| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7031 |
Face mask interface, replacement for full face mask, each |
15,819 |
15,422 |
$620K |
| A7030 |
Full face mask used with positive airway pressure device, each |
6,873 |
6,730 |
$589K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
10,350 |
10,143 |
$364K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,700 |
7,572 |
$338K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
7,223 |
7,066 |
$300K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,650 |
3,580 |
$207K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,438 |
2,359 |
$150K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
946 |
932 |
$136K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
24,979 |
24,388 |
$130K |
| A7035 |
Headgear used with positive airway pressure device |
5,659 |
5,548 |
$102K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,707 |
1,674 |
$57K |
| 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) |
383 |
380 |
$46K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,320 |
2,279 |
$26K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
12 |
12 |
$4K |
| A7036 |
Chinstrap used with positive airway pressure device |
243 |
240 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
305 |
299 |
$2K |