| Code | Description | Claims | Beneficiaries | Total Paid |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,948 |
987 |
$132K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
445 |
423 |
$68K |
| 42830 |
|
270 |
164 |
$28K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
159 |
93 |
$18K |
| 45384 |
|
33 |
24 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$1K |
| 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 |
199 |
191 |
$0.00 |
| 30210 |
|
74 |
72 |
$0.00 |