| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
178 |
147 |
$72K |
| 95811 |
|
184 |
157 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
270 |
262 |
$16K |
| E0601 |
Continuous positive airway pressure (cpap) device |
274 |
268 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
110 |
$12K |
| A7031 |
Face mask interface, replacement for full face mask, each |
119 |
96 |
$7K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
78 |
70 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
142 |
123 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
43 |
38 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
390 |
325 |
$1K |