| Value | Category |
|---|---|
| 0 | Nothing |
| 100 | |
| 150 | |
| 200 | |
| 220 | |
| 240 | |
| 250 | |
| 300 | |
| 325 | |
| 350 | |
| 400 | |
| 490 | |
| 500 | |
| 600 | |
| 650 | |
| 680 | |
| 700 | |
| 900 | |
| 940 | |
| 1000 | |
| 1200 | |
| 1300 | |
| 1400 | |
| 1500 | |
| 1600 | |
| 1800 | |
| 2000 | |
| 2300 | |
| 3000 | |
| 3200 | |
| 3400 | |
| 3500 | |
| 3700 | |
| 4700 | |
| 5000 | |
| 5500 | |
| 6450 | |
| 8000 | |
| 15000 | |
| 20000 | |
| 39200 | |
| 99999 | All was paid by Mutuelle copayment |
| Sysmiss |