| Code | Description | Claims | Beneficiaries | Total Paid |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,433 |
773 |
$393K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
460 |
406 |
$202K |
| 42830 |
|
311 |
249 |
$144K |
| 30140 |
|
203 |
100 |
$47K |
| 67311 |
|
30 |
28 |
$17K |
| 62323 |
|
83 |
64 |
$10K |
| L8699 |
Prosthetic implant, not otherwise specified |
518 |
422 |
$59.34 |
| C1889 |
Implantable/insertable device, not otherwise classified |
499 |
398 |
$3.76 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
183 |
181 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
40 |
39 |
$0.00 |
| G8916 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time |
27 |
27 |
$0.00 |