| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9999 |
Unspecified adjunctive procedure, by report |
3,361 |
3,360 |
$3.15M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
514 |
514 |
$1.60M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
3,303 |
1,717 |
$1.46M |
| 95782 |
|
998 |
876 |
$560K |
| 67311 |
|
103 |
61 |
$128K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
364 |
313 |
$125K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,321 |
1,314 |
$60K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
329 |
323 |
$33K |
| 62369 |
|
238 |
238 |
$20K |
| 42830 |
|
12 |
12 |
$15K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
532 |
532 |
$0.00 |
| J3490 |
Unclassified drugs |
299 |
298 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
26 |
26 |
$0.00 |