| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7031 |
Face mask interface, replacement for full face mask, each |
665 |
635 |
$17K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,809 |
1,807 |
$16K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,478 |
1,477 |
$16K |
| A7030 |
Full face mask used with positive airway pressure device, each |
645 |
645 |
$14K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
936 |
935 |
$14K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
499 |
456 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,624 |
1,609 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
194 |
189 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
902 |
902 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
682 |
682 |
$3K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
39 |
39 |
$699.21 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
16 |
16 |
$597.35 |
| E0570 |
Nebulizer, with compressor |
367 |
367 |
$549.33 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$40.31 |
| A7037 |
Tubing used with positive airway pressure device |
15 |
15 |
$32.95 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$3.74 |