| 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 |
6,603 |
6,054 |
$188K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,515 |
3,248 |
$108K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,017 |
1,909 |
$79K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,458 |
1,394 |
$74K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,045 |
1,919 |
$44K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
992 |
937 |
$33K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
849 |
769 |
$31K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,331 |
3,045 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,575 |
1,503 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
213 |
198 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,089 |
3,808 |
$12K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
323 |
302 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
537 |
510 |
$5K |
| E0570 |
Nebulizer, with compressor |
582 |
542 |
$3K |
| 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) |
44 |
37 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
286 |
282 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
125 |
122 |
$924.57 |