| Code | Description | Claims | Beneficiaries | Total Paid |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
2,842 |
1,404 |
$372K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
375 |
356 |
$131K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
14 |
$2K |
| 62323 |
|
79 |
76 |
$2K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
30 |
26 |
$212.72 |
| 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 |
438 |
422 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
16 |
16 |
$0.00 |