| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
5,168 |
4,664 |
$190K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,795 |
3,442 |
$153K |
| 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) |
1,582 |
1,385 |
$127K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,016 |
4,379 |
$122K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,687 |
2,306 |
$73K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
175 |
132 |
$72K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,186 |
3,767 |
$72K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,304 |
1,153 |
$62K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,068 |
991 |
$43K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,500 |
1,341 |
$38K |
| A7035 |
Headgear used with positive airway pressure device |
2,298 |
2,073 |
$27K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,909 |
7,721 |
$27K |
| E1392 |
Portable oxygen concentrator, rental |
780 |
727 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
1,724 |
1,553 |
$13K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,515 |
1,395 |
$12K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
426 |
385 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
856 |
791 |
$7K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
613 |
554 |
$2K |