| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,049 |
2,664 |
$56K |
| A7030 |
Full face mask used with positive airway pressure device, each |
462 |
387 |
$28K |
| A7031 |
Face mask interface, replacement for full face mask, each |
739 |
628 |
$18K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
759 |
647 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
891 |
734 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
665 |
560 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,416 |
1,194 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
40 |
24 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$537.64 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
112 |
89 |
$521.92 |
| E1392 |
Portable oxygen concentrator, rental |
129 |
118 |
$517.39 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12 |
12 |
$431.20 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
55 |
50 |
$283.43 |