| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7241 |
|
2,408 |
1,074 |
$621K |
| D7140 |
Extraction, erupted tooth or exposed root |
6,158 |
1,195 |
$588K |
| D7240 |
Removal of impacted tooth - completely bony |
2,464 |
1,047 |
$531K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,524 |
2,323 |
$475K |
| D9222 |
|
3,224 |
3,130 |
$460K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,754 |
521 |
$206K |
| D0330 |
Panoramic radiographic image |
3,812 |
3,751 |
$201K |
| D9610 |
|
1,201 |
1,180 |
$199K |
| D0140 |
Limited oral evaluation - problem focused |
2,434 |
2,368 |
$66K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,054 |
1,046 |
$65K |
| D7230 |
|
248 |
145 |
$50K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,028 |
992 |
$24K |
| D7220 |
|
60 |
29 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,009 |
974 |
$10K |
| D1999 |
|
61 |
60 |
$0.00 |