Table 1.
Top Ten ETG Disease Categories Mapped to MEG Classification
| ETG | Total Expenditures (Millions) | MEG | % Exp. MEG on ETG | Cumulative % Exp. of MEG on ETG |
|---|---|---|---|---|
| Ischemic heart disease | $24,954 | Angina Pectoris, Chronic Maintenance | 53.6 | 53.6 |
| Ischemic heart disease | Acute Myocardial Infarction | 19.8 | 73.4 | |
| Ischemic heart disease | Ungroupable Medical Claims | 9.2 | 82.6 | |
| Ischemic heart disease | Arrhythmias | 4.0 | 86.6 | |
| Pregnancy, with delivery | $23,557 | Delivery, Vaginal | 88.3 | 88.3 |
| Pregnancy, with delivery | Ungroupable Medical Claims | 7.0 | 95.3 | |
| Pregnancy, with delivery | Ante‐ and Postpartum Complications | 1.5 | 96.7 | |
| Pregnancy, with delivery | Delivery, Cesarean Section | 1.0 | 97.8 | |
| Joint degeneration, localized—back | $19,846 | Osteoarthritis, Lumbar Spine | 31.2 | 31.2 |
| Joint degeneration, localized—back | Intervertebral Disc Disorders: Lumbar and Lumbosacral | 24.4 | 55.6 | |
| Joint degeneration, localized—back | Other Spinal and Back Disorders: Low Back | 16.4 | 72.0 | |
| Joint degeneration, localized—back | Ungroupable Medical Claims | 15.5 | 87.5 | |
| Diabetes | $19,189 | Diabetes Mellitus Type 2 and Hyperglycemic States Maintenance | 44.3 | 44.3 |
| Diabetes | Ungroupable Medical Claims | 23.3 | 67.5 | |
| Diabetes | Diabetes Mellitus Type 1 Maintenance | 18.2 | 85.7 | |
| Diabetes | Diabetes Mellitus with Complications | 2.7 | 88.4 | |
| Hypertension | $16,574 | Essential Hypertension, Chronic Maintenance | 60.5 | 60.5 |
| Hypertension | Ungroupable Medical Claims | 16.3 | 76.8 | |
| Hypertension | Other Respiratory Symptoms | 3.3 | 80.1 | |
| Hypertension | Angina Pectoris, Chronic Maintenance | 2.5 | 82.6 | |
| Routine exam | $14,765 | Encounter for Preventive Health Services | 84.6 | 84.6 |
| Routine exam | Ungroupable Medical Claims | 8.4 | 93.0 | |
| Routine exam | Factors Influencing Health Status | 3.8 | 96.8 | |
| Routine exam | Other Cardiovascular Symptoms | 0.2 | 97.0 | |
| Malignant neoplasm of breast | $14,168 | Neoplasm, Malignant: Breast, Female | 78.3 | 78.3 |
| Malignant neoplasm of breast | Ungroupable Medical Claims | 13.8 | 92.0 | |
| Malignant neoplasm of breast | Neoplasm, Benign: Breast | 1.5 | 93.5 | |
| Malignant neoplasm of breast | Factors Influencing Health Status | 1.4 | 95.0 | |
| Mood disorder, depressed | $10,327 | Depression | 64.6 | 64.6 |
| Mood disorder, depressed | Ungroupable Medical Claims | 12.8 | 77.4 | |
| Mood disorder, depressed | Generalized Anxiety Disorder | 4.3 | 81.8 | |
| Mood disorder, depressed | Bipolar Disorder—Major Depressive Episode | 2.8 | 84.6 | |
| Joint degeneration, localized—neck | $9,051 | Osteoarthritis, Cervical Spine | 27.7 | 27.7 |
| Joint degeneration, localized—neck | Intervertebral Disc Disorders: Cervical | 26.9 | 54.5 | |
| Joint degeneration, localized—neck | Ungroupable Medical Claims | 16.9 | 71.4 | |
| Joint degeneration, localized—neck | Other Spinal and Back Disorders: Cervical | 14.4 | 85.8 | |
| Nonmalignant neoplasm of female genital tract | $8,898 | Neoplasm, Benign: Uterus (Leiomyomas) | 27.4 | 27.4 |
| Nonmalignant neoplasm of female genital tract | Dysfunctional Uterine Bleeding | 15.0 | 42.4 | |
| Nonmalignant neoplasm of female genital tract | Ungroupable Medical Claims | 13.9 | 56.3 | |
| Nonmalignant neoplasm of female genital tract | Other Disorders of Female Genital System | 13.5 | 69.8 |
Table shows the top 10 ETG disease categories based on expenditure share for 2007. Four of the corresponding MEG categories are shown in order of highest allocation to lowest allocation.