Utilization Report as of December 20L4 TOTAL INELIG!BLE IttDESCRP

TOTATINC

HYPERTENSIVE URGENCY/CHRONIC H

t7,20L.00

DENGUE FEVER

18,645.25

FOCAL SEIZURE,BREAKTHROUGH

TOTATBENFT

EXPENSES

7,28L.40 7,676.76

9,919.60 10,968.49

L5,427.23 L29,343.97

4,643.61

LO,777.62

75,269.O3

9,460.25

2,200.60

54,074.94 7,259.65

15,344.00

6,903.00

8,541.00

3,445.00

1,251.90

2,193.20

uMBrLrcAL HERNTA/tNCtStONAL HE

78,t07.99

46,259.47

HYPERACTIVE AI RWAY DISEASE

18,013.00

2,908.96

3L,848.52 15,104.04

RHEUMATOID ARTHRITIS

35,293.37

cARDtAC

L7,Lt3.L0

15,569.41 10,555.10

SEI

MULTIPLE CORROID ADENO.GOITER ACUTE AMOEBIC INFECTION

UTI WITH MOD DEHYDRATION ACUTE GASTROENTERITIS

DYSLT

PDEM tAlCH D

ASTHMATIC BRONCHITIS

3,548.80

19,723.96 6,558.00 1,607.20

5,156.00 42,939.95

21,838.89

15,262.09

8,337.28

33,5L6.20 8L9,700.64

15,007.64 201,604.00

47,651.L4

21,464.69

5,429.00

4,27t.50

1,157.50

L7,7t3.81 s9,s57.68

8,212.tO 37,046.L8

9,50L.71 22,5L1.50

MOD DEHYD

30,777.26

13,035.48

17,74L.78

RUPTU RED APPEN DrCtTtS/LAPAROSC

215,105.55

89,875.60

125,229.95

NASOPHARYNGEAL CAIACUTE LYM POM

14,256.39 23,176.03

5,718.82 12,936.55

8,537.57 10,339.48

ACUTE SIN USITIS/BACTE RIAL A, RH

16,860.50

LO,245.32

ACUTE MAXILLARY SINUSITIS NASOPHARYNGEAL CA/ORAL CH EMO

27,0L0.47 23,0L2.5L

13,930.55 15,939.00

6,615.18 L3,079.92

ENDOMETRIAL POLYPS

56,626.25

31,201.73

25,424.52

TYPHOID FEVER

10,057.00

897.60

9,159.40

9,641.10 43,995.55

4,930.90

4,8L0.2O

19,487.20

24,508.35

NASOPHARYNGEAL CANCER

207,376.00

117,829.76

GANGRENE L FOOT/DEBRIDENMENT

228,L1t.25

122,932.30

89,546.24 105,168.95

21,699.42 L1,499.25

9,432.64 4,401.90

12,266.78 7,097.35

108,589.87

61,L53.O7

8,469.O4

4,099.20

47,436.80 4,369.84

6,254.03 29,251.78

1,235.90

5,0L8.23

17,387.37

11,864.41

7,513.00

t,Llz.oo

6,401.00

DM FOOT DEBRIDENMENT

70,629.87

25,992.48

44,637.39

NASOPHARYNGEAL CANCER

26,O22.85

18,736.45

7,286.40

DYSLIPDEMIA

20,873.34

13,882.54

6,990.80

DOG BITE/LEFT HAND

8,347.93

7,768.50

579.43

BARRETT'S ESOPHAGUS

7,144.66

2,93t.14

4,2t3.52

CHRONIC KIDNEY DISEASE/ DM T2 ESOPHAGEAL MASS/GASTROSCOPY

W

ESOPHARYNGEAL MUCOSAL NODULE KIDNEY TRANSPLANT

COMM.ACQUIRED PN EUMONIA MOD.RI SEBACEOUS CYST/EXCISION ELECTROLYTE

I

M BALANCE/NASOPHAR

FOLIC SEIZURE/NASOPHARYNGEAL C GLUTEAL ABSCESS/UTI

ACUTE GASTRITIS

MULTIPLE ABRASIONS/FIBULAR FRA HYPERTENSIVE URGENCY

ACUTE GASTROENTERITIS ACUTE GASTROENTERITIS DIABETIC FOOT, DEBRI DEN M ENT ACUTE GASTROENTERITIS SEIZURE DISEASE

AMOEBIASIS CEREB.CONCUSS 2ND TO VEHIC.ACC

21,100.96 5,924.81 18,508.56 618,096.64 26,186.45

7,O73.5t

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