| 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 |
4,671 |
4,098 |
$221K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,046 |
889 |
$29K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,394 |
1,941 |
$22K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
979 |
848 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
159 |
145 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
736 |
686 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
245 |
212 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,504 |
1,348 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
328 |
307 |
$4K |
| E0570 |
Nebulizer, with compressor |
460 |
409 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
312 |
292 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
27 |
24 |
$842.07 |
| E1392 |
Portable oxygen concentrator, rental |
37 |
37 |
$410.78 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
16 |
13 |
$19.11 |