| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7031 |
Face mask interface, replacement for full face mask, each |
5,431 |
4,985 |
$61K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,807 |
1,649 |
$56K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,627 |
1,477 |
$38K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
928 |
885 |
$23K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,852 |
2,558 |
$21K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,411 |
1,270 |
$19K |
| A7035 |
Headgear used with positive airway pressure device |
1,331 |
1,218 |
$15K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,115 |
1,025 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,218 |
7,208 |
$12K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,778 |
1,597 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
2,114 |
1,918 |
$11K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,816 |
2,656 |
$11K |
| A7036 |
Chinstrap used with positive airway pressure device |
1,144 |
1,071 |
$5K |
| E0570 |
Nebulizer, with compressor |
65 |
55 |
$218.68 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
13 |
12 |
$206.83 |