| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,633 |
2,433 |
$79K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,120 |
1,964 |
$61K |
| A7030 |
Full face mask used with positive airway pressure device, each |
726 |
681 |
$59K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,163 |
1,074 |
$52K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,404 |
1,320 |
$50K |
| E0570 |
Nebulizer, with compressor |
1,991 |
1,777 |
$39K |
| A7035 |
Headgear used with positive airway pressure device |
1,331 |
1,231 |
$20K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
389 |
353 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,160 |
2,913 |
$15K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
238 |
217 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
424 |
395 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
58 |
43 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
361 |
344 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
42 |
38 |
$976.82 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
138 |
133 |
$930.02 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
40 |
39 |
$598.55 |
| S9999 |
Sales tax |
46 |
45 |
$366.01 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$17.76 |