No	Kolom	Nilai
1	Pulpitis
2	Essential (primary) hypertension
3	Extracorporeal dialysis
4	Chronic kidney disease, stage 5
5	Follow-up examination after other treatment for other conditions
6	General medical examination
7	Low back pain
8	Supervision of other high-risk pregnancies
9	Hyperlipidaemia, unspecified
10	Atherosclerotic heart disease