| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Full face mask used with positive airway pressure device, each |
2,217 |
2,038 |
$141K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,878 |
4,332 |
$94K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,580 |
3,254 |
$67K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
8,568 |
4,884 |
$50K |
| 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) |
1,706 |
1,169 |
$49K |
| A7037 |
Tubing used with positive airway pressure device |
3,022 |
2,788 |
$43K |
| A7035 |
Headgear used with positive airway pressure device |
2,879 |
2,630 |
$37K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
381 |
344 |
$28K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,736 |
4,370 |
$16K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
604 |
505 |
$14K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
285 |
263 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,397 |
1,310 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
64 |
63 |
$1K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
16 |
14 |
$795.78 |
| L3260 |
Surgical boot/shoe, each |
42 |
39 |
$606.28 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
51 |
50 |
$232.60 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
15 |
14 |
$161.17 |
| V5266 |
Battery for use in hearing device |
861 |
836 |
$12.36 |