| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
4,547 |
4,008 |
$361K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,933 |
2,571 |
$270K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,025 |
5,392 |
$211K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,769 |
2,388 |
$163K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,179 |
2,799 |
$125K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,559 |
4,064 |
$117K |
| 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) |
548 |
474 |
$87K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,338 |
2,057 |
$76K |
| A7035 |
Headgear used with positive airway pressure device |
3,700 |
3,213 |
$72K |
| A7037 |
Tubing used with positive airway pressure device |
3,412 |
2,945 |
$68K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,304 |
1,972 |
$66K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
11,192 |
9,816 |
$60K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,932 |
1,664 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
240 |
203 |
$2K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
13 |
12 |
$1K |
| A7036 |
Chinstrap used with positive airway pressure device |
17 |
17 |
$212.87 |