| 52380.95 |
14285.71 |
21904.76 |
Contact dermatitis and other eczema |
| 52380.95 |
23809.52 |
29523.81 |
General symptoms |
| 42857.14 |
23809.52 |
27619.05 |
Other disorders of soft tissues |
| 33333.33 |
19047.62 |
21904.76 |
Functional digestive disorders, not elsewhere classified |
| 33333.33 |
13095.24 |
17142.86 |
Pruritus and related conditions |
| 33333.33 |
19047.62 |
21904.76 |
Osteoarthrosis and allied disorders |
| 33333.33 |
16666.67 |
20000.00 |
Symptoms involving head and neck |
| 28571.43 |
14285.71 |
17142.86 |
Diseases of pulp and periapical tissues |
| 28571.43 |
14285.71 |
17142.86 |
Inflammatory disease of cervix, vagina and vulva |
| 28571.43 |
11904.76 |
15238.10 |
Other and unspecified disorder of joint |
| 28571.43 |
21428.57 |
22857.14 |
Other and unspecified disorders of back |
| 28571.43 |
16666.67 |
19047.62 |
Symptoms involving respiratory system and other chest symptoms |
| 23809.52 |
9523.81 |
12380.95 |
Cataract |
| 23809.52 |
7142.86 |
10476.19 |
Hypertensive heart disease |
| 23809.52 |
3571.43 |
7619.05 |
Chronic bronchitis |
| 23809.52 |
25000.00 |
24761.90 |
Gingival and periodontal diseases |
| 23809.52 |
23809.52 |
23809.52 |
Gastritis and duodenitis |
| 23809.52 |
2380.95 |
6666.67 |
Dermatitis due to substances taken internally |
| 23809.52 |
13095.24 |
15238.10 |
Spondylosis and allied disorders |
| 19047.62 |
13095.24 |
14285.71 |
Disorders of lipoid metabolism |
| 19047.62 |
5952.38 |
8571.43 |
Gout |
| 19047.62 |
2380.95 |
5714.29 |
Other and unspecified anemias |
| 19047.62 |
3571.43 |
6666.67 |
Visual disturbances |
| 19047.62 |
2380.95 |
5714.29 |
Other disorders of eyelids |
| 19047.62 |
13095.24 |
14285.71 |
Essential hypertension |
| 19047.62 |
23809.52 |
22857.14 |
Diseases of hard tissues of teeth |
| 19047.62 |
15476.19 |
16190.48 |
Disorders of function of stomach |
| 19047.62 |
9523.81 |
11428.57 |
Other noninfectious gastroenteritis and colitis |
| 19047.62 |
9523.81 |
11428.57 |
Other and unspecified arthropathies |
| 19047.62 |
13095.24 |
14285.71 |
Other disorders of bone and cartilage |
| 19047.62 |
2380.95 |
5714.29 |
Other acquired deformity |
| 19047.62 |
3571.43 |
6666.67 |
Dermatophytosis |
| 14285.71 |
2380.95 |
4761.90 |
Benign neoplasm of skin |
| 14285.71 |
7142.86 |
8571.43 |
Neurotic disorders |
| 14285.71 |
10714.29 |
11428.57 |
Other forms of chronic ischemic heart disease |
| 14285.71 |
3571.43 |
5714.29 |
Heart failure |
| 14285.71 |
1190.48 |
3809.52 |
Chronic glomerulonephritis |
| 14285.71 |
11904.76 |
12380.95 |
Other disorders of urethra and urinary tract |
| 14285.71 |
4761.90 |
6666.67 |
Symptoms involving skin and other integumentary tissue |
| 14285.71 |
4761.90 |
6666.67 |
Symptoms involving digestive system |
| 14285.71 |
15476.19 |
15238.10 |
Other symptoms involving abdomen and pelvis |
| 9523.81 |
4761.90 |
5714.29 |
Diabetes mellitus |
| 9523.81 |
7142.86 |
7619.05 |
Vertiginous syndromes and other disorders of vestibular system |
| 9523.81 |
3571.43 |
4761.90 |
Other disorders of ear |
| 9523.81 |
1190.48 |
2857.14 |
Hearing loss |
