| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,807 |
1,569 |
$499K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,971 |
3,812 |
$262K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,730 |
1,712 |
$155K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,017 |
2,979 |
$126K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,855 |
2,734 |
$116K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
719 |
704 |
$111K |
| 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) |
173 |
148 |
$95K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,352 |
1,323 |
$81K |
| A7035 |
Headgear used with positive airway pressure device |
1,962 |
1,930 |
$39K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,311 |
1,153 |
$37K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,155 |
1,024 |
$27K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,945 |
5,971 |
$25K |
| 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 |
715 |
695 |
$19K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,236 |
1,216 |
$17K |
| E1392 |
Portable oxygen concentrator, rental |
1,081 |
1,036 |
$16K |
| E0570 |
Nebulizer, with compressor |
491 |
451 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
335 |
328 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
14 |
$153.84 |
| A0425 |
Ground mileage, per statute mile |
25 |
22 |
$0.00 |