| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,309 |
1,254 |
$57K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
721 |
574 |
$33K |
| A7031 |
Face mask interface, replacement for full face mask, each |
743 |
705 |
$31K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,722 |
1,669 |
$30K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
364 |
351 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,997 |
1,917 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
477 |
456 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
136 |
129 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
249 |
237 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
99 |
97 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
45 |
37 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
84 |
62 |
$622.77 |