| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
64 |
63 |
$82K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
245 |
121 |
$45K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
114 |
93 |
$38K |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
18 |
15 |
$340.50 |
| 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 |
89 |
74 |
$96.00 |
| G8909 |
Patient documented not to have received a burn prior to discharge |
28 |
14 |
$0.00 |
| G8911 |
Patient documented not to have experienced a fall within ambulatory surgical center |
54 |
36 |
$0.00 |
| G8913 |
Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event |
28 |
14 |
$0.00 |
| G8915 |
Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc |
43 |
26 |
$0.00 |