| Code | Description | Claims | Beneficiaries | Total Paid |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,189 |
601 |
$260K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
329 |
326 |
$145K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
390 |
359 |
$60K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
321 |
279 |
$50K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
12 |
12 |
$2K |
| L8699 |
Prosthetic implant, not otherwise specified |
17 |
17 |
$0.00 |