| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
836 |
828 |
$70K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
803 |
802 |
$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) |
199 |
199 |
$47K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,057 |
1,053 |
$34K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,080 |
1,073 |
$32K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
727 |
726 |
$28K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
456 |
456 |
$26K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
474 |
474 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,618 |
2,605 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
764 |
762 |
$15K |
| A7030 |
Full face mask used with positive airway pressure device, each |
175 |
174 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
698 |
696 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
449 |
449 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
173 |
169 |
$7K |
| K0001 |
Standard wheelchair |
60 |
56 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
251 |
250 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
13 |
13 |
$207.61 |