| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,960 |
2,548 |
$69K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,260 |
1,110 |
$42K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,946 |
1,745 |
$41K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,162 |
1,026 |
$16K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
49 |
27 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
1,471 |
1,306 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
869 |
771 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
1,408 |
1,226 |
$7K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
262 |
125 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
963 |
842 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
113 |
98 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
498 |
449 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
39 |
36 |
$207.71 |