| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
243 |
243 |
$215K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
584 |
304 |
$179K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
41 |
41 |
$22K |
| 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 |
42 |
42 |
$46.69 |
| G8916 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time |
13 |
13 |
$46.69 |
| L8699 |
Prosthetic implant, not otherwise specified |
45 |
40 |
$0.00 |