| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
621 |
618 |
$985.67 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
410 |
408 |
$112.40 |
| A7031 |
Face mask interface, replacement for full face mask, each |
245 |
242 |
$53.29 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
108 |
108 |
$16.70 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$0.00 |
| A7035 |
Headgear used with positive airway pressure device |
92 |
91 |
$0.00 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$0.00 |