| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
3,927 |
1,894 |
$420K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
410 |
390 |
$64K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
329 |
258 |
$49K |
| 42830 |
|
216 |
149 |
$8K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
16 |
13 |
$2K |
| C1889 |
Implantable/insertable device, not otherwise classified |
441 |
275 |
$652.01 |
| L8699 |
Prosthetic implant, not otherwise specified |
3,334 |
1,579 |
$0.00 |
| 30140 |
|
13 |
13 |
$0.00 |