| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
2,853 |
2,497 |
$227K |
| 99233 |
Prolong inpt eval add15 m |
3,660 |
2,304 |
$223K |
| 99291 |
|
2,217 |
873 |
$215K |
| 99214 |
|
4,081 |
3,494 |
$202K |
| 99232 |
|
4,845 |
2,970 |
$186K |
| A7031 |
Replacement facemask interfa |
5,193 |
4,685 |
$170K |
| E0601 |
Cont airway pressure device |
4,049 |
3,605 |
$166K |
| A4604 |
Tubing with heating element |
3,706 |
3,261 |
$124K |
| 99223 |
Prolong inpt eval add15 m |
1,637 |
1,483 |
$116K |
| A7032 |
Replacement nasal cushion |
2,254 |
2,017 |
$71K |
| E0562 |
Humidifier heated used w pap |
3,174 |
2,838 |
$61K |
| 95810 |
|
361 |
334 |
$60K |
| A7038 |
Pos airway pressure filter |
10,676 |
9,314 |
$45K |
| 99213 |
|
1,163 |
1,025 |
$44K |
| A7035 |
Pos airway press headgear |
2,018 |
1,775 |
$33K |
| 99204 |
|
278 |
257 |
$32K |
| A7034 |
Nasal application device |
506 |
451 |
$26K |
| 95811 |
|
124 |
103 |
$17K |
| E0470 |
Rad w/o backup non-inv intfc |
148 |
117 |
$13K |
| 94010 |
|
1,031 |
901 |
$10K |
| 94660 |
|
177 |
159 |
$8K |
| 95806 |
|
105 |
101 |
$6K |
| 94726 |
|
579 |
528 |
$4K |
| 87426 |
|
165 |
135 |
$4K |
| 94729 |
|
620 |
568 |
$3K |
| A7033 |
Replacement nasal pillows |
165 |
137 |
$3K |
| 94060 |
|
458 |
416 |
$3K |
| A7039 |
Filter, non disposable w pap |
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 |