| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,518 |
1,405 |
$296K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,556 |
3,463 |
$159K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,179 |
2,155 |
$99K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
921 |
912 |
$67K |
| A7035 |
Headgear used with positive airway pressure device |
2,081 |
2,049 |
$49K |
| A7030 |
Full face mask used with positive airway pressure device, each |
317 |
316 |
$32K |
| A7031 |
Face mask interface, replacement for full face mask, each |
753 |
746 |
$32K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
612 |
609 |
$29K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
944 |
937 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,808 |
3,767 |
$10K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
193 |
192 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
33 |
33 |
$5K |
| E0570 |
Nebulizer, with compressor |
281 |
275 |
$3K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
319 |
229 |
$1K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
19 |
12 |
$342.88 |
| A6403 |
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing |
16 |
12 |
$46.72 |