| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Full face mask used with positive airway pressure device, each |
2,013 |
1,998 |
$114K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,118 |
3,087 |
$105K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,686 |
1,671 |
$81K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,370 |
1,367 |
$43K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,215 |
1,206 |
$42K |
| A7037 |
Tubing used with positive airway pressure device |
2,900 |
2,887 |
$26K |
| A7035 |
Headgear used with positive airway pressure device |
2,244 |
2,234 |
$24K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
847 |
840 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,833 |
1,818 |
$22K |
| 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) |
204 |
201 |
$18K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
644 |
639 |
$14K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
111 |
111 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,490 |
1,480 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,152 |
5,093 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
48 |
48 |
$982.92 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
217 |
217 |
$291.34 |