| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50,502 |
34,244 |
$4.29M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,931 |
3,865 |
$350K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,814 |
1,783 |
$344K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,236 |
3,147 |
$308K |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
1,823 |
1,648 |
$260K |
| 95811 |
|
597 |
587 |
$193K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,352 |
1,196 |
$121K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,115 |
1,951 |
$119K |
| A7030 |
Full face mask used with positive airway pressure device, each |
707 |
691 |
$109K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,691 |
10,488 |
$103K |
| G0482 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed |
695 |
607 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,664 |
1,315 |
$91K |
| A7035 |
Headgear used with positive airway pressure device |
2,269 |
2,106 |
$79K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
190 |
190 |
$67K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
412 |
367 |
$59K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,270 |
1,193 |
$45K |
| A7031 |
Face mask interface, replacement for full face mask, each |
786 |
775 |
$41K |
| 84703 |
|
5,184 |
3,754 |
$33K |
| Q3014 |
Telehealth originating site facility fee |
1,570 |
1,269 |
$31K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
109 |
94 |
$28K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,208 |
2,055 |
$28K |
| 99205 |
Prolong outpt/office vis |
159 |
156 |
$28K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,896 |
1,738 |
$26K |
| A7036 |
Chinstrap used with positive airway pressure device |
1,226 |
1,116 |
$20K |
| 80305 |
|
1,001 |
726 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,287 |
1,178 |
$10K |
| 95806 |
|
70 |
67 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
81 |
81 |
$3K |
| 99354 |
|
32 |
32 |
$2K |
| 99457 |
|
1,307 |
1,213 |
$1K |
| 99442 |
|
16 |
16 |
$639.00 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$216.07 |