| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
1,460 |
1,256 |
$1.66M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
413 |
373 |
$617K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
540 |
417 |
$381K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
859 |
423 |
$232K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
852 |
486 |
$172K |
| D4210 |
|
407 |
295 |
$153K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
778 |
595 |
$105K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
236 |
206 |
$36K |
| 43235 |
|
91 |
86 |
$13K |
| 43450 |
|
42 |
38 |
$4K |
| 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 |
715 |
640 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
100 |
85 |
$0.00 |
| 70310 |
|
23 |
23 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
154 |
69 |
$0.00 |