| Code | Description | Claims | Beneficiaries | Total Paid |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
1,109 |
1,097 |
$1.08M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,702 |
1,617 |
$593K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
13 |
12 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
14 |
$1K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
15 |
14 |
$1K |
| 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 |
106 |
94 |
$0.00 |