| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,573 |
2,463 |
$106K |
| A7030 |
Full face mask used with positive airway pressure device, each |
951 |
942 |
$89K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,571 |
1,555 |
$61K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
429 |
422 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
1,199 |
1,191 |
$24K |
| A7031 |
Face mask interface, replacement for full face mask, each |
606 |
585 |
$22K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
280 |
275 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,186 |
2,146 |
$10K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
104 |
91 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
512 |
509 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
38 |
38 |
$6K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
18 |
18 |
$4K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
66 |
65 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
78 |
76 |
$2K |
| A4670 |
Automatic blood pressure monitor |
25 |
25 |
$2K |
| K0001 |
Standard wheelchair |
12 |
12 |
$379.23 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
13 |
$114.23 |