| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,465 |
7,470 |
$374K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,551 |
1,487 |
$97K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
701 |
666 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,010 |
1,644 |
$43K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
686 |
643 |
$31K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
304 |
290 |
$23K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
129 |
128 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
404 |
388 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,026 |
975 |
$11K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,201 |
956 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
216 |
211 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
62 |
28 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
64 |
64 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
24 |
$441.72 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$434.81 |
| 3008F |
|
2,437 |
2,006 |
$23.14 |
| G9275 |
Documentation that patient is a current non-tobacco user |
99 |
83 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
147 |
133 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
85 |
79 |
$0.00 |