| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,665 |
2,391 |
$247K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
722 |
547 |
$93K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
406 |
392 |
$85K |
| A7030 |
Full face mask used with positive airway pressure device, each |
560 |
496 |
$58K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,574 |
1,308 |
$54K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
912 |
767 |
$53K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
458 |
451 |
$43K |
| 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) |
266 |
245 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
1,091 |
899 |
$22K |
| A7031 |
Face mask interface, replacement for full face mask, each |
543 |
477 |
$21K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
271 |
241 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,781 |
1,487 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
321 |
318 |
$9K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
33 |
33 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
174 |
161 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
299 |
272 |
$3K |
| A7036 |
Chinstrap used with positive airway pressure device |
55 |
53 |
$612.94 |