| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
736 |
733 |
$525K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,482 |
2,455 |
$286K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,897 |
1,897 |
$167K |
| 95811 |
|
224 |
224 |
$150K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
789 |
789 |
$132K |
| 94660 |
|
1,461 |
1,384 |
$92K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,155 |
2,153 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
818 |
818 |
$67K |
| 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) |
199 |
199 |
$65K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
164 |
164 |
$27K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
131 |
130 |
$26K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
223 |
223 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
407 |
407 |
$20K |
| 95800 |
|
154 |
154 |
$19K |
| A7030 |
Full face mask used with positive airway pressure device, each |
104 |
104 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
402 |
402 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
217 |
217 |
$13K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
398 |
398 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
41 |
41 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
104 |
104 |
$6K |
| 95806 |
|
29 |
29 |
$2K |
| 99243 |
|
17 |
17 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
40 |
40 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
97 |
97 |
$1K |
| 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) |
390 |
388 |
$28.08 |
| 99454 |
|
31 |
31 |
$10.44 |