| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
5,647 |
4,217 |
$692K |
| V2632 |
Posterior chamber intraocular lens |
56 |
47 |
$150.00 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
28 |
28 |
$86.18 |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$35.37 |
| G8916 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time |
294 |
249 |
$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 |
312 |
267 |
$0.00 |