| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,885 |
1,924 |
$472K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
399 |
331 |
$208K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
198 |
182 |
$21K |
| D2330 |
|
101 |
96 |
$19K |
| V2632 |
Posterior chamber intraocular lens |
1,820 |
1,458 |
$2K |
| L8699 |
Prosthetic implant, not otherwise specified |
578 |
457 |
$307.52 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
33 |
12 |
$81.37 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
16 |
13 |
$37.51 |
| A4649 |
Surgical supply; miscellaneous |
103 |
81 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
137 |
124 |
$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 |
176 |
164 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
48 |
48 |
$0.00 |
| J1097 |
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml |
19 |
12 |
$0.00 |