| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
7,254 |
6,391 |
$793K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
8,424 |
8,122 |
$635K |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,231 |
5,100 |
$468K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
9,186 |
8,954 |
$360K |
| A7031 |
Face mask interface, replacement for full face mask, each |
7,475 |
6,921 |
$279K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
4,115 |
4,025 |
$252K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,226 |
2,175 |
$251K |
| 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) |
1,428 |
1,219 |
$202K |
| A7035 |
Headgear used with positive airway pressure device |
5,861 |
5,697 |
$114K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,297 |
2,832 |
$108K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,845 |
2,409 |
$71K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
15,887 |
13,848 |
$68K |
| E1392 |
Portable oxygen concentrator, rental |
2,855 |
2,747 |
$54K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,760 |
3,713 |
$51K |
| 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 |
1,300 |
1,278 |
$34K |
| E0570 |
Nebulizer, with compressor |
1,292 |
1,220 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
892 |
871 |
$15K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
14 |
13 |
$1K |
| A7036 |
Chinstrap used with positive airway pressure device |
68 |
67 |
$769.68 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
39 |
37 |
$575.96 |
| A7037 |
Tubing used with positive airway pressure device |
19 |
18 |
$398.67 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
56 |
55 |
$135.58 |