| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2357 |
Injection, omalizumab, 5 mg |
1,341 |
857 |
$3.03M |
| E0601 |
Continuous positive airway pressure (cpap) device |
17,647 |
17,637 |
$1.62M |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
4,760 |
4,759 |
$1.54M |
| A7030 |
Full face mask used with positive airway pressure device, each |
10,310 |
10,302 |
$1.32M |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
789 |
518 |
$860K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,120 |
4,117 |
$809K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
16,571 |
16,559 |
$783K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
8,935 |
8,928 |
$705K |
| A7031 |
Face mask interface, replacement for full face mask, each |
7,743 |
7,735 |
$484K |
| S9338 |
Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
1,523 |
544 |
$409K |
| A7035 |
Headgear used with positive airway pressure device |
12,499 |
12,483 |
$320K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
4,571 |
4,557 |
$316K |
| J1950 |
Injection, leuprolide acetate (for depot suspension), per 3.75 mg |
82 |
57 |
$241K |
| S9500 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
194 |
64 |
$240K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
20,892 |
20,837 |
$172K |
| 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) |
800 |
799 |
$163K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,859 |
2,855 |
$143K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
9,620 |
9,619 |
$136K |
| S9542 |
Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
757 |
457 |
$106K |
| A7037 |
Tubing used with positive airway pressure device |
2,453 |
2,451 |
$64K |
| 99602 |
Nursing care in home rn |
394 |
234 |
$57K |
| S9363 |
Home infusion therapy, anti-spasmotic therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
61 |
48 |
$42K |
| S9502 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
26 |
12 |
$39K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
34 |
34 |
$36K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
3,063 |
3,062 |
$30K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$16K |
| 99601 |
|
535 |
329 |
$10K |
| A7036 |
Chinstrap used with positive airway pressure device |
523 |
523 |
$7K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
119 |
57 |
$0.00 |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
42 |
12 |
$0.00 |
| G0157 |
Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes |
39 |
13 |
$0.00 |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
61 |
59 |
$0.00 |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
110 |
53 |
$0.00 |