| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
12,536 |
4,797 |
$2.35M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
42,578 |
8,584 |
$1.15M |
| D7140 |
Extraction, erupted tooth or exposed root |
3,915 |
1,209 |
$500K |
| D0140 |
Limited oral evaluation - problem focused |
6,486 |
5,859 |
$345K |
| D9222 |
|
1,663 |
1,506 |
$183K |
| D0330 |
Panoramic radiographic image |
1,877 |
1,709 |
$133K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,641 |
2,539 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,517 |
1,487 |
$100K |
| D7240 |
Removal of impacted tooth - completely bony |
39,142 |
4,615 |
$91K |
| D7230 |
|
9,866 |
1,819 |
$20K |
| 70355 |
|
1,560 |
1,517 |
$14K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
58 |
13 |
$4K |
| D1999 |
|
506 |
244 |
$0.00 |