| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,460 |
1,274 |
$41K |
| E0570 |
Nebulizer, with compressor |
89 |
71 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
362 |
326 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,287 |
1,142 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
444 |
394 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
58 |
50 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
136 |
125 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
70 |
62 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
75 |
67 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
109 |
100 |
$478.11 |
| 91320 |
|
19 |
19 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
14 |
$0.00 |
| 90480 |
|
19 |
19 |
$0.00 |