| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,131 |
2,108 |
$67K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
180 |
172 |
$62K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
170 |
160 |
$47K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,886 |
1,864 |
$25K |
| D9222 |
|
162 |
160 |
$24K |
| D7240 |
Removal of impacted tooth - completely bony |
32 |
28 |
$22K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
512 |
510 |
$15K |
| D0330 |
Panoramic radiographic image |
216 |
212 |
$9K |