| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,935 |
9,211 |
$761K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,714 |
5,390 |
$579K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,400 |
281 |
$318K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,962 |
1,841 |
$301K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,579 |
1,412 |
$182K |
| 31231 |
|
1,122 |
1,024 |
$165K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
207 |
198 |
$108K |
| 95800 |
|
731 |
458 |
$105K |
| 69210 |
|
2,516 |
2,172 |
$98K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
301 |
281 |
$70K |
| A7030 |
Full face mask used with positive airway pressure device, each |
896 |
790 |
$65K |
| 92570 |
|
1,833 |
1,555 |
$58K |
| 31575 |
|
693 |
642 |
$56K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
433 |
280 |
$54K |
| 99243 |
|
645 |
380 |
$50K |
| 95806 |
|
288 |
146 |
$27K |
| 92557 |
|
824 |
789 |
$27K |
| A7031 |
Face mask interface, replacement for full face mask, each |
949 |
745 |
$27K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
386 |
322 |
$18K |
| A7037 |
Tubing used with positive airway pressure device |
1,458 |
1,281 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
1,076 |
1,001 |
$18K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
387 |
317 |
$12K |
| 92562 |
|
357 |
343 |
$12K |
| E0601 |
Continuous positive airway pressure (cpap) device |
463 |
328 |
$10K |
| 92504 |
|
330 |
285 |
$8K |
| 92564 |
|
341 |
327 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,868 |
1,476 |
$6K |
| 95117 |
|
610 |
168 |
$5K |
| 92567 |
|
321 |
298 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
651 |
578 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
232 |
153 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
39 |
38 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
13 |
$386.95 |
| G0398 |
Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation |
274 |
263 |
$0.00 |