| 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 |
7,591 |
7,540 |
$393K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,731 |
3,701 |
$42K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,224 |
1,218 |
$42K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,497 |
1,487 |
$14K |
| E0570 |
Nebulizer, with compressor |
2,057 |
2,046 |
$14K |
| A7031 |
Face mask interface, replacement for full face mask, each |
394 |
391 |
$11K |
| A7030 |
Full face mask used with positive airway pressure device, each |
223 |
220 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,072 |
1,061 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
252 |
251 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
77 |
77 |
$829.56 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
197 |
196 |
$708.08 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
68 |
66 |
$600.51 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
212 |
206 |
$197.82 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
24 |
24 |
$179.62 |