| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
476 |
462 |
$35K |
| A7031 |
Face mask interface, replacement for full face mask, each |
488 |
484 |
$24K |
| A7030 |
Full face mask used with positive airway pressure device, each |
116 |
116 |
$15K |
| A7037 |
Tubing used with positive airway pressure device |
231 |
230 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
702 |
695 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
21 |
21 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
98 |
98 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
25 |
25 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$942.84 |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
40 |
19 |
$754.84 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
40 |
19 |
$578.40 |