| Code | Description | Claims | Beneficiaries | Total Paid |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
4,045 |
4,045 |
$2.54M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
651 |
651 |
$2.48M |
| 42830 |
|
194 |
194 |
$209K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
383 |
382 |
$127K |
| 64483 |
|
149 |
147 |
$55K |
| 95811 |
|
54 |
54 |
$18K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
152 |
151 |
$15K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$7K |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
12 |
12 |
$2K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
181 |
164 |
$90.36 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
305 |
295 |
$41.89 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
112 |
111 |
$8.27 |
| J7050 |
Infusion, normal saline solution, 250 cc |
135 |
135 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,992 |
1,991 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
27 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
829 |
826 |
$0.00 |