| 9523.81 |
2380.95 |
3809.52 |
Other diseases of endocardium |
| 9523.81 |
1190.48 |
2857.14 |
Other peripheral vascular disease |
| 9523.81 |
13095.24 |
12380.95 |
Diseases of the oral soft tissues, excluding lesions specific for gingiva and tongue |
| 9523.81 |
4761.90 |
5714.29 |
Gastric ulcer |
| 9523.81 |
11904.76 |
11428.57 |
Peptic ulcer, site unspecified |
| 9523.81 |
2380.95 |
3809.52 |
Other disorders of breast |
| 9523.81 |
8333.33 |
8571.43 |
Menopausal and postmenopausal disorders |
| 9523.81 |
1190.48 |
2857.14 |
Diffuse diseases of connective tissue |
| 9523.81 |
3571.43 |
4761.90 |
Rheumatoid arthritis and other inflammatory polyarthropathies |
| 9523.81 |
4761.90 |
5714.29 |
Intervertebral disc disorders |
| 9523.81 |
10714.29 |
10476.19 |
Peripheral enthesopathies and allied syndromes |
| 4761.90 |
2380.95 |
2857.14 |
Neoplasm of unspecified nature |
| 4761.90 |
1190.48 |
1904.76 |
Simple and unspecified goiter |
| 4761.90 |
1190.48 |
1904.76 |
Nontoxic nodular goiter |
| 4761.90 |
1190.48 |
1904.76 |
Kwashiorkor |
| 4761.90 |
1190.48 |
1904.76 |
Iron deficiency anemias |
| 4761.90 |
1190.48 |
1904.76 |
Schizophrenic disorders |
| 4761.90 |
1190.48 |
1904.76 |
Parkinson's disease |
| 4761.90 |
1190.48 |
1904.76 |
Group B streptococcus infections of unspecified site |
| 4761.90 |
2380.95 |
2857.14 |
Mononeuritis of upper limb and mononeuritis multiplex |
| 4761.90 |
1190.48 |
1904.76 |
Other retinal disorders |
| 4761.90 |
4761.90 |
4761.90 |
Disorders of lacrimal system |
| 4761.90 |
2380.95 |
2857.14 |
Other disorders of eye |
| 4761.90 |
1190.48 |
1904.76 |
Nonsuppurative otitis media and eustachian tube disorders |
| 4761.90 |
1190.48 |
1904.76 |
Chickenpox |
| 4761.90 |
3571.43 |
3809.52 |
Cardiac dysrhythmias |
| 4761.90 |
7142.86 |
6666.67 |
Chronic pharyngitis and nasopharyngitis |
| 4761.90 |
2380.95 |
2857.14 |
Chronic sinusitis |
| 4761.90 |
1190.48 |
1904.76 |
Chronic laryngitis and laryngotracheitis |
| 4761.90 |
11904.76 |
10476.19 |
Allergic rhinitis |
| 4761.90 |
4761.90 |
4761.90 |
Other diseases of upper respiratory tract |
| 4761.90 |
8333.33 |
7619.05 |
Asthma |
| 4761.90 |
8333.33 |
7619.05 |
Other diseases and conditions of the teeth and supporting structures |
| 4761.90 |
2380.95 |
2857.14 |
Chronic renal failure |
| 4761.90 |
1190.48 |
1904.76 |
Other diseases due to viruses and Chlamydiae |
| 4761.90 |
1190.48 |
1904.76 |
Noninflammatory disorders of cervix |
| 4761.90 |
1190.48 |
1904.76 |
Disorders of sweat glands |
| 4761.90 |
1190.48 |
1904.76 |
Chronic ulcer of skin |
| 4761.90 |
4761.90 |
4761.90 |
Urticaria |
| 4761.90 |
2380.95 |
2857.14 |
Ankylosing spondylitis and other inflammatory spondylopathies |
| 4761.90 |
8333.33 |
7619.05 |
Other disorders of synovium, tendon and bursa |
| 4761.90 |
3571.43 |
3809.52 |
Disorders of muscle, ligament and fascia |
| 4761.90 |
3571.43 |
3809.52 |
Symptoms involving cardiovascular system |
| 4761.90 |
5952.38 |
5714.29 |
Symptoms involving urinary system |
| 4761.90 |
2380.95 |
2857.14 |
Nonspecific findings on examination of blood |