DIAGNOSTIC CATEGORIES BY SERVICE TYPE 3-Digit Principal Diagnosis Mask Jan 2020 - Dec 2020 Jan 2021 - Dec 2021 Variance 1 O26 -Maternal care for other conditions predominantly related to pregnancy $11.30 T 2 M17 -Osteoarthritis of knee $11.24 Behavioral Health increased in N 3 Z38 - Liveborn infants according to place of birth and type of delivery $24.45 $4.48 -81.69% E paid PMPM in all but Inpatient I 4 K56 - Paralytic ileus and intestinal obstruction without hernia $4.09 T 5 S05 - Injury of eye and orbit $3.97 A category. P 6 000 - BEHAVIORAL HEALTH $9.63 $3.92 -59.29% N 7 J12 - Viral pneumonia, not elsewhere classified $3.88 I 8 K92 - Other diseases of digestive system $3.53 $3.22 -8.85% 3 diagnoses in IP related to 9 O36 -Maternal care for other fetal problems $2.92 maternity/pregnancy. 10 A41 - Other sepsis $2.68 3-Digit Principal Diagnosis Mask Jan 2020 - Dec 2020 Jan 2021 - Dec 2021 Variance 1 000 - BEHAVIORAL HEALTH $2.10 $18.72 +793.24% These figures are typically T 2 M17 -Osteoarthritis of knee $0.06 $8.21 +13326.60% EN 3 G83 - Other paralytic syndromes $6.56 skewed by HCC activity, as I 4 N20 -Calculus of kidney and ureter $0.32 $5.20 +1524.61% T 5 R93 - Abnormal findings on diagnostic imaging of other body structures $4.64 A BCBSMA reporting tracks on a P 6 M27 -Other diseases of jaws $4.47 paid PMPM basis vs. T 7 Z12 - Encounter for screening for malignant neoplasms $4.38 $4.03 -7.81% OU 8 T81 - Complications of procedures, not elsewhere classified $0.04 $2.97 +7092.47% occurrence. 9 S83 - Dislocation and sprain of joints and ligaments of knee $0.54 $2.28 +318.78% 10 M25 -Other joint disorder, not elsewhere classified $0.65 $2.23 +242.80% 3-Digit Principal Diagnosis Mask Jan 2020 - Dec 2020 Jan 2021 - Dec 2021 Variance In the Professional category, we 1 000 - BEHAVIORAL HEALTH $31.86 $40.63 +27.54% can see the impact of COVID-19 2 Z00 - Encounter for general examination without complaint, suspected or reported $14.26 $15.73 +10.37% NAL diagnosis through the variances in paid O 3 Z20 - Contact with and (suspected) exposure to communicable diseases $0.02 $6.27 +37572.50% PMPM between plan years 4 Z12 - Encounter for screening for malignant neoplasms $3.24 $4.73 +45.96% SSI5 000 - INFECTIOUS DISEASE $3.67 $4.32 +17.78% within categories 1, 3, 5 and 7. FE 6 M25 -Other joint disorder, not elsewhere classified $1.96 $3.75 +90.99% O 7 Z23 - Encounter for immunization $1.38 $3.41 +146.71% R 8 Z01 - Encounter for other special examination without complaint, suspected or $2.80 $3.40 +21.70% P reported diagnosis 9 S83 - Dislocation and sprain of joints and ligaments of knee $3.17 $2.57 -18.87% 10 M17 -Osteoarthritis of knee $0.12 $2.56 +1961.15% [ 8 ]