| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
86 |
81 |
$50K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
917 |
908 |
$35K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
177 |
164 |
$34K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
309 |
73 |
$20K |
| D9222 |
|
121 |
119 |
$14K |
| D7140 |
Extraction, erupted tooth or exposed root |
205 |
69 |
$13K |
| 70355 |
|
557 |
551 |
$12K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
72 |
71 |
$2K |