| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9310 |
|
333 |
328 |
$47K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
369 |
360 |
$25K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
42 |
12 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
37 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
12 |
12 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$998.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$826.65 |