UnitedHealth Premium Physician Designation Program Episode Treatment Groups (ETG ) Description and Specialty

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UnitedHealth Premium Physician Designation Program Episode Treatment Groups (ETG ) Description and Specialty 666700 Acne Family Medicine, Internal Medicine, Pediatrics 438300 Acute Bronchitis Allergy, Cardiology, Family Medicine, Infectious Disease, Internal Medicine, Pediatrics, Pulmonology 555200 Acute Renal Failure Nephrology 555600 Acute Renal Inflammation Nephrology 403300 Acute Sinusitis Allergy, Family Medicine, Infectious Disease, Internal Medicine, Pediatrics, Pulmonology, 711400 Adult Rheumatoid Arthritis Internal Medicine, 206800 Agranulocytosis Infectious Disease 130100 AIDS Infectious Disease 403200 Allergic Rhinitis Allergy, Family Medicine, Internal Medicine, Pediatrics, Pulmonology 316400 Alzheimer s Disease Neurology 387000 Aortic Aneurysm Cardiology 389000 Arterial Inflammation Cardiology, 438800 Asthma Allergy, Cardiology, Family Medicine, Internal Medicine, Pediatrics, Pulmonology 389500 Atherosclerosis Cardiology 387800 Atrial Fibrillation & Flutter Cardiology 711700 Autoimmune Rheumatoid Disease Except Lupus 314100 Bacterial & Fungal Meningitis Infectious Disease 437400 Bacterial Lung Infection Family Medicine, Infectious Disease, Internal Medicine, Pediatrics, Pulmonology 316300 Brain Trauma Neurology

714812 Bursitis/Tendonitis - Unspecified Family Medicine, Internal Medicine, 714805 Bursitis/Tendonitis of Elbow/Upper Arm 714801 Bursitis/Tendonitis of Foot/Ankle 714802 Bursitis/Tendonitis of Knee/Lower Leg 714804 Bursitis/Tendonitis of Lower Arm 714803 Bursitis/Tendonitis of Pelvic Girdle 714806 Bursitis/Tendonitis of Shoulder Family Medicine, Internal Medicine, 388300 Cardiac Congenital Disorder Cardiology 387200 Cardiac Infection Cardiology, Infectious Disease 386900 Cardiomyopathy Pulmonology 317500 Carpal Tunnel Syndrome Family Medicine, Internal Medicine, Neurology, 386800 CHF (Congestive Heart Failure) Cardiology, Pulmonology 555400 Chronic Renal Failure Nephrology 555800 Chronic Renal Inflammation Nephrology 403500 Chronic Sinusitis Allergy, Family Medicine, Infectious Disease, Internal Medicine, Pediatrics, Pulmonology 667000 Chronic Skin Ulcer Infectious Disease 404700 Congenital And Acquired ENT (Ears, Nose and Throat) Anomaly 317100 Congenital Disorder of CNS (Central Nervous System) 318400 Congenital Disorder of Peripheral Nerve Pulmonology Neurology Neurology 350400 Conjunctivitis Allergy, Family Medicine, Infectious Disease, Internal Medicine, Pediatrics 666800 Contact Dermatitis Allergy, Family Medicine, Internal Medicine, Pediatrics 779600 Contraceptive Management Family Medicine, Internal Medicine, 779600 Contraceptive Management with Surgery 439300 COPD (Chronic Obstructive Pulmonary Disease) Allergy, Cardiology, Family Medicine, Internal Medicine, Pulmonology 316000 CVA (Cerebral Vascular Accident) Cardiology, Neurology 165200 Cystic Fibrosis Pulmonology 2

