| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,401 |
1,299 |
$745K |
| 95811 |
|
1,192 |
1,115 |
$657K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,664 |
5,256 |
$364K |
| 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) |
1,320 |
1,179 |
$196K |
| A7030 |
Full face mask used with positive airway pressure device, each |
828 |
723 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,251 |
3,030 |
$95K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,520 |
1,403 |
$77K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,048 |
971 |
$65K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
341 |
260 |
$58K |
| A7035 |
Headgear used with positive airway pressure device |
1,686 |
1,489 |
$49K |
| A7031 |
Face mask interface, replacement for full face mask, each |
363 |
357 |
$20K |
| 99457 |
|
633 |
535 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
772 |
711 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,148 |
2,884 |
$14K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
138 |
123 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
159 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
315 |
253 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
448 |
400 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
265 |
259 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
563 |
521 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
114 |
102 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$702.77 |
| S9999 |
Sales tax |
28 |
26 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
172 |
165 |
$0.00 |