| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,395 |
794 |
$516K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,928 |
1,524 |
$168K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,294 |
2,252 |
$113K |
| D9222 |
|
1,288 |
1,250 |
$110K |
| D0330 |
Panoramic radiographic image |
2,329 |
2,278 |
$101K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,022 |
595 |
$88K |
| D9610 |
|
1,559 |
1,519 |
$63K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
658 |
365 |
$56K |
| D7250 |
|
193 |
63 |
$19K |
| D7230 |
|
48 |
40 |
$8K |
| D9219 |
|
130 |
129 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
16 |
15 |
$585.00 |
| D1999 |
|
216 |
191 |
$0.00 |