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January 1, 2014-September 30, 2014January 1, 2013-December 31, 2013January 1, 2012-December 31, 2012 <br />60,05930,7071,00291,768201,56682,383283,950 <br />Over Specific Over Specific Over Specific <br />($165,000)($165,000)($165,000) <br /> <br />------------ <br /> $ $ <br /> <br /> <br /> <br /> <br /> <br />$ $ <br /> <br />$ $ <br />86,907.1783,505.5480,118.8876,413.461,042,348164,740139,875121,800426,415366,566247,383164,173953,243 <br />225,058.66195,707.36166,002.01128,634.5594,36180,760 <br />AmountAmountAmount <br /> <br /> <br /> <br />$ $ $ $ <br /> <br />$ <br /> <br /> <br /> <br />$ <br />TotalTotalTotal <br />High Dollar Claimant Report - 2014 <br />Intense pain in lower limb (reflex sympathetic dystrophy) <br />City of La Porte <br />Claimants > $72,500Claimants > $72,500Claimants > $72,500 <br />DiagnosisDiagnosisDiagnosis <br />Poisoning by drugs or medicinal substances <br />Mechanical loosening of prosthetic joint <br />Degenerative joint disease in lower leg <br />2 <br />Open fracture of tibia (lower leg) <br />Degenerative disc in lower back <br />Malnutrition related to diabetes <br />Septicemia (blood poisoning) <br />Skin infection of foot <br />Pancreatic cancer <br />Respiratory failure <br />Kidney stone(s)Kidney stone(s)Kidney stone(s) <br />Premature birth <br />Brain aneurysm <br />RelationshipRelationshipRelationship <br />Dependent <br />EnrolleeEnrolleeEnrolleeEnrolleeEnrolleeEnrolleeEnrolleeEnrollee <br />SpouseSpouseSpouseSpouseSpouseSpouseSpouse <br />HRA 1000HRA 1000HRA 1000HRA 1000HRA 1000HRA 1000HRA 1000 <br />PlanPlanPlan <br />PPOPPOPPOPPOPPOPPOPPOPPOPPO <br />Ret <65Ret <65Ret <65Ret <65 <br />ActiveActiveActiveActiveActiveActiveActiveActiveActiveActiveActiveActive <br />ClassClassClass <br />1234567812312345 <br />11/10/2014 <br /> <br />