| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,293 |
2,283 |
$132K |
| 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) |
862 |
856 |
$113K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
666 |
659 |
$61K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,213 |
1,209 |
$48K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,124 |
1,123 |
$38K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
520 |
520 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
861 |
859 |
$17K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
371 |
368 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,169 |
2,122 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
385 |
384 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
314 |
311 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
713 |
713 |
$8K |
| A7030 |
Full face mask used with positive airway pressure device, each |
79 |
79 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
81 |
79 |
$3K |
| E0570 |
Nebulizer, with compressor |
49 |
49 |
$339.87 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
27 |
27 |
$273.83 |