| 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 |
6,201 |
5,662 |
$194K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,426 |
3,118 |
$23K |
| A7031 |
Face mask interface, replacement for full face mask, each |
669 |
598 |
$16K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
151 |
135 |
$13K |
| A7030 |
Full face mask used with positive airway pressure device, each |
161 |
133 |
$5K |
| E0601 |
Continuous positive airway pressure (cpap) device |
297 |
283 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
640 |
584 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,347 |
1,238 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
386 |
366 |
$3K |
| E0570 |
Nebulizer, with compressor |
853 |
806 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
310 |
280 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
41 |
38 |
$230.83 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
60 |
49 |
$204.06 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
238 |
211 |
$148.69 |