| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,340 |
1,163 |
$21K |
| A7030 |
Full face mask used with positive airway pressure device, each |
661 |
560 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,084 |
926 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
554 |
481 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
1,010 |
870 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
1,059 |
902 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
387 |
352 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
558 |
504 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,263 |
1,969 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
185 |
159 |
$988.63 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
146 |
127 |
$881.22 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,105 |
1,052 |
$411.19 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
276 |
248 |
$223.40 |
| 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) |
42 |
42 |
$112.75 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
88 |
76 |
$108.60 |
| E1392 |
Portable oxygen concentrator, rental |
760 |
731 |
$107.69 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
55 |
54 |
$21.28 |
| E0570 |
Nebulizer, with compressor |
234 |
218 |
$10.09 |
| K0001 |
Standard wheelchair |
65 |
63 |
$9.15 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
45 |
44 |
$3.54 |