| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,967 |
1,967 |
$699K |
| 95811 |
|
1,364 |
1,352 |
$494K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,587 |
3,579 |
$254K |
| 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) |
923 |
920 |
$151K |
| A7030 |
Full face mask used with positive airway pressure device, each |
667 |
660 |
$91K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,082 |
1,069 |
$76K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
314 |
314 |
$71K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,995 |
1,981 |
$42K |
| A7037 |
Tubing used with positive airway pressure device |
1,489 |
1,475 |
$40K |
| A7035 |
Headgear used with positive airway pressure device |
1,247 |
1,228 |
$37K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
447 |
446 |
$36K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
347 |
342 |
$32K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
51 |
50 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
144 |
144 |
$2K |
| A7036 |
Chinstrap used with positive airway pressure device |
143 |
143 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
84 |
84 |
$835.40 |