| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,497 |
762 |
$685K |
| D9243 |
|
2,573 |
1,137 |
$218K |
| D9239 |
|
1,277 |
1,141 |
$108K |
| D7140 |
Extraction, erupted tooth or exposed root |
955 |
308 |
$81K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,371 |
1,369 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
669 |
662 |
$56K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
139 |
54 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
174 |
171 |
$10K |
| D7230 |
|
22 |
12 |
$6K |
| 99243 |
|
38 |
38 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
108 |
$4K |
| D9612 |
|
93 |
92 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |