| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
303 |
302 |
$65K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
545 |
534 |
$55K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
917 |
901 |
$50K |
| S9999 |
Sales tax |
4,575 |
4,273 |
$47K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
696 |
680 |
$40K |
| A7035 |
Headgear used with positive airway pressure device |
733 |
717 |
$25K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,033 |
2,008 |
$19K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
650 |
638 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
251 |
250 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
26 |
25 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
93 |
93 |
$7K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
29 |
29 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
68 |
66 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
25 |
25 |
$607.62 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$428.58 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
18 |
18 |
$304.87 |
| A7015 |
Aerosol mask, used with dme nebulizer |
99 |
99 |
$191.36 |