| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,989 |
3,778 |
$177K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,514 |
2,847 |
$124K |
| 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) |
375 |
343 |
$28K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,573 |
3,449 |
$23K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,519 |
1,275 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
994 |
791 |
$5K |
| E0570 |
Nebulizer, with compressor |
382 |
318 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,296 |
1,030 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,228 |
1,025 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,069 |
879 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
465 |
393 |
$892.80 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
756 |
640 |
$862.46 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
317 |
243 |
$401.33 |
| A7037 |
Tubing used with positive airway pressure device |
489 |
392 |
$194.81 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,281 |
1,839 |
$110.37 |
| A7035 |
Headgear used with positive airway pressure device |
958 |
800 |
$69.78 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
777 |
643 |
$38.93 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
189 |
161 |
$5.34 |