| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
3,004 |
2,523 |
$2.72M |
| 62323 |
|
2,087 |
1,994 |
$415K |
| 62321 |
|
603 |
586 |
$124K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
155 |
155 |
$60K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
100 |
66 |
$15K |
| 64483 |
|
21 |
12 |
$2K |
| 64493 |
|
20 |
13 |
$2K |
| L8699 |
Prosthetic implant, not otherwise specified |
85 |
83 |
$896.50 |
| G8911 |
Patient documented not to have experienced a fall within ambulatory surgical center |
191 |
172 |
$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 |
249 |
227 |
$0.00 |
| G8913 |
Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event |
191 |
172 |
$0.00 |
| G8909 |
Patient documented not to have received a burn prior to discharge |
224 |
200 |
$0.00 |
| G8915 |
Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc |
191 |
172 |
$0.00 |
| G8917 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic not initiated on time |
105 |
97 |
$0.00 |