| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
4,714 |
4,692 |
$175K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,942 |
2,883 |
$142K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,637 |
2,609 |
$87K |
| 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) |
750 |
743 |
$70K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,957 |
2,934 |
$63K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,358 |
1,339 |
$56K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,858 |
1,845 |
$46K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,032 |
1,027 |
$37K |
| A7031 |
Face mask interface, replacement for full face mask, each |
771 |
764 |
$35K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,936 |
3,889 |
$34K |
| A7035 |
Headgear used with positive airway pressure device |
3,174 |
3,144 |
$32K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
708 |
697 |
$28K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,521 |
1,499 |
$19K |
| 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 |
676 |
660 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
586 |
572 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
585 |
583 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
43 |
39 |
$592.33 |