| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
373 |
320 |
$193K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
722 |
683 |
$109K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,619 |
408 |
$97K |
| D9222 |
|
708 |
696 |
$88K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,034 |
354 |
$64K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
501 |
492 |
$18K |
| D0140 |
Limited oral evaluation - problem focused |
307 |
298 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
293 |
290 |
$6K |
| D0330 |
Panoramic radiographic image |
95 |
94 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
54 |
53 |
$740.00 |
| 70355 |
|
15 |
13 |
$292.16 |