| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Full face mask used with positive airway pressure device, each |
3,034 |
2,149 |
$105K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,905 |
3,510 |
$99K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,663 |
2,882 |
$90K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,083 |
1,516 |
$50K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,673 |
1,969 |
$48K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,191 |
2,258 |
$41K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,491 |
1,682 |
$34K |
| A7035 |
Headgear used with positive airway pressure device |
3,465 |
2,554 |
$30K |
| 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 |
1,306 |
1,139 |
$18K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
869 |
637 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,902 |
3,575 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
2,238 |
1,623 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,918 |
1,423 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
139 |
121 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
342 |
260 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
65 |
51 |
$448.63 |
| A7036 |
Chinstrap used with positive airway pressure device |
14 |
12 |
$87.03 |