| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
5,340 |
4,707 |
$298K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,067 |
2,727 |
$271K |
| 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) |
1,883 |
1,656 |
$175K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,598 |
3,144 |
$135K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,468 |
2,239 |
$96K |
| A7035 |
Headgear used with positive airway pressure device |
3,479 |
3,115 |
$67K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,952 |
1,776 |
$57K |
| E0570 |
Nebulizer, with compressor |
1,336 |
1,152 |
$44K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,678 |
6,018 |
$32K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,954 |
1,746 |
$29K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,823 |
1,633 |
$17K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,346 |
2,119 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
4,283 |
3,848 |
$10K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
163 |
115 |
$3K |
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
52 |
29 |
$2K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
61 |
37 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
58 |
54 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
326 |
299 |
$949.84 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
367 |
278 |
$637.13 |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
17 |
12 |
$537.73 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
16 |
13 |
$67.50 |