| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
7,880 |
7,724 |
$322K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,651 |
2,615 |
$254K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,575 |
4,504 |
$173K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,187 |
2,130 |
$145K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,365 |
1,350 |
$85K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,949 |
1,916 |
$78K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
453 |
446 |
$76K |
| A7035 |
Headgear used with positive airway pressure device |
3,258 |
3,215 |
$68K |
| 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) |
354 |
349 |
$35K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,648 |
6,509 |
$34K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,664 |
1,651 |
$21K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
582 |
568 |
$19K |
| E1392 |
Portable oxygen concentrator, rental |
210 |
207 |
$7K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
619 |
612 |
$5K |
| 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 |
157 |
156 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
78 |
78 |
$4K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
13 |
13 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
39 |
39 |
$786.20 |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
12 |
12 |
$735.72 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$218.90 |
| A7036 |
Chinstrap used with positive airway pressure device |
14 |
14 |
$96.06 |