| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
6,437 |
6,122 |
$263K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,702 |
2,534 |
$157K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,962 |
1,867 |
$144K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,896 |
1,828 |
$87K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,040 |
2,916 |
$83K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
849 |
809 |
$79K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,427 |
2,329 |
$64K |
| A7035 |
Headgear used with positive airway pressure device |
3,506 |
3,344 |
$52K |
| E0570 |
Nebulizer, with compressor |
724 |
685 |
$36K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,518 |
1,462 |
$36K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,769 |
7,425 |
$31K |
| A7037 |
Tubing used with positive airway pressure device |
1,817 |
1,737 |
$29K |
| 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) |
266 |
257 |
$22K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,017 |
987 |
$20K |
| E1392 |
Portable oxygen concentrator, rental |
1,448 |
1,359 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,469 |
1,411 |
$12K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,686 |
1,608 |
$11K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
116 |
114 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
113 |
112 |
$88.79 |