| 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 |
5,299 |
4,453 |
$191K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,859 |
4,456 |
$145K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,669 |
4,538 |
$77K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,855 |
2,303 |
$44K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
288 |
227 |
$26K |
| A7030 |
Full face mask used with positive airway pressure device, each |
860 |
676 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
2,445 |
1,976 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
953 |
738 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
566 |
443 |
$2K |
| E0570 |
Nebulizer, with compressor |
449 |
406 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,232 |
2,620 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
162 |
129 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
956 |
743 |
$991.39 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
533 |
436 |
$652.62 |
| E1392 |
Portable oxygen concentrator, rental |
492 |
424 |
$521.93 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
41 |
38 |
$512.68 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
516 |
375 |
$201.73 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
28 |
24 |
$19.84 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
13 |
12 |
$0.00 |