| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,827 |
2,319 |
$704K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
6,980 |
2,010 |
$447K |
| D9222 |
|
2,254 |
2,171 |
$313K |
| D7240 |
Removal of impacted tooth - completely bony |
1,316 |
651 |
$260K |
| D0330 |
Panoramic radiographic image |
3,921 |
3,887 |
$129K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,797 |
442 |
$111K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,842 |
3,828 |
$74K |
| D7230 |
|
330 |
259 |
$56K |
| D9612 |
|
833 |
804 |
$28K |
| D7485 |
|
224 |
140 |
$17K |
| D1320 |
|
1,406 |
1,389 |
$15K |
| D7310 |
|
360 |
161 |
$11K |
| D7961 |
|
66 |
61 |
$10K |
| D0160 |
|
234 |
227 |
$5K |
| D0367 |
|
217 |
212 |
$5K |
| D7473 |
|
34 |
26 |
$3K |
| D7261 |
|
142 |
138 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
27 |
27 |
$1K |
| D0191 |
|
74 |
73 |
$1K |
| D1999 |
|
393 |
385 |
$0.32 |