| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,095 |
1,035 |
$65K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,475 |
1,353 |
$37K |
| A7037 |
Tubing used with positive airway pressure device |
1,717 |
1,559 |
$18K |
| A7030 |
Full face mask used with positive airway pressure device, each |
265 |
254 |
$17K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
447 |
430 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
803 |
757 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
217 |
200 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,575 |
2,341 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
630 |
598 |
$7K |
| A7045 |
Exhalation port with or without swivel used with accessories for positive airway devices, replacement only |
649 |
618 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
717 |
671 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
17 |
15 |
$2K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
38 |
36 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
27 |
25 |
$674.29 |