| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95810 |
|
3,001 |
2,998 |
$2.07M |
| 99214 |
|
15,710 |
15,599 |
$1.52M |
| 95811 |
|
1,131 |
1,130 |
$691K |
| 99204 |
|
3,096 |
3,095 |
$489K |
| E0601 |
Cont airway pressure device |
5,315 |
5,313 |
$473K |
| 94660 |
|
6,092 |
5,786 |
$346K |
| 99213 |
|
2,917 |
2,835 |
$208K |
| E0562 |
Humidifier heated used w pap |
5,746 |
5,740 |
$181K |
| 99244 |
|
854 |
853 |
$160K |
| E0470 |
Rad w/o backup non-inv intfc |
197 |
197 |
$65K |
| A7034 |
Nasal application device |
573 |
573 |
$51K |
| A7032 |
Replacement nasal cushion |
242 |
241 |
$41K |
| A7038 |
Pos airway pressure filter |
978 |
977 |
$41K |
| A7035 |
Pos airway press headgear |
899 |
899 |
$27K |
| A4604 |
Tubing with heating element |
493 |
493 |
$27K |
| 99243 |
|
130 |
130 |
$17K |
| A7046 |
Repl water chamber, pap dev |
864 |
862 |
$15K |
| 95806 |
|
123 |
122 |
$10K |
| A7039 |
Filter, non disposable w pap |
752 |
751 |
$8K |
| 95800 |
|
28 |
27 |
$3K |
| A7033 |
Replacement nasal pillows |
15 |
15 |
$2K |
| 99203 |
|
16 |
16 |
$2K |
| 99245 |
|
16 |
16 |
$2K |
| 99454 |
|
482 |
481 |
$1K |
| A7031 |
Replacement facemask interfa |
24 |
24 |
$1K |
| A7037 |
Pos airway pressure tubing |
39 |
39 |
$1K |
| A7030 |
Cpap full face mask |
12 |
12 |
$900.00 |
| 95808 |
|
14 |
14 |
$253.31 |