| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,288 |
1,249 |
$240K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,782 |
3,581 |
$223K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,625 |
1,553 |
$141K |
| 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) |
310 |
308 |
$132K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
376 |
341 |
$112K |
| S9999 |
Sales tax |
2,034 |
1,838 |
$66K |
| 95811 |
|
232 |
185 |
$53K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
216 |
204 |
$51K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
431 |
419 |
$39K |
| 95800 |
|
467 |
278 |
$36K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
625 |
605 |
$36K |
| 99215 |
Prolong outpt/office vis |
412 |
394 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
771 |
697 |
$33K |
| 95806 |
|
420 |
358 |
$26K |
| A7035 |
Headgear used with positive airway pressure device |
584 |
559 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
213 |
209 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,255 |
1,073 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
114 |
108 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
552 |
535 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
199 |
189 |
$2K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
181 |
169 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
13 |
$419.68 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
631 |
609 |
$350.23 |