| Code | Description | Claims | Beneficiaries | Total Paid |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
252 |
245 |
$401K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,791 |
1,699 |
$348K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
866 |
779 |
$216K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
676 |
601 |
$166K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
160 |
132 |
$65K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
57 |
57 |
$13K |
| 43235 |
|
27 |
26 |
$6K |
| J2704 |
Injection, propofol, 10 mg |
38 |
38 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
16 |
12 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
24 |
24 |
$0.00 |
| 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 |
13 |
13 |
$0.00 |