| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
2,560 |
2,342 |
$4.03M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
6,169 |
3,911 |
$2.22M |
| 42830 |
|
685 |
625 |
$487K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
532 |
430 |
$297K |
| 42821 |
|
120 |
105 |
$87K |
| 64721 |
|
13 |
12 |
$4K |
| 29848 |
|
12 |
12 |
$3K |
| G8916 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time |
203 |
195 |
$0.00 |
| L8699 |
Prosthetic implant, not otherwise specified |
230 |
123 |
$0.00 |
| J1097 |
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml |
17 |
12 |
$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 |
389 |
367 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
14 |
12 |
$0.00 |