| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
1,580 |
1,456 |
$180K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,357 |
1,210 |
$37K |
| E0720 |
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation |
630 |
620 |
$26K |
| E0731 |
Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) |
66 |
66 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,528 |
2,314 |
$14K |
| A7030 |
Full face mask used with positive airway pressure device, each |
241 |
221 |
$14K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
482 |
445 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
806 |
730 |
$10K |
| E0601 |
Continuous positive airway pressure (cpap) device |
402 |
365 |
$9K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
64 |
56 |
$6K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
151 |
145 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
539 |
482 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
104 |
94 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
43 |
43 |
$1K |
| E0570 |
Nebulizer, with compressor |
29 |
29 |
$790.00 |