| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,930 |
1,906 |
$96K |
| E0601 |
Continuous positive airway pressure (cpap) device |
450 |
427 |
$75K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,287 |
1,276 |
$58K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,209 |
3,172 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
664 |
662 |
$14K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
301 |
286 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
149 |
149 |
$11K |
| A7030 |
Full face mask used with positive airway pressure device, each |
59 |
58 |
$7K |
| A4554 |
Disposable underpads, all sizes |
125 |
125 |
$4K |
| A4335 |
Incontinence supply; miscellaneous |
450 |
449 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
23 |
23 |
$572.61 |
| A7036 |
Chinstrap used with positive airway pressure device |
44 |
44 |
$402.16 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
39 |
39 |
$353.63 |
| E0561 |
Humidifier, non-heated, used with positive airway pressure device |
20 |
17 |
$106.63 |
| 99091 |
|
74 |
74 |
$0.00 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
17 |
17 |
$0.00 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
17 |
17 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
17 |
17 |
$0.00 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
17 |
17 |
$0.00 |
| E0570 |
Nebulizer, with compressor |
17 |
17 |
$0.00 |