| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
7,791 |
6,443 |
$170K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,676 |
2,142 |
$120K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,046 |
2,631 |
$93K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,177 |
1,755 |
$71K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,402 |
2,730 |
$63K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,161 |
850 |
$35K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,825 |
1,416 |
$30K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,857 |
6,701 |
$26K |
| A7037 |
Tubing used with positive airway pressure device |
1,730 |
1,515 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
3,387 |
2,707 |
$20K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,141 |
858 |
$18K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,585 |
2,759 |
$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) |
294 |
269 |
$9K |
| A7028 |
Oral cushion for combination oral/nasal mask, replacement only, each |
176 |
157 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
2,163 |
1,859 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,599 |
2,049 |
$5K |
| E0570 |
Nebulizer, with compressor |
1,468 |
1,376 |
$5K |
| A7027 |
Combination oral/nasal mask, used with continuous positive airway pressure device, each |
109 |
98 |
$4K |
| A7029 |
Nasal pillows for combination oral/nasal mask, replacement only, pair |
111 |
98 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
326 |
247 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
143 |
139 |
$1K |
| A7036 |
Chinstrap used with positive airway pressure device |
94 |
69 |
$409.27 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
18 |
12 |
$295.82 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
46 |
40 |
$29.18 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
30 |
26 |
$3.01 |
| A7015 |
Aerosol mask, used with dme nebulizer |
25 |
25 |
$2.08 |