| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,451 |
1,987 |
$232K |
| A7030 |
Full face mask used with positive airway pressure device, each |
946 |
781 |
$86K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,853 |
1,526 |
$60K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
859 |
710 |
$49K |
| A7035 |
Headgear used with positive airway pressure device |
1,720 |
1,478 |
$37K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
204 |
170 |
$31K |
| A7031 |
Face mask interface, replacement for full face mask, each |
650 |
522 |
$20K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
2,267 |
1,962 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,095 |
1,820 |
$13K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,021 |
894 |
$11K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
832 |
704 |
$6K |
| E0570 |
Nebulizer, with compressor |
166 |
110 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
48 |
36 |
$1K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
51 |
50 |
$340.71 |