| 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 |
9,059 |
8,033 |
$465K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,067 |
954 |
$74K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,005 |
1,772 |
$66K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,905 |
5,249 |
$58K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,216 |
1,095 |
$48K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,662 |
1,509 |
$48K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,571 |
1,420 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,445 |
3,100 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
884 |
806 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
136 |
133 |
$8K |
| E0570 |
Nebulizer, with compressor |
1,280 |
1,186 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
127 |
119 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
458 |
425 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
134 |
109 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
28 |
26 |
$962.80 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
55 |
41 |
$41.99 |