| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
10,862 |
10,611 |
$403K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,165 |
3,132 |
$285K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,665 |
4,634 |
$255K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,310 |
4,270 |
$145K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,390 |
2,338 |
$88K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,774 |
2,664 |
$86K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
287 |
285 |
$82K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,143 |
1,137 |
$56K |
| A7035 |
Headgear used with positive airway pressure device |
2,966 |
2,928 |
$52K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,844 |
5,648 |
$31K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
162 |
160 |
$28K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,097 |
2,087 |
$24K |
| E0570 |
Nebulizer, with compressor |
2,391 |
2,378 |
$22K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
580 |
563 |
$22K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,791 |
1,769 |
$18K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,254 |
1,233 |
$16K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
215 |
212 |
$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) |
151 |
137 |
$7K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
155 |
148 |
$2K |
| A7036 |
Chinstrap used with positive airway pressure device |
161 |
161 |
$2K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
307 |
303 |
$909.45 |
| A7037 |
Tubing used with positive airway pressure device |
28 |
24 |
$255.20 |