No	Kolom	Nilai
1	Pulpitis
2	General medical examination
3	Extracorporeal dialysis
4	Low back pain
5	Hyperlipidaemia, unspecified
6	Hypertensive heart disease
7	Hypertensive heart disease with (congestive) heart failure
8	Stroke, not specified as haemorrhage or infarction
9	Congestive heart failure
10	General examination and investigation of persons without complaint and reported diagnosis