| 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 |
8,227 |
6,953 |
$256K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,893 |
6,634 |
$198K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,040 |
1,707 |
$115K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,418 |
2,036 |
$88K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,535 |
2,119 |
$85K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,991 |
5,017 |
$82K |
| A7037 |
Tubing used with positive airway pressure device |
3,861 |
3,163 |
$59K |
| A7035 |
Headgear used with positive airway pressure device |
3,947 |
3,346 |
$53K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,461 |
1,196 |
$35K |
| E0570 |
Nebulizer, with compressor |
2,292 |
1,941 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,093 |
4,150 |
$14K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
770 |
644 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,550 |
1,245 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
725 |
582 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
908 |
742 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
332 |
249 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
67 |
58 |
$68.50 |