North Suburban top 50 DRGs and 25 CPTs/HCPCs

DRG DRG Description Count of Accts Total Charge Amount Average charge per Account
871 SEP/SEPS WOMV>96HR MCC >17 87 154,061 22,144
177 RESP INF/INFLAM W MCC >17 61 101,758 16,865
795 NORMAL NEWBORN 56 5,912 1,902
794 NEON DX, AGE >28 DAYS 53 8,207 3,403
872 SEP/SEPS WOMV>96 WOMCC>17 53 84,781 11,279
247 PERC CV PX W DE STNT WOMCC 50 230,690 31,189
807 VAG DEL WO STER/D&C WOCCMC 48 23,762 7,937
189 PUL EDEMA/ RESP FAILURE 43 72,434 8,603
640 NUTR/MSC META DIS WMCC>17 43 12,009 1,207
806 VAG DEL WO STER/D&C W CC 40 28,852 9,530
853 INF & PAR DIS OR PX W MCC 39 379,882 44,053
280 ACUTE MI, DIS ALIV W MCC 39 151,436 10,504
291 HEART FAIL/SHOCK W MCC 33 105,767 10,403
787 NEO,BW >2499,W PX WO MMJ 32 46,794 16,124
682 RENAL FAILURE W MCC 32 118,355 12,468
683 RENAL FAILURE W CC 31 79,753 8,056
917 POIS/TOX EFF DRUG W MCC>17 31 130,334 16,972
638 DIABETES W CC 29 69,281 13,456
246 PERC CV PX W DE STNT W MCC 29 347,495 28,484
552 MED BACK PROB W/O MCC 29 87,144 16,523
282 ACUTE MI,DIS ALIV WOCC/MCC 28 87,942 5,572
175 PULM EMB W MCC OR AC COR P 28 159,434 15,808
494 LE & HUM PX WO CC/MCC >17 26 196,853 37,647
281 ACUTE MI, DIS ALIV W CC 26 112,042 10,069
193 SIMP PNEU/PLEU W MCC >17 25 96,295 9,994
870 SEP/SEV SEPS W MV >96 HRS 25 607,771 93,107
560 AFTRCARE MUS CON TIS W CC 24 26,501 2,855
064 IC HEM OR CEREB INF W MCC 23 139,554 16,155
812 RBC DIS W/O MCC >17 23 79,988 8,086
065 IC HEM OR CEREB INF W CC 23 107,682 10,083
720 SEPTICEM & DISSEMIN INF 23 161,445 11,446
854 INF & PAR DIS OR PX W CC 22 171,424 15,735
208 RESP SYS DX W VENT <=96 22 233,851 24,080
432 CIRR/ALC HEPATITIS MCC 22 157,601 28,563
563 FX SPN/STN EX LE WO MCC>17 22 92,385 13,389
377 GI HEM W MCC 21 173,379 14,284
287 CIRC DIS NO MI WCATH WOMCC 21 115,831 11,072
792 NEO,BW>2499G WO PX W OTH 21 46,044 13,023
788 NEO,BW >2499,W MN ABD PX 20 39,953 14,108
698 OTH KID/UT DX W MCC >17 20 128,310 14,312
309 CARD ARR/ COND DIS W CC 20 112,537 8,295
641 NUTR/MSC META DIS WOMCC>17 20 78,746 5,977
190 CH OBST PULM DIS W MCC 20 113,791 6,565
313 CHEST PAIN 20 159,987 7,351
481 HIP/FEM PX X MJ W CC >17 20 252,356 22,850
392 ESO/GE/DIG DIS WO MCC >17 20 70,209 14,412
480 HIP/FEM PX X MJ W MCC>17 20 337,642 54,526
207 RSP SYS DX W VENT >96 HRS 20 350,789 41,848
951 OT FACTS HEALTH STATUS 19 15,561 1,286
689 KIDNEY/UTI W MCC >17 19 113,718 10,797

CPT Description Count of Accts Total Charge Amount Average Charge per Account
099283 EMERGENCY DEPT VISIT 1,887 5,730 $572
099281 EMERGENCY DEPT VISIT 1,517 1,037 $197
011042 DEB SUBQ TISSUE 20 SQ CM/< 1,032 35,862 $2,738
029581 APPLY MULTLAY COMPRS LWR LEG 682 32,029 $1,812
011045 DEB SUBQ TISSUE ADD-ON 637 148,199 $1,721
012001 RPR S/N/AX/GEN/TRNK 2.5CM/< 622 13,265 $1,681
077067 SCR MAMMO BI INCL CAD 540 1,357 $256
093306 TTE W/DOPPLER COMPLETE 537 8,742 $1,029
012002 RPR S/N/AX/GEN/TRNK2.6-7.5CM 412 20,537 $2,987
012011 RPR F/E/E/N/L/M 2.5 CM/< 360 22,413 $2,679
029580 APPLICATION OF PASTE BOOT 355 18,779 $2,217
099282 EMERGENCY DEPT VISIT 334 2,502 $283
029125 APPLY FOREARM SPLINT 309 14,680 $1,691
010060 DRAINAGE OF SKIN ABSCESS 293 12,448 $1,010
076642 ULTRASOUND BREAST LIMITED 287 3,907 $462
043239 EGD BIOPSY SINGLE/MULTIPLE 184 22,182 $2,038
082247 BILIRUBIN TOTAL 177 322 $44
077080 DXA BONE DENSITY AXIAL 174 2,445 $210
051702 INSERT TEMP BLADDER CATH 163 20,544 $1,074
020552 INJ TRIGGER POINT 1/2 MUSCL 162 16,638 $1,408
029515 APPLICATION LOWER LEG SPLINT 161 14,244 $1,877
093880 EXTRACRANIAL BILAT STUDY 159 4,105 $673
095811 POLYSOM 6/>YRS CPAP 4/> PARM 157 14,898 $1,865
099284 EMERGENCY DEPT VISIT 154 9,536 $688
017250 CHEM CAUT OF GRANLTJ TISSUE 133 14,893 $1,597