-JOINT REPAIR 57489 2.86 $19,449.08
12 54-OTHER ABDOMEN REGION OPS 55985 2.78 $24,028.16
13 03-SPINAL CORD & CANAL OPS 50985 2.54 $18,645.78
14 51-GB & BILIARY TRACT OPS 47998 2.39 $17,837.06
15 57-URINARY BLADDER OPS 41511 2.06 $15,427.16
16 79-REDUCTION FX/DISLOCATION 38662 1.92 $16,818.62
17 68-OTHER UTERINE INC & EXC 35697 1.78 $9,718.62
18 34-THORAX OPS EXCEPT LUNG 33299 1.66 $34,383.62
19 65-OPERATIONS ON OVARY 30516 1.52 $9,890.88
20 80-INC/EXC JOINT STRUCT 26181 1.30 $13,453.28
21 40-LYMPHATIC SYSTEM OPS 20941 1.04 $16,273.61
22 66-FALLOPIAN TUBE OPERATION 20402 1.01 $6,753.56
23 47-OPERATIONS ON APPENDIX 20349 1.01 $11,286.56
24 33-OTHER BRONCHIAL/LUNG OPS 19935 0.99 $40,305.63
25 85-OPERATIONS ON THE BREAST 19554 0.97 $9,818.58
26 43-INC & EXC OF STOMACH 17673 0.88 $53,100.01
27 59-OTHER URINARY TRACT OPS 17485 0.87 $12,354.12
28 53-REPAIR OF HERNIA 17109 0.85 $15,348.21
29 77-INC/EXC/DIV BONE NEC 16661 0.83 $20,536.92
30 42-OPERATIONS ON ESOPHAGUS 16219 0.81 $27,649.70
31 60-PROS/SEM VESICLES OPS 16158 0.80 $11,433.38
32 83-OTH MUSC/TEND/FASC OP 14862 0.74 $17,509.75
33 31-LARYNX/TRACHEA OPS NEC 14437 0.72 $98,486.71
34 69-OTH UTER/SUPP STRUCT OPS 13660 0.68 $7,068.65
35 72-FORCEP/VACUUM/BREECH DEL 13335 0.66 $4,697.54
36 46-OTHER INTESTINAL OPS 12825 0.64 $42,658.14
37 70-VAGINA & CUL-DE-SAC OPS 12030 0.60 $8,510.92
38 55-OPERATIONS ON KIDNEY 11283 0.56 $24,377.66
39 78-OTHER BONE OPS X FACIAL 11123 0.55 $19,826.58
40 84-OTHER MUSCULOSKELETAL PX 11097 0.55 $38,586.17
41 41-BONE MARROW & SPLEEN OPS 10078 0.50 $42,653.63
42 44-OTHER GASTRIC OPERATIONS 9808 0.49 $28,608.86
43 48-RECTAL & PERIRECTAL OPS 9300 0.46 $21,215.01
44 35-HEART VALVES & SEPTA OPS 8997 0.45 $61,495.42
45 01-INC & EXC BRAIN/SKULL 8554 0.43 $38,811.63
46 50-OPERATIONS ON LIVER 7762 0.39 $36,440.18
47 56-OPERATIONS ON URETER 7713 0.38 $13,636.43
48 06-THYROID/PARATHYROID OPS 7292 0.36 $9,768.20
49 02-OTHER SKULL/BRAIN OPS 6349 0.32 $45,915.85
50 32-LUNG & BRONCHUS EXCISION 6151 0.31 $27,893.11
ALL OTHER 66823 3.32 $14,559.79