| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
708 |
237 |
$98K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
177 |
52 |
$19K |
| D9222 |
|
91 |
87 |
$13K |
| D7140 |
Extraction, erupted tooth or exposed root |
81 |
12 |
$6K |
| D7240 |
Removal of impacted tooth - completely bony |
29 |
12 |
$5K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
273 |
258 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
155 |
149 |
$3K |
| D0330 |
Panoramic radiographic image |
71 |
68 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
39 |
38 |
$2K |