669900 Dermatological Signs and Symptoms Allergy, Family Medicine, Infectious Disease, Internal Medicine, Pediatrics 163000 Diabetes Cardiology, Endocrinology, Family Medicine, Infectious Disease, Internal Medicine, Nephrology, Neurology, Pulmonology, 438000 Disseminated TB (Tuberculosis) Infectious Disease 587300 Disseminated Sexually Transmitted Disease Infectious Disease, 474900 Diverticulitis Internal Medicine 634200 Endometriosis 634200 Endometriosis with Surgery 821100 Environmental Trauma Allergy, Family Medicine, Internal Medicine, Pediatrics, Pulmonology 315200 Epilepsy Neurology 779000 Exposure to Infectious Disease Infectious Disease, 350300 External Eye Infection except Conjunctivitis Family Medicine, Infectious Disease, Internal Medicine, Pediatrics 351900 Eye Trauma Family Medicine, Pediatrics 164300 Female Sex Gland Disorder Endocrinology, 667500 Fungal Skin Infection Family Medicine, Infectious Disease, Internal Medicine, Pediatrics 437600 Fungal/Other Pneumonia Infectious Disease, Pulmonology 473500 Gastritis: Duodenitis Family Medicine, Internal Medicine, Pediatrics 164600 Gout Family Medicine, Internal Medicine, Nephrology, 404900 Hearing Disorder Neurology 130200 HIV Sero-Positive without AIDS Infectious Disease 163500 Hyper-Functioning Adrenal Gland Endocrinology, Nephrology 163900 Hyper-Functioning Parathyroid Gland Endocrinology 162100 Hyper-Functioning Thyroid Gland Cardiology, Endocrinology, Internal Medicine 164700 Hyperlipidemia Cardiology, Endocrinology, Family Medicine, Infectious Disease, Internal Medicine, Nephrology,, Pulmonology, 388100 Hypertension Cardiology, Endocrinology, Family Medicine, Infectious Disease, Internal Medicine, Nephrology, Neurology,, Pulmonology, 163600 Hypo-Functioning Adrenal Gland Endocrinology 3

164000 Hypo-Functioning Parathyroid Gland Endocrinology 162200 Hypo-Functioning Thyroid Gland Cardiology, Endocrinology, Family Medicine, Internal Medicine, Neurology,, Pulmonology, 130800 Immunodeficiencies Allergy, Infectious Disease, Nephrology, 602300 Induced Abortion 402000 Infection of Oral Cavity Family Medicine, Infectious Disease, Internal Medicine, Pediatrics 633700 Infection of the Cervix 587400 Infection of the Lower GU (Genitourinary) System, Not Sexually Transmitted Family Medicine, Infectious Disease, Internal Medicine, Nephrology,, Pediatrics 633200 Infection of the Ovary/Fallopian Tubes Infectious Disease, 633200 Infection of the Ovary/Fallopian Tubes with Surgery 477100 Infection of the Rectum/Anus Infectious Disease 473100 Infection of the Stomach & Esophagus 634000 Infection of the Vagina, except Momilial 587100 Infection of Upper GU (Genitourinary) System 139900 Infectious Disease, Signs And Symptoms Family Medicine, Pediatrics Family Medicine, Infectious Disease, Internal Medicine, Obstetrics and Gynecology, Pediatrics Infectious Disease, Nephrology Family Medicine, Internal Medicine, Pediatrics 521400 Infectious Hepatitis Infectious Disease 635100 Infertility Conditions Endocrinology, 635100 Infertility Conditions with Surgery 315000 Inflammation of CNS (Central Nervous System) Neurology 317300 Inflammation of Cranial Nerves Neurology 402200 Inflammation of Oral Cavity Pediatrics 473300 Inflammation of the Stomach & Esophagus Cardiology, Family Medicine, Infectious Disease, Internal Medicine, Pediatrics, Pulmonology, 350600 Inflammatory Eye Disease Neurology, 208200 Iron Deficiency Anemia Internal Medicine 476400 Irritable Bowel Syndrome Family Medicine, Internal Medicine, Pediatrics 386500 Ischemic Heart Disease Cardiology, Family Medicine, Internal Medicine, Pulmonology 712212 Joint Degeneration -Unspecified Family Medicine, Internal Medicine, 4

712208 Joint Degeneration of Back Family Medicine, Internal Medicine, Neurology, 712201 Joint Degeneration of Foot/Ankle 712202 Joint Degeneration of Knee/Lower Leg Family Medicine, Internal Medicine, 712204 Joint Degeneration of Lower Arm 712211 Joint Degeneration of Neck Family Medicine, Internal Medicine, Neurology, 712203 Joint Degeneration of Pelvic Girdle 712206 Joint Degeneration of Shoulder 714302 Joint Derangement of Knee/Lower Leg 714304 Joint Derangement of Lower Arm 711200 Juvenile Rheumatoid Arthritis 587800 Kidney Stones Nephrology 711600 Lupus Nephrology, 711910 Major Joint Inflammation - Other Internal Medicine, 711912 Major Joint Inflammation - Unspecified 711908 Major Joint Inflammation of Back Family Medicine, Internal Medicine, 711905 Major Joint Inflammation of Elbow/Upper Arm Family Medicine, Internal Medicine, 711901 Major Joint Inflammation of Foot/Ankle 711902 Major Joint Inflammation of Knee/Lower Leg 711904 Major Joint Inflammation of Lower Arm 711903 Major Joint Inflammation of Pelvic Girdle 711906 Major Joint Inflammation of Shoulder 164400 Male Sex Gland Disorder Endocrinology, Family Medicine, Internal Medicine 635600 Malignant Neoplasm of the Breast 634400 Malignant Neoplasm of the Cervix 162400 Malignant Neoplasm of Thyroid Gland Endocrinology 162400 Malignant Neoplasm of Thyroid Gland with Active Management Endocrinology 440100 Malignant Pulmonary Neoplasm Pulmonology 634900 Menstrual Condition Endocrinology, Family Medicine, Internal Medicine, Obstetrics and Gynecology, Pediatrics 5

