| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99173 |
|
40,954 |
26,483 |
$248K |
| V5008 |
Hearing screening |
39,640 |
25,623 |
$221K |
| D0240 |
|
4,178 |
1,315 |
$91K |
| D0120 |
Periodic oral evaluation - established patient |
2,938 |
1,662 |
$60K |
| D1120 |
Prophylaxis - child |
1,931 |
1,059 |
$51K |
| D0272 |
Bitewings - two radiographic images |
2,517 |
1,406 |
$51K |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
3,920 |
1,045 |
$46K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,401 |
1,534 |
$36K |
| D1351 |
Sealant - per tooth |
1,452 |
225 |
$22K |
| D1110 |
Prophylaxis - adult |
556 |
257 |
$22K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
977 |
426 |
$20K |
| D2140 |
|
251 |
64 |
$14K |
| D1206 |
Topical application of fluoride varnish |
594 |
158 |
$8K |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
463 |
138 |
$5K |
| D0190 |
|
708 |
556 |
$3K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
34 |
12 |
$3K |
| D0603 |
|
651 |
473 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
32 |
31 |
$2K |
| D0602 |
|
537 |
262 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
32 |
14 |
$1K |
| D0601 |
|
263 |
100 |
$995.00 |
| 92587 |
|
13 |
13 |
$739.64 |
| D1354 |
|
31 |
14 |
$285.00 |
| D0330 |
Panoramic radiographic image |
16 |
16 |
$115.40 |