| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9222 |
|
4,635 |
4,108 |
$558K |
| D7240 |
Removal of impacted tooth - completely bony |
2,960 |
780 |
$519K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,488 |
2,969 |
$341K |
| D7230 |
|
1,103 |
369 |
$175K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,571 |
1,391 |
$106K |
| D1999 |
|
1,995 |
1,835 |
$24K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
143 |
69 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
348 |
284 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
162 |
147 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
58 |
25 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
32 |
$2K |