| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
894 |
875 |
$548K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
96 |
94 |
$26K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$8K |
| 64721 |
|
12 |
12 |
$4K |
| 64415 |
|
27 |
26 |
$1K |
| L8699 |
Prosthetic implant, not otherwise specified |
1,653 |
1,412 |
$12.04 |
| V2632 |
Posterior chamber intraocular lens |
48 |
37 |
$0.00 |
| G8916 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time |
34 |
29 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
525 |
186 |
$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 |
34 |
29 |
$0.00 |