| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,628 |
2,526 |
$108K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
780 |
710 |
$42K |
| E0570 |
Nebulizer, with compressor |
457 |
446 |
$38K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,375 |
1,311 |
$24K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
676 |
641 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
960 |
921 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
288 |
263 |
$10K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
136 |
90 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
346 |
330 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
518 |
517 |
$6K |
| A7030 |
Full face mask used with positive airway pressure device, each |
72 |
65 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
926 |
888 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,247 |
1,231 |
$4K |
| A4670 |
Automatic blood pressure monitor |
148 |
147 |
$4K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
21 |
13 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
178 |
171 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
41 |
40 |
$521.47 |
| A7015 |
Aerosol mask, used with dme nebulizer |
289 |
289 |
$307.34 |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
25 |
25 |
$272.25 |