| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7031 |
Face mask interface, replacement for full face mask, each |
2,195 |
974 |
$91K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,980 |
1,895 |
$86K |
| A7030 |
Full face mask used with positive airway pressure device, each |
833 |
802 |
$78K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,259 |
1,215 |
$45K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
312 |
308 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,437 |
1,517 |
$19K |
| A7035 |
Headgear used with positive airway pressure device |
781 |
750 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
77 |
75 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
587 |
570 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
206 |
47 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
118 |
26 |
$2K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
29 |
24 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
20 |
19 |
$181.89 |