| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
3,758 |
2,129 |
$1.15M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
1,410 |
1,270 |
$650K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,982 |
1,755 |
$525K |
| 42830 |
|
777 |
686 |
$370K |
| 30140 |
|
246 |
165 |
$58K |
| V2632 |
Posterior chamber intraocular lens |
37 |
28 |
$37.37 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
301 |
268 |
$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 |
319 |
285 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
16 |
12 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
16 |
12 |
$0.00 |
| J3490 |
Unclassified drugs |
126 |
26 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
12 |
12 |
$0.00 |