| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
4,030 |
3,420 |
$355K |
| 99214 |
|
3,735 |
3,496 |
$179K |
| A7034 |
Nasal application device |
1,691 |
1,445 |
$99K |
| A4604 |
Tubing with heating element |
2,249 |
1,911 |
$76K |
| E0562 |
Humidifier heated used w pap |
295 |
274 |
$54K |
| A7035 |
Pos airway press headgear |
2,320 |
1,999 |
$49K |
| 95810 |
|
121 |
115 |
$36K |
| 99205 |
Prolong outpt/office vis |
308 |
288 |
$29K |
| 94660 |
|
789 |
710 |
$22K |
| A7038 |
Pos airway pressure filter |
3,176 |
2,757 |
$19K |
| A7030 |
Cpap full face mask |
178 |
165 |
$18K |
| A7046 |
Repl water chamber, pap dev |
1,825 |
1,589 |
$13K |
| A7039 |
Filter, non disposable w pap |
1,250 |
1,092 |
$11K |
| 99213 |
|
245 |
229 |
$8K |
| 95811 |
|
18 |
15 |
$5K |
| A7032 |
Replacement nasal cushion |
135 |
123 |
$4K |
| S9999 |
Sales tax |
69 |
67 |
$2K |
| 99204 |
|
18 |
17 |
$2K |
| A7031 |
Replacement facemask interfa |
13 |
12 |
$533.00 |
| A7033 |
Replacement nasal pillows |
23 |
17 |
$368.94 |
| 99072 |
|
894 |
756 |
$0.00 |