| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
217 |
217 |
$107K |
| 95811 |
|
207 |
206 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
385 |
383 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
74 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$4K |
| E0601 |
Continuous positive airway pressure (cpap) device |
87 |
86 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
98 |
98 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
29 |
29 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
40 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
47 |
47 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
263 |
262 |
$961.15 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
56 |
56 |
$817.64 |
| A7035 |
Headgear used with positive airway pressure device |
29 |
29 |
$449.03 |