| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
4,454 |
4,288 |
$331K |
| 95811 |
|
524 |
463 |
$252K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,572 |
1,516 |
$185K |
| 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) |
1,057 |
1,022 |
$158K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,284 |
5,177 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,615 |
1,426 |
$101K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,170 |
2,060 |
$93K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,136 |
2,059 |
$91K |
| A7035 |
Headgear used with positive airway pressure device |
2,228 |
2,147 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
578 |
487 |
$44K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,014 |
956 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
220 |
195 |
$30K |
| 94726 |
|
1,925 |
1,734 |
$26K |
| 94060 |
|
1,971 |
1,767 |
$26K |
| 94729 |
|
2,095 |
1,885 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,029 |
2,901 |
$19K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
227 |
224 |
$18K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
33 |
29 |
$17K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,545 |
1,509 |
$15K |
| 94660 |
|
62 |
59 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
46 |
$4K |
| 95806 |
|
12 |
12 |
$1K |
| 94010 |
|
66 |
50 |
$676.44 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
37 |
36 |
$521.66 |
| A7037 |
Tubing used with positive airway pressure device |
15 |
15 |
$443.76 |