| Code | Description | Claims | Beneficiaries | Total Paid |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,853 |
2,497 |
$227K |
| 99233 |
Prolong inpt eval add15 m |
3,660 |
2,304 |
$223K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,217 |
873 |
$215K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,081 |
3,494 |
$202K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,845 |
2,970 |
$186K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,193 |
4,685 |
$170K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,049 |
3,605 |
$166K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,706 |
3,261 |
$124K |
| 99223 |
Prolong inpt eval add15 m |
1,637 |
1,483 |
$116K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,254 |
2,017 |
$71K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,174 |
2,838 |
$61K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
361 |
334 |
$60K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,676 |
9,314 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,163 |
1,025 |
$44K |
| A7035 |
Headgear used with positive airway pressure device |
2,018 |
1,775 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
278 |
257 |
$32K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
506 |
451 |
$26K |
| 95811 |
|
124 |
103 |
$17K |
| 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) |
148 |
117 |
$13K |
| 94010 |
|
1,031 |
901 |
$10K |
| 94660 |
|
177 |
159 |
$8K |
| 95806 |
|
105 |
101 |
$6K |
| 94726 |
|
579 |
528 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
165 |
135 |
$4K |
| 94729 |
|
620 |
568 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
165 |
137 |
$3K |
| 94060 |
|
458 |
416 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
431 |
405 |
$2K |
| 95012 |
|
534 |
487 |
$2K |
| 95800 |
|
34 |
24 |
$41.45 |
| 94760 |
|
70 |
67 |
$34.28 |
| 99490 |
Ccm add 20min |
25 |
24 |
$0.00 |