| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
441 |
220 |
$58K |
| 00142 |
|
1,752 |
1,054 |
$11K |
| 00731 |
|
345 |
237 |
$9K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
638 |
560 |
$9K |
| 66821 |
|
62 |
39 |
$5K |
| J1097 |
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml |
351 |
288 |
$2K |
| 00811 |
|
14 |
12 |
$277.22 |
| 01844 |
|
18 |
14 |
$270.51 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
2,346 |
2,081 |
$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 |
2,401 |
2,129 |
$0.00 |
| C9447 |
Injection, phenylephrine and ketorolac, 4 ml vial |
260 |
237 |
$0.00 |