| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
22,564 |
4,928 |
$1.67M |
| D9310 |
|
12,783 |
11,940 |
$768K |
| D7240 |
Removal of impacted tooth - completely bony |
4,819 |
1,666 |
$643K |
| D7220 |
|
3,995 |
1,647 |
$455K |
| D0330 |
Panoramic radiographic image |
4,858 |
4,579 |
$143K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
7,556 |
7,031 |
$121K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,237 |
425 |
$95K |
| D7230 |
|
796 |
390 |
$82K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,332 |
1,252 |
$64K |
| D9222 |
|
1,331 |
1,252 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,883 |
2,563 |
$27K |
| 70320 |
|
296 |
260 |
$6K |
| 40800 |
|
44 |
41 |
$2K |
| D7250 |
|
37 |
15 |
$2K |
| D7280 |
|
19 |
12 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$1K |