| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,317 |
1,833 |
$69K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,714 |
1,877 |
$62K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,087 |
784 |
$45K |
| A7037 |
Tubing used with positive airway pressure device |
3,328 |
2,178 |
$35K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,997 |
2,379 |
$29K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
938 |
767 |
$28K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,170 |
840 |
$18K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
570 |
430 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,625 |
3,265 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
1,025 |
741 |
$8K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
191 |
143 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
362 |
309 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
814 |
588 |
$2K |