| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
4,573 |
4,436 |
$1.10M |
| E0601 |
Continuous positive airway pressure (cpap) device |
13,640 |
13,110 |
$966K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,420 |
3,261 |
$342K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,309 |
4,115 |
$261K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,346 |
1,250 |
$254K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
5,515 |
5,269 |
$196K |
| 95806 |
|
4,221 |
4,029 |
$183K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,635 |
2,504 |
$165K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,588 |
1,546 |
$96K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,729 |
1,617 |
$82K |
| A7035 |
Headgear used with positive airway pressure device |
3,762 |
3,564 |
$72K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
112 |
110 |
$47K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,093 |
7,727 |
$39K |
| 95811 |
|
27 |
25 |
$11K |
| G0400 |
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels |
53 |
50 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
437 |
395 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
682 |
664 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
216 |
206 |
$2K |
| 95800 |
|
46 |
46 |
$1K |