634900 Menstrual Condition with Surgery 316900 Migraine Headache Family Medicine, Internal Medicine, Neurology, Pediatrics 667200 Minor Bacterial Skin Infection Family Medicine, Infectious Disease, Internal Medicine, Pediatrics 714912 Minor Orthopedic Disorder - Unspecified Family Medicine, Internal Medicine 714908 Minor Orthopedic Disorder of Back Family Medicine, Internal Medicine, Neurology, Pediatrics, 714901 Minor Orthopedic Disorder of Foot/Ankle 714904 Minor Orthopedic Disorder of Lower Arm Family Medicine, Internal Medicine, 714911 Minor Orthopedic Disorder of Neck Family Medicine, Internal Medicine, Neurology, 714608 Minor Orthopedic Trauma of Back Family Medicine, Internal Medicine, Neurology, 714601 Minor Orthopedic Trauma of Foot/Ankle 714602 Minor Orthopedic Trauma of Knee/Lower Leg 714604 Minor Orthopedic Trauma of Lower Arm Family Medicine, Internal Medicine, Pediatrics, Family Medicine, Internal Medicine, Family Medicine, 714611 Minor Orthopedic Trauma of Neck Family Medicine, Internal Medicine, Neurology, 714606 Minor Orthopedic Trauma of Shoulder Family Medicine, Internal Medicine 633900 Monilial Infection of the Vagina Family Medicine, 315100 Multiple Sclerosis Neurology 556000 Nephrotic Syndrome Nephrology 521600 Non-Infectious Hepatitis Infectious Disease 163800 Non-Malignant Neoplasm of Adrenal Gland 315600 Non-Malignant Neoplasm of CNS (Central Nervous System) 163400 Non-Malignant Neoplasm of Pituitary Gland 635800 Non-Malignant Neoplasm of the Breast 634700 Non-Malignant Neoplasm of the Female Genital Tract 588400 Non-Malignant Neoplasm of The Prostate Endocrinology Neurology Endocrinology Endocrinology, Family Medicine, Internal Medicine, Obstetrics and Gynecology Family Medicine, Internal Medicine, Nephrology 6

668200 Non-Malignant Neoplasm of the Skin Family Medicine, Internal Medicine 162500 Non-Malignant Neoplasm of Thyroid Gland Endocrinology 440300 Non-Malignant Pulmonary Neoplasm Pulmonology 162300 Non-Toxic Goiter Endocrinology, Internal Medicine 314300 Non-Viral Encephalitis Neurology 164500 Nutritional Deficiency Endocrinology, Internal Medicine, 164800 Obesity Cardiology, Endocrinology, Family Medicine, Internal Medicine, Nephrology,, Pediatrics, Pulmonology, 439700 Occupational & Environmental Pulmonary Disease Pulmonology 715108 Orthopedic Deformity of Back 711112 Orthopedic Infection - Unspecified Infectious Disease 711101 Orthopedic Infection of Foot/Ankle Infectious Disease 711102 Orthopedic Infection of Knee/Lower Leg Infectious Disease 711104 Orthopedic Infection of Lower Arm Infectious Disease 711103 Orthopedic Infection of Pelvic Girdle Infectious Disease 712000 Osteoporosis Endocrinology, Family Medicine, Internal Medicine, Nephrology,, 387700 Other Conduction Disorder Cardiology, Family Medicine, Internal Medicine 635300 Other Disease of the Female Genital Tract 478500 Other Disease of the Rectum or Anus Internal Medicine 636000 Other Disorder of the Breast 316700 Other Hereditary/Degenerative CNS (Central Nervous System) 475000 Other Infectious Disease of Intestine/Abdomen 317700 Other Inflammation of Non- Cranial Nerves 634300 Other Inflammation of the Female Genital System 588000 Other Inflammation of the GU (Genitourinary) System Neurology, Pulmonology, Family Medicine, Internal Medicine, Pediatrics Family Medicine, Internal Medicine, Neurology, Nephrology 7

