| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
32,124 |
30,078 |
$4.14M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
1,731 |
1,592 |
$1.64M |
| D8660 |
|
2,172 |
2,042 |
$405K |
| D8680 |
|
296 |
276 |
$65K |
| D0330 |
Panoramic radiographic image |
799 |
733 |
$29K |
| D0340 |
|
713 |
653 |
$20K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
73 |
29 |
$5K |
| D8220 |
|
16 |
12 |
$4K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
34 |
18 |
$2K |
| D8999 |
|
43 |
41 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
29 |
13 |
$1K |