| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,764 |
2,325 |
$123K |
| 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) |
763 |
671 |
$78K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,200 |
975 |
$74K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,097 |
1,703 |
$66K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,752 |
1,411 |
$48K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,024 |
2,549 |
$47K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,175 |
983 |
$45K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
785 |
669 |
$36K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
1,417 |
659 |
$27K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
633 |
547 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,528 |
3,694 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
1,295 |
1,076 |
$18K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
1,217 |
507 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
675 |
555 |
$6K |
| K0003 |
Lightweight wheelchair |
271 |
211 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
110 |
87 |
$1K |