| Code | Description | Claims | Beneficiaries | Total Paid |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
975 |
874 |
$268K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
252 |
159 |
$79K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
30 |
26 |
$39K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
34 |
29 |
$10K |
| 64493 |
|
80 |
43 |
$7K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
23 |
12 |
$5K |
| 62323 |
|
12 |
12 |
$2K |
| 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 |
136 |
117 |
$0.00 |