| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
35,038 |
34,049 |
$2.72M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
34,728 |
33,908 |
$2.43M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13,331 |
12,480 |
$546K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,668 |
1,104 |
$106K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,248 |
2,199 |
$95K |
| D0140 |
Limited oral evaluation - problem focused |
1,552 |
1,506 |
$64K |
| 88307 |
|
1,502 |
1,450 |
$55K |
| D1110 |
Prophylaxis - adult |
735 |
730 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
916 |
909 |
$22K |
| 88141 |
|
2,587 |
2,554 |
$19K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
244 |
190 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
1,579 |
1,532 |
$12K |
| D0274 |
Bitewings - four radiographic images |
447 |
443 |
$12K |
| D0330 |
Panoramic radiographic image |
313 |
310 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
402 |
396 |
$10K |
| 88342 |
|
330 |
311 |
$10K |
| D1120 |
Prophylaxis - child |
299 |
296 |
$9K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
170 |
126 |
$8K |
| D1206 |
Topical application of fluoride varnish |
472 |
467 |
$8K |
| 88304 |
|
504 |
493 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
115 |
113 |
$5K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
25 |
24 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
102 |
98 |
$1K |
| D0272 |
Bitewings - two radiographic images |
60 |
59 |
$912.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
12 |
12 |
$780.00 |
| 88312 |
|
12 |
12 |
$345.99 |
| D0270 |
|
13 |
12 |
$104.00 |