| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
7,015 |
6,929 |
$284K |
| E0601 |
Continuous positive airway pressure (cpap) device |
587 |
579 |
$233K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,900 |
1,856 |
$207K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,606 |
2,576 |
$206K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,680 |
3,656 |
$179K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,539 |
1,521 |
$163K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
22,525 |
22,274 |
$157K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
5,359 |
5,309 |
$152K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
186 |
150 |
$133K |
| A7035 |
Headgear used with positive airway pressure device |
4,283 |
4,192 |
$113K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,528 |
2,480 |
$106K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
342 |
341 |
$73K |
| E1392 |
Portable oxygen concentrator, rental |
1,118 |
1,102 |
$39K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,423 |
2,406 |
$36K |
| E0570 |
Nebulizer, with compressor |
80 |
80 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
144 |
130 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
301 |
295 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
27 |
27 |
$871.43 |