| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
275 |
265 |
$235K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
39 |
39 |
$158K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
79 |
52 |
$97K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
891 |
852 |
$67K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
80 |
79 |
$27K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
898 |
859 |
$22K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
12 |
12 |
$14K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
81 |
76 |
$10K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
568 |
542 |
$8K |
| 62323 |
|
15 |
13 |
$8K |
| 64493 |
|
14 |
12 |
$6K |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
16 |
14 |
$5K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
195 |
106 |
$599.76 |
| 88300 |
|
249 |
133 |
$550.34 |
| J3490 |
Unclassified drugs |
781 |
438 |
$458.18 |
| J7342 |
Instillation, ciprofloxacin otic suspension, 6 mg |
52 |
51 |
$259.99 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
125 |
114 |
$0.00 |
| C1776 |
Joint device (implantable) |
17 |
17 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
79 |
52 |
$0.00 |
| 88342 |
|
28 |
27 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
13 |
12 |
$0.00 |