| Code | Description | Claims | Beneficiaries | Total Paid |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
306 |
230 |
$138K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
772 |
438 |
$82K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
404 |
252 |
$54K |
| 30930 |
|
17 |
13 |
$3K |
| 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 |
460 |
446 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
452 |
439 |
$0.00 |
| L8699 |
Prosthetic implant, not otherwise specified |
13 |
12 |
$0.00 |