| Code | Description | Claims | Beneficiaries | Total Paid |
| 41899 |
Unlisted procedure, dentoalveolar structures |
4,792 |
4,447 |
$6.72M |
| D0150 |
Comprehensive oral evaluation - new or established patient |
215 |
180 |
$220K |
| 70310 |
|
4,386 |
4,012 |
$212K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
117 |
98 |
$194K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
638 |
552 |
$152K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
358 |
229 |
$147K |
| L8699 |
Prosthetic implant, not otherwise specified |
266 |
166 |
$71K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
30 |
28 |
$9K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
16 |
13 |
$9K |