| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
233 |
191 |
$84K |
| D7240 |
Removal of impacted tooth - completely bony |
92 |
74 |
$50K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
181 |
165 |
$34K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
782 |
777 |
$26K |
| D9222 |
|
194 |
192 |
$25K |
| D0330 |
Panoramic radiographic image |
361 |
351 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
325 |
318 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
315 |
314 |
$4K |
| 70355 |
|
166 |
157 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$383.60 |
| D0391 |
|
109 |
109 |
$76.00 |
| D9610 |
|
158 |
157 |
$0.00 |