| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
3,844 |
3,387 |
$2.74M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,818 |
2,760 |
$1.79M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
2,074 |
1,351 |
$1.65M |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,967 |
1,477 |
$1.41M |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
2,948 |
2,837 |
$1.32M |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
2,467 |
2,397 |
$1.25M |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,895 |
1,844 |
$1.15M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
633 |
617 |
$580K |
| 64494 |
|
627 |
326 |
$272K |
| 64493 |
|
861 |
501 |
$251K |
| 43235 |
|
454 |
435 |
$163K |
| 69631 |
|
125 |
120 |
$125K |
| 62323 |
|
232 |
222 |
$113K |
| 20680 |
|
117 |
107 |
$90K |
| 64483 |
|
162 |
151 |
$83K |
| 64495 |
|
281 |
134 |
$68K |
| 62322 |
|
288 |
225 |
$45K |
| 42830 |
|
25 |
25 |
$26K |
| 21235 |
|
13 |
12 |
$12K |
| 36561 |
|
12 |
12 |
$8K |
| 64415 |
|
317 |
306 |
$6K |
| 62320 |
|
16 |
13 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
40 |
35 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
16 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
19 |
19 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
16 |
15 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15 |
15 |
$0.00 |