| 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 |
7,673 |
6,374 |
$262K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,111 |
1,860 |
$65K |
| 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) |
767 |
656 |
$43K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,020 |
1,746 |
$41K |
| 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 |
2,403 |
2,049 |
$39K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,401 |
2,855 |
$26K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,157 |
2,758 |
$26K |
| A7035 |
Headgear used with positive airway pressure device |
1,024 |
863 |
$9K |
| T4541 |
Incontinence product, disposable underpad, large, each |
196 |
168 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
1,296 |
1,103 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
152 |
134 |
$7K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
32 |
26 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,561 |
1,324 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
184 |
154 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
529 |
440 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
163 |
142 |
$905.01 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
17 |
16 |
$554.63 |