| 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 |
7,679 |
6,835 |
$531K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,668 |
2,446 |
$164K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,550 |
1,347 |
$113K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,554 |
2,248 |
$72K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,378 |
1,222 |
$67K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,780 |
2,555 |
$67K |
| A7035 |
Headgear used with positive airway pressure device |
2,431 |
2,123 |
$43K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,069 |
908 |
$41K |
| E1392 |
Portable oxygen concentrator, rental |
1,767 |
1,631 |
$37K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,855 |
3,406 |
$31K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
218 |
198 |
$28K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
737 |
688 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,351 |
1,222 |
$13K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
25 |
25 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
143 |
133 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
71 |
66 |
$2K |
| E0570 |
Nebulizer, with compressor |
14 |
12 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
67 |
62 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
14 |
13 |
$145.24 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
12 |
$6.81 |