| # | Indicateur | Déclareé | Vérifieé | Valideé | Tarif | Montant payé |
|---|---|---|---|---|---|---|
| 1 | Nouvelle Consultation Curative (>= 5 ans) | 320 | 320 | 192 | 240 FBU | 2,928 FBU |
| 2 | Nouvelle Consultation Curative (< 5 ans) | 349 | 349 | 333 | 1,500 FBU | 499,500 FBU |
| 3 | Journée d'hospitalisation >= 5 ans | 116 | 114 | 60 | 360 FBU | 20,952 FBU |
| 4 | Journée d'hospitalisation < 5 ans | 54 | 57 | 38 | 1,500 FBU | 54,150 FBU |
| TOTAL | 577,530 FBU |
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