| 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 |
5,537 |
5,254 |
$259K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
1,773 |
1,670 |
$80K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,975 |
2,820 |
$34K |
| E0601 |
Continuous positive airway pressure (cpap) device |
449 |
410 |
$23K |
| A7035 |
Headgear used with positive airway pressure device |
541 |
528 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
238 |
229 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
107 |
102 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
42 |
39 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
152 |
138 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
380 |
366 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,348 |
1,295 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
161 |
150 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
350 |
329 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
54 |
54 |
$886.75 |