| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,875 |
3,748 |
$302K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,647 |
1,610 |
$80K |
| A7030 |
Full face mask used with positive airway pressure device, each |
377 |
362 |
$33K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,252 |
2,187 |
$32K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,729 |
1,676 |
$30K |
| A7037 |
Tubing used with positive airway pressure device |
651 |
626 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
372 |
355 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
160 |
156 |
$6K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
73 |
72 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
870 |
835 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
325 |
311 |
$2K |
| E0570 |
Nebulizer, with compressor |
39 |
37 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$251.93 |