| 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 |
17,845 |
15,002 |
$637K |
| 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 |
3,211 |
2,620 |
$148K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,857 |
2,036 |
$51K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,025 |
1,693 |
$41K |
| E0570 |
Nebulizer, with compressor |
2,480 |
2,026 |
$13K |
| A7030 |
Full face mask used with positive airway pressure device, each |
90 |
65 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
269 |
196 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
668 |
495 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
65 |
52 |
$991.33 |
| A7031 |
Face mask interface, replacement for full face mask, each |
20 |
13 |
$305.20 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
14 |
$68.21 |