| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,628 |
1,939 |
$74K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,865 |
1,446 |
$49K |
| A7030 |
Full face mask used with positive airway pressure device, each |
840 |
580 |
$40K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,749 |
1,437 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,726 |
2,123 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
728 |
511 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
471 |
330 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
35 |
27 |
$1K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
26 |
12 |
$432.47 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
18 |
12 |
$321.89 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
19 |
12 |
$57.42 |