| 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 |
279 |
278 |
$13K |
| A7030 |
Full face mask used with positive airway pressure device, each |
60 |
59 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
89 |
87 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
67 |
66 |
$2K |
| E0601 |
Continuous positive airway pressure (cpap) device |
64 |
63 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
98 |
98 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
146 |
146 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
26 |
26 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
72 |
72 |
$973.25 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
249 |
243 |
$919.36 |
| A7035 |
Headgear used with positive airway pressure device |
101 |
100 |
$806.11 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
69 |
69 |
$281.31 |
| E0570 |
Nebulizer, with compressor |
12 |
12 |
$213.66 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
74 |
72 |
$181.25 |