| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,288 |
1,249 |
$240K |
| 99214 |
|
3,782 |
3,581 |
$223K |
| 99204 |
|
1,625 |
1,553 |
$141K |
| E0470 |
Rad w/o backup non-inv intfc |
310 |
308 |
$132K |
| 95810 |
|
376 |
341 |
$112K |
| S9999 |
Sales tax |
2,034 |
1,838 |
$66K |
| 95811 |
|
232 |
185 |
$53K |
| E0562 |
Humidifier heated used w pap |
216 |
204 |
$51K |
| A7034 |
Nasal application device |
431 |
419 |
$39K |
| 95800 |
|
467 |
278 |
$36K |
| A4604 |
Tubing with heating element |
625 |
605 |
$36K |
| 99215 |
Prolong outpt/office vis |
412 |
394 |
$35K |
| 99213 |
|
771 |
697 |
$33K |
| 95806 |
|
420 |
358 |
$26K |
| A7035 |
Pos airway press headgear |
584 |
559 |
$20K |
| 99203 |
|
213 |
209 |
$15K |
| A7038 |
Pos airway pressure filter |
1,255 |
1,073 |
$10K |
| A7032 |
Replacement nasal cushion |
114 |
108 |
$6K |
| A7046 |
Repl water chamber, pap dev |
552 |
535 |
$4K |
| A7039 |
Filter, non disposable w pap |
199 |
189 |
$2K |
| A9279 |
Monitoring feature/devicenoc |
181 |
169 |
$1K |
| A7033 |
Replacement nasal pillows |
13 |
13 |
$419.68 |
| G2211 |
Complex e/m visit add on |
631 |
609 |
$350.23 |