| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
251 |
26 |
$17K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
37 |
25 |
$12K |
| D7240 |
Removal of impacted tooth - completely bony |
39 |
15 |
$9K |
| D9222 |
|
33 |
25 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
96 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
44 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
24 |
24 |
$543.78 |
| 70355 |
|
25 |
25 |
$501.73 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12 |
12 |
$375.32 |