HEALTH ADVANTAGE HIGH DOLLAR PATIENT SUMMARY PATIENTS WITH CLAIMS GREATER THAN $25,000 SURVIVING DEPENDENTS PAID: 01/01/ /31/2012 INCURRED: ALL

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1 SURVIVING DEPENDENTS PAID: 01/01/ /31/2012 Multiple myeloma without mention of Endometriosis of other specified si Renal colic Malignant neoplasm of upper-outer q 62, , , , , REGION ALL JOINT VENTURE ALL REPORT CREATED ON September 13, 2012

2 GROUP # CITY OF CONWAY/POLICE PAID: 01/01/ /31/2012 Other deficiencies of circulating e Hereditary sensory neuropathy 184, , REPORT CREATED ON September 13, 2012 ~

3 GROUP # PATIENTS WITH CLAIMS GREATER THAN $10,000 PHYSICAL PLANT PAID: 07/ /30/2012 Other deficiencies of circulating e Mononeuritis of unspecified site Malignant neoplasm of upper-outer q Nonallopathic lesion of lumbar regi Impotence of organic origin Calculus of gallbladder with acute Calculus of kidney Other disorder of menstruation and Tear of medial cartilage or meniscu 135, , , , , , , , , REPORT CREATED ON July 19, 2012

4 PATIENTS WITH CLAIMS GREATER THAN $10,000 CITY OF CONWAY/STREETS PAID: 07/01/ /30/2012 Chronic hepatitis C without mention Multiple myeloma without mention of Displacement of lumbar intervertebr Lumbago Carcinoma in situ of breast Cervical spondylosis with myelopath Malignant neoplasm of upper-outer q Unspecified cerebral artery occlusi Cervical spondylosis without myelop Chronic maxillary sinusitis Ankylosing spondylitis Obstructive chronic bronchitis, wit Hypertrophy (benign) of prostate wi Cervicalgia Primary hyperparathyroidism Other specified conditions originat Pneumonitis due to inhalation of fo Diabetes mellitus without mention 0 Malignant neoplasm of corpus uteri, Diabetes mellitus without mention 0 Malignant neoplasm of prostate Intramural leiomyoma of uterus Abscess of anal and rectal regions Calculus of ureter Poisoning by central nervous system 62, , , , , , , , , , , , , , , , , , , , , , , , , ,543:98 REGION ALL JOINT VENTURE ALL REPORT CREATED ON July 19, 2012

5 PATIENTS WITH CLAIMS GREATl:R THAN $10,000 CITY OF CONWAY/STREETS PAID: 07/01/ /30/2012 Osteoarthrosis, unspecified whether Lumbago Pain in joint. lower leg Obstructive sleep apnea (adult) (pe Lumbago Normal delivery Abnormality in fetal heart rate or 12, , , , , , , REPORT CREATED ON July 19, 2012

6 CITY OF CONWAYISANITATIO PAID: Malignant neoplasm of supraglottis Acromegaly and gigantism Acquired spondylolisthesis Coronary atherosclerosis of native Displacement of lumbar intervertebr Unspecified cerebral artery occlusi Sinoatrial node dysfunction Carcinoma in situ of breast Cervical spondylosis without myelop Cervical spondylosis with myelopath 44, , , , , , , , , , REPORT CREATED ON September 13, 2012

7 GROUP # CITY OF CONWAY/POLICE PAID: 01/01/ /31/2011 Mononeuritis of unspecified site 55, REPORT CREATED ON September 13, 2012

8 CITY OF CONWAY/STREETS PAID: 01/01/ /31/2010 Other specified complications Malignant neoplasm of upper lobe, b Displacement of lumbar intervertebr Unspecified pleural effusion Acromegaly and gigantism Diverticulosis of colon (without me 83, , , , , , , , REPORT CREATED ON September

9 GROUP # CITY OF CONWAY/STREETS PAID: 01/01/ /31/2010 Septicemia due to Escherichia coli Coronary atherosclerosis of native Unspecified hypogammaglobulinemia 118, , , , REPORT CREATED ON September 13, 2012

10 CITY OF CONWAY/STREETS PAID: 01/01/ /31/2009 Chronic or unspecified duodenal ulc Malignant neoplasm of stomach, unsp Coronary atherosclerosis of native Uterovaginal prolapse, unspecified Single liveborn, born in hospital, Acromegaly and gigantism Coronary atherosclerosis of native 157, , , , , , , , , REPORT CREATED ON September 13, 2012

11 CITY OF CONWAY/POLICE PAID: 01/01/ /31/2008 Malignant neoplasm of kidney, excep Routine general medical examination Unspecified cerebral artery ocdusi 45, , , REPORT CREAT~D ON September 13, 2012

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