| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
859 |
857 |
$1.32M |
| 0360 |
|
12,118 |
9,400 |
$1.08M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
12,584 |
12,197 |
$519K |
| 99199 |
Unlisted special service, procedure or report |
6,238 |
1,286 |
$277K |
| 0160 |
|
7,420 |
7,307 |
$225K |
| 0760 |
|
9,088 |
8,762 |
$223K |
| 0710 |
|
10,082 |
9,708 |
$163K |
| 0490 |
|
2,455 |
1,963 |
$135K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
9,912 |
9,610 |
$56K |
| 0270 |
|
1,669 |
1,629 |
$26K |
| 0761 |
|
1,109 |
1,067 |
$23K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,868 |
1,616 |
$22K |
| J3490 |
Unclassified drugs |
1,095 |
1,057 |
$18K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
19 |
19 |
$1K |
| Z7500 |
|
12 |
12 |
$257.28 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
15 |
14 |
$82.35 |