| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7031 |
Face mask interface, replacement for full face mask, each |
3,170 |
2,215 |
$47K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,352 |
1,797 |
$40K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,275 |
957 |
$38K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,589 |
1,259 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,573 |
1,242 |
$14K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
585 |
462 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
713 |
514 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,701 |
3,363 |
$10K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
593 |
427 |
$9K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
326 |
221 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
1,337 |
1,034 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
407 |
325 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
801 |
610 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
119 |
98 |
$623.46 |