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ECR>Custom Reports>Financial>Payments by Benefit Type
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  Data rows: 21    Data columns: 4  
Benefit Type
Relationship Group
SubscriberSpouseDependent/OtherTotal
Metrics
PaymentsPaymentsPaymentsPayments
200Medco Health$64,085.19$14,237.18$694.28$79,016.65
260Inpatient Hospital Room & Board$127,876.96$108,523.22$32,395.41$268,795.59
270Inpatient Hospital Miscellaneous$46,868.04$8,548.91$16,187.04$71,603.99
280Convalescent Facility$3,704.90$0.00$0.00$3,704.90
290ATC/SA Room & Board and Misc.$554.28$158.83$0.00$713.11
300Outpatient Hospital Miscellaneous$135,758.32$99,354.25$52,385.68$287,498.25
310Emergency Room$41,967.64$14,897.64$21,288.12$78,153.40
320Surgery$70,219.59$22,810.83$5,636.87$98,667.29
330Anesthesia$31,466.84$10,230.05$2,307.20$44,004.09
350Assistant Surgical$318.80$270.67$0.00$589.47
360Inpatient Medical$5,206.39$4,804.70$3,802.58$13,813.67
370Outpatient/Professional Medical$85,132.77$60,395.60$59,026.33$204,554.70
380Other Medical$7,798.01$5,025.00$844.95$13,667.96
390Chemotherapy$716.02$0.00$0.00$716.02
400Radiation Therapy$3,491.52$41,347.46$0.00$44,838.98
410Outpatient X-Ray and Lab$107,565.21$75,288.33$24,349.40$207,202.94
420Outpatient Psychiatric$9,468.69$3,886.60$4,251.02$17,606.31
450Comprehensive Medical Expenses$8.19$0.00$32.26$40.45
490Pharmacy - Health$15,671.80$7,346.55$218.32$23,236.67
500Coordination of Benefits - Health$0.00($531.56)$0.00($531.56)
Total$757,879.16$476,594.26$223,419.46$1,457,892.88
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