| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
11,564 |
10,829 |
$718K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
6,161 |
5,579 |
$362K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,790 |
1,719 |
$326K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,521 |
3,171 |
$274K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
7,873 |
7,142 |
$269K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,652 |
2,399 |
$240K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
10,903 |
10,318 |
$202K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
4,999 |
4,494 |
$193K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,543 |
3,148 |
$120K |
| A7035 |
Headgear used with positive airway pressure device |
5,761 |
5,216 |
$115K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,772 |
2,414 |
$73K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
11,919 |
10,796 |
$69K |
| 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) |
477 |
418 |
$53K |
| E0570 |
Nebulizer, with compressor |
674 |
641 |
$39K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,059 |
3,680 |
$38K |
| E1392 |
Portable oxygen concentrator, rental |
1,693 |
1,520 |
$33K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
3,989 |
3,599 |
$30K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
533 |
465 |
$12K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
44 |
38 |
$10K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
317 |
282 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
106 |
93 |
$2K |
| A7002 |
Tubing, used with suction pump, each |
170 |
139 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
385 |
341 |
$1K |
| A7000 |
Canister, disposable, used with suction pump, each |
51 |
43 |
$995.47 |
| A7526 |
Tracheostomy tube collar/holder, each |
14 |
12 |
$807.30 |
| A7036 |
Chinstrap used with positive airway pressure device |
73 |
67 |
$674.65 |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
19 |
12 |
$337.04 |
| A7015 |
Aerosol mask, used with dme nebulizer |
97 |
89 |
$140.54 |