| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,604 |
1,589 |
$115K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,043 |
1,024 |
$87K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
323 |
316 |
$34K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,248 |
1,229 |
$32K |
| A7037 |
Tubing used with positive airway pressure device |
1,820 |
1,791 |
$30K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
400 |
394 |
$23K |
| A7035 |
Headgear used with positive airway pressure device |
985 |
960 |
$14K |
| E0570 |
Nebulizer, with compressor |
96 |
93 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,841 |
1,798 |
$8K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
763 |
750 |
$4K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
168 |
165 |
$3K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
168 |
165 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
103 |
100 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
36 |
36 |
$728.56 |
| A7031 |
Face mask interface, replacement for full face mask, each |
26 |
19 |
$652.92 |
| A4617 |
Mouth piece |
97 |
94 |
$242.97 |
| A7015 |
Aerosol mask, used with dme nebulizer |
103 |
100 |
$116.17 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
97 |
94 |
$48.99 |