639DIABETES W/O CC/MCC$1,995.00$1,995.00
881DEPRESSIVE NEUROSES$8,467.32$27,680.16
882NEUROSES EXCEPT DEPRESSIVE$46,799.46$46,799.46
884ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY$13,682.52$26,175.42
885PSYCHOSES$2,258.85$264,768.05
894ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA$7,436.33$7,436.33
896ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC$31,460.25$31,460.25
897ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC$2,325.93$40,088.22