| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,208 |
5,201 |
$575K |
| 95811 |
|
969 |
871 |
$573K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
524 |
500 |
$304K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,882 |
4,899 |
$196K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
913 |
866 |
$144K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,517 |
1,370 |
$115K |
| 95706 |
|
408 |
198 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,914 |
2,267 |
$96K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,610 |
1,490 |
$76K |
| 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) |
774 |
708 |
$75K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,737 |
3,345 |
$74K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,917 |
1,782 |
$49K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,358 |
1,254 |
$40K |
| A7037 |
Tubing used with positive airway pressure device |
2,939 |
2,703 |
$38K |
| 95806 |
|
316 |
166 |
$33K |
| 95800 |
|
266 |
154 |
$33K |
| A7035 |
Headgear used with positive airway pressure device |
1,924 |
1,767 |
$31K |
| 95717 |
|
407 |
197 |
$29K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,621 |
6,836 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
170 |
163 |
$18K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,440 |
1,360 |
$14K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
397 |
379 |
$7K |
| 95885 |
|
51 |
49 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
586 |
530 |
$3K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
241 |
222 |
$3K |