| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
1,694 |
1,468 |
$1.71M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
94 |
86 |
$51K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
64 |
54 |
$22K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
21 |
14 |
$6K |
| 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 |
418 |
269 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
394 |
342 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
115 |
69 |
$0.00 |