| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
15,304 |
4,553 |
$1.51M |
| D7230 |
|
5,051 |
2,418 |
$768K |
| D7240 |
Removal of impacted tooth - completely bony |
2,694 |
1,090 |
$497K |
| D7250 |
|
3,481 |
982 |
$365K |
| D7241 |
|
1,026 |
400 |
$228K |
| D9222 |
|
3,403 |
3,285 |
$215K |
| D9612 |
|
3,549 |
3,421 |
$197K |
| D0140 |
Limited oral evaluation - problem focused |
5,171 |
4,930 |
$166K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,366 |
1,981 |
$151K |
| D9243 |
|
1,641 |
1,572 |
$140K |
| D9239 |
|
1,706 |
1,638 |
$120K |
| D0330 |
Panoramic radiographic image |
5,233 |
4,997 |
$76K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,444 |
355 |
$75K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,934 |
1,782 |
$74K |
| D7310 |
|
815 |
273 |
$71K |
| D9610 |
|
1,226 |
1,204 |
$38K |
| 76102 |
|
112 |
108 |
$21K |
| 70320 |
|
623 |
591 |
$20K |
| 99201 |
|
592 |
571 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
216 |
207 |
$11K |
| D7311 |
|
93 |
49 |
$8K |
| 70310 |
|
202 |
196 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
236 |
230 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
85 |
82 |
$2K |
| 99152 |
|
48 |
46 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
48 |
46 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
48 |
46 |
$557.40 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
30 |
29 |
$539.28 |
| D9219 |
|
158 |
154 |
$0.00 |