Table 4

Top 1% beneficiaries according to age group and total expenditure per ICD-10 chapter*

Age group<11–1011–2021–3031–4041–5051–6061–7071–80>80
Number938112517931892250646706856981198155801
Average per capita costs€81 458€69 576€68 220€62 428€59 161€59 546€55 569€55 253€52 123€47 166
Factors influencing health status and contact with health services 13.5%Neoplasms 15.5%Mental and behavioural disorders 21.2%Mental and behavioural disorders 18.8%Mental and behavioural disorders 14.1%Neoplasms 12.9%Neoplasms 16.0%Neoplasms 17.2%Diseases of the circulatory system 20.1%Diseases of the circulatory system 21.1%
Congenital malformations, deformations and chromosomal abnormalities 5.2%Mental and behavioural disorders 11.0%Neoplasms 9.1%Neoplasms 5.8%Neoplasms 8.9%Mental and behavioural disorders 9.1%Diseases of the circulatory system 9.9%Diseases of the circulatory system 14.7%Neoplasms 11.9%Injury, poisoning and certain other consequences of external causes 15.0%
Diseases of the digestive system 2.5%Factors influencing health status and contact with health services 4.6%Factors influencing health status and contact with health services 2.1%Diseases of the genitourinary system 4.0%Diseases of the genitourinary system 6.1%Diseases of the genitourinary system 7.3%Diseases of the genitourinary system 8.1%Diseases of the genitourinary system 7.8%Diseases of the genitourinary system 5.5%Diseases of the genitourinary system 9.8%
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1.8%Congenital malformations, deformations and chromosomal abnormalities 2.9%Injury, poisoning
and certain
other
consequences
of external
causes 1.6%
Injury, poisoning
and certain
other
consequences
of external
causes 2.2%
Diseases of the circulatory system 3.5%Diseases of the circulatory system 5.9%Mental and behavioural disorders 5.2%Injury, poisoning and certain other consequences of external causes 2.5%Injury, poisoning and certain other consequences of external causes 5.1%Neoplasms 6.1%
Neoplasms 1.6%Diseases of the nervous system 2.4%Diseases of the genitourinary system 1.5%Factors influencing health status and contact with health services 2.2%Factors influencing health status and contact with health services 2.6%Factors influencing health status and contact with health services 2.6%Factors influencing health status and contact with health services 2.6%Diseases of the respiratory system 2.5%Diseases of the musculoskeletal system and connective tissue 2.9%Diseases of the musculoskeletal system and connective tissue 4.9%
  • *Total costs per ICD chapter were summed per age group. In the table, the five ICD-10 chapters with highest costs per age group are presented; that is, among beneficiaries 1–10 years old, 15.5% of total costs were accounted for by neoplasm care.

  • ICD, International Statistical Classification of Diseases.