404100 Other Inflammatory Conditions of Ear/Nose/Throat Family Medicine, Internal Medicine, Pediatrics 439800 Other Inflammatory Lung Disease Pulmonology, 438500 Other Minor Infectious Pulmonary Disease Pulmonology 669100 Other Skin Disorder Endocrinology, Family Medicine, Internal Medicine, Pediatrics 667800 Other Skin Inflammation Allergy, Family Medicine, Internal Medicine, Pediatrics 402900 Otitis Media Allergy, Family Medicine, Infectious Disease, Internal Medicine, Pediatrics, Pulmonology 409900 Otolaryngology Disease Signs And Symptoms Family Medicine, Internal Medicine, Pediatrics 316800 Parkinson s Disease Neurology 821200 Poisoning & Toxic Drug Effects Allergy 601100 Pregnancy with Delivery 601100 Pregnancy with Delivery with CSection 587200 Primary Sexually Transmitted Disease Infectious Disease, 666900 Psoriasis 441000 Pulmonary Embolus Pulmonology 386600 Pulmonary Heart Disease Cardiology, Pulmonology 437800 Pulmonary TB (Tuberculosis) Infectious Disease, Pulmonology 441200 Respiratory Distress Syndrome Pulmonology 130400 Septicemia Infectious Disease 387500 Severe Ventricular Rhythm Cardiology 477400 Simple Hemorrhoids Family Medicine, Internal Medicine 602200 Spontaneous Abortion 403100 T&A (Tonsillectomy and Adenoidectomy) or Pharyngitis 318300 Trauma of Non-Cranial Nerves Neurology 589200 Urinary Incontinence Nephrology, Pediatrics 387400 Valvular Disorder Cardiology, Internal Medicine 390300 Vein Embolism & Thrombosis Pulmonology 314000 Viral Meningitis Infectious Disease Allergy, Family Medicine, Infectious Disease, Internal Medicine, Pediatrics, Pulmonology 8

437200 Viral Pneumonia Family Medicine, Internal Medicine, Pediatrics 667300 Viral Skin Infection Family Medicine, Infectious Disease, Internal Medicine, Obstetrics and Gynecology, Pediatrics 353600 Visual Disturbance Neurology Important Program Information The information from the Premium physician designation program is not an endorsement of a particular physician or health care professional's suitability for the health care needs of any particular member. UnitedHealthcare does not practice medicine nor provide health care services. Physicians are solely responsible for medical judgments and treatments supplied. The quality and/or cost efficiency designation of a physician does not guarantee the quality of health care services members will receive from a doctor and does not guarantee the outcome of any health care services members will receive. Likewise, the fact that a physician may not be designated by this program does not mean that the physician does not provide quality health care services. All physicians in the UnitedHealthcare Network have met certain minimum credentialing requirements. Regardless of whether a physician has received a designation, members have access to all physicians in the UnitedHealthcare Network, as further described under the member's benefit plan. UnitedHealthcare informs members that designations are intended only as a guide when choosing a physician and should not be the sole factor in selecting a physician. As with all programs that evaluate performance based on analysis of a sample, there is a risk of error. There is a risk of error in the claims data used in the evaluation, in the calculations used in the evaluation, and in the way the program determined that an individual physician was responsible for the treatment of the patient's condition. Physicians have the opportunity to review and reconsider this data. UnitedHealthcare uses statistical testing to compare a physician s results to expected or normative results. There is a risk of error in statistical tests when applied to the data and a result based on statistical testing is not a guarantee of correct inference or classification. We inform members that it is important that they consider many factors and information from as many sources as possible when selecting a physician. We also inform our members that they may wish to discuss designations with a physician before choosing him or her, or confer with their current physician for advice on selecting other physicians. The information contained in this Episode Treatment Groups (ETG ) Description and Specialty document is subject to change. Insurance coverage provided by UnitedHealthcare Insurance Company or its affiliates. Health plan coverage provided by UnitedHealthcare of Colorado, Inc., UnitedHealthcare of Oregon, Inc., UnitedHealthcare of Texas, Inc., and UnitedHealthcare of Washington, Inc. or other affiliates. Administrative services provided by United HealthCare Services, Inc. or its affiliates. M49261A 6/12 ET110 070212 2012 United HealthCare Services, Inc.

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