| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95810 |
|
1,401 |
1,299 |
$745K |
| 95811 |
|
1,192 |
1,115 |
$657K |
| E0601 |
Cont airway pressure device |
5,664 |
5,256 |
$364K |
| E0470 |
Rad w/o backup non-inv intfc |
1,320 |
1,179 |
$196K |
| A7030 |
Cpap full face mask |
828 |
723 |
$107K |
| 99213 |
|
3,251 |
3,030 |
$95K |
| A4604 |
Tubing with heating element |
1,520 |
1,403 |
$77K |
| 99204 |
|
1,048 |
971 |
$65K |
| E0562 |
Humidifier heated used w pap |
341 |
260 |
$58K |
| A7035 |
Pos airway press headgear |
1,686 |
1,489 |
$49K |
| A7031 |
Replacement facemask interfa |
363 |
357 |
$20K |
| 99457 |
|
633 |
535 |
$19K |
| 99214 |
|
772 |
711 |
$14K |
| A7038 |
Pos airway pressure filter |
3,148 |
2,884 |
$14K |
| A7034 |
Nasal application device |
138 |
123 |
$12K |
| 99203 |
|
166 |
159 |
$10K |
| A7037 |
Pos airway pressure tubing |
315 |
253 |
$7K |
| 99211 |
|
448 |
400 |
$6K |
| 99212 |
|
265 |
259 |
$6K |
| A7039 |
Filter, non disposable w pap |
563 |
521 |
$6K |
| A7046 |
Repl water chamber, pap dev |
114 |
102 |
$2K |
| A7032 |
Replacement nasal cushion |
12 |
12 |
$702.77 |
| S9999 |
Sales tax |
28 |
26 |
$0.00 |
| 99202 |
|
172 |
165 |
$0.00 |