| Code | Description | Claims | Beneficiaries | Total Paid |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
2,250 |
1,386 |
$909K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
3,141 |
1,775 |
$597K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
1,310 |
1,106 |
$539K |
| 42830 |
|
198 |
158 |
$71K |
| 64721 |
|
146 |
115 |
$30K |
| L8699 |
Prosthetic implant, not otherwise specified |
2,826 |
1,335 |
$7K |
| V2632 |
Posterior chamber intraocular lens |
674 |
443 |
$2K |
| 64415 |
|
217 |
151 |
$2K |
| V2630 |
Anterior chamber intraocular lens |
894 |
678 |
$2K |
| 64450 |
|
154 |
82 |
$779.91 |
| C1889 |
Implantable/insertable device, not otherwise classified |
665 |
459 |
$507.50 |
| 64447 |
|
19 |
12 |
$306.76 |
| 64445 |
|
74 |
40 |
$0.00 |
| 76942 |
|
796 |
562 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
443 |
344 |
$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 |
445 |
346 |
$0.00 |
| 64999 |
|
13 |
13 |
$0.00 |
| 69990 |
|
16 |
16 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
23 |
15 |
$0.00 |