| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
391 |
360 |
$71K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,027 |
997 |
$38K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
563 |
557 |
$19K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
282 |
276 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
71 |
66 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
100 |
95 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
385 |
375 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
185 |
183 |
$3K |
| E0570 |
Nebulizer, with compressor |
56 |
56 |
$3K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
27 |
27 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
33 |
33 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
42 |
40 |
$409.59 |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
31 |
31 |
$0.00 |