| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95810 |
|
847 |
815 |
$469K |
| 99204 |
|
2,670 |
2,559 |
$393K |
| 95782 |
|
363 |
342 |
$327K |
| 99214 |
|
3,193 |
3,064 |
$321K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,617 |
3,558 |
$178K |
| 95811 |
|
216 |
203 |
$100K |
| 95800 |
|
654 |
615 |
$89K |
| 99213 |
|
1,027 |
966 |
$63K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,958 |
1,880 |
$56K |
| 99205 |
Prolong outpt/office vis |
138 |
137 |
$33K |
| A7030 |
Full face mask used with positive airway pressure device, each |
430 |
414 |
$32K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
600 |
584 |
$20K |
| 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) |
206 |
205 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,446 |
3,315 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
101 |
98 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
695 |
672 |
$10K |
| 95806 |
|
42 |
39 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
94 |
91 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
224 |
220 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
70 |
67 |
$640.78 |
| A7037 |
Tubing used with positive airway pressure device |
42 |
41 |
$440.74 |