| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93271 |
|
474 |
433 |
$32K |
| A7030 |
Full face mask used with positive airway pressure device, each |
849 |
848 |
$7K |
| 93268 |
|
25 |
25 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
755 |
755 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,212 |
1,211 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
826 |
826 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
935 |
934 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
488 |
488 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
271 |
271 |
$892.52 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
848 |
848 |
$815.12 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,642 |
1,642 |
$564.20 |
| 93226 |
|
26 |
25 |
$561.07 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
415 |
415 |
$309.94 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
25 |
25 |
$142.42 |