| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Full face mask used with positive airway pressure device, each |
2,167 |
2,060 |
$139K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,728 |
2,558 |
$105K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,694 |
2,531 |
$104K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,895 |
1,662 |
$99K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,906 |
2,760 |
$69K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,563 |
1,510 |
$65K |
| 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) |
688 |
647 |
$52K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,229 |
1,076 |
$47K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,047 |
925 |
$32K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
297 |
275 |
$31K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,682 |
4,999 |
$28K |
| A7035 |
Headgear used with positive airway pressure device |
2,109 |
1,997 |
$26K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,433 |
1,371 |
$10K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
638 |
587 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
630 |
608 |
$8K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,431 |
1,347 |
$7K |