| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,076 |
1,461 |
$528K |
| 66982 |
|
283 |
208 |
$74K |
| 67228 |
|
208 |
161 |
$55K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
33 |
28 |
$21K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
19 |
19 |
$12K |
| 66821 |
|
29 |
25 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
30 |
30 |
$2K |
| V2020 |
Frames, purchases |
29 |
29 |
$402.20 |
| J2280 |
Injection, moxifloxacin, 100 mg |
21 |
12 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
1,521 |
1,102 |
$0.00 |
| 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 |
1,377 |
1,004 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
13 |
13 |
$0.00 |