| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
5,183 |
4,108 |
$84K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,770 |
2,070 |
$52K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,292 |
4,127 |
$49K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,832 |
1,408 |
$26K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
866 |
649 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
883 |
696 |
$6K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
275 |
201 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
197 |
160 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,706 |
1,322 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
1,232 |
910 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
1,662 |
1,275 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,336 |
1,061 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,295 |
2,553 |
$831.77 |
| E0570 |
Nebulizer, with compressor |
185 |
173 |
$415.09 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
76 |
51 |
$214.78 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
413 |
300 |
$212.78 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
893 |
681 |
$166.31 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
224 |
172 |
$120.67 |