| 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 |
12,232 |
10,521 |
$951K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,337 |
1,093 |
$89K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
670 |
637 |
$65K |
| A7030 |
Full face mask used with positive airway pressure device, each |
662 |
565 |
$52K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,417 |
3,050 |
$52K |
| 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 |
1,990 |
1,631 |
$43K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
805 |
666 |
$28K |
| A7031 |
Face mask interface, replacement for full face mask, each |
723 |
606 |
$26K |
| E1392 |
Portable oxygen concentrator, rental |
1,254 |
1,041 |
$22K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
673 |
579 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
956 |
805 |
$16K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
95 |
79 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
719 |
609 |
$12K |
| E0570 |
Nebulizer, with compressor |
578 |
527 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,087 |
1,440 |
$11K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
290 |
197 |
$8K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
858 |
718 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
105 |
89 |
$3K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
171 |
136 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
224 |
196 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
27 |
24 |
$293.80 |