| 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 |
9,373 |
9,325 |
$327K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,547 |
5,509 |
$43K |
| A7031 |
Face mask interface, replacement for full face mask, each |
785 |
777 |
$19K |
| E0601 |
Continuous positive airway pressure (cpap) device |
951 |
948 |
$17K |
| A7030 |
Full face mask used with positive airway pressure device, each |
453 |
446 |
$16K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
479 |
479 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,176 |
1,170 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
1,582 |
1,571 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
242 |
240 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
847 |
839 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,446 |
2,418 |
$4K |
| E0570 |
Nebulizer, with compressor |
773 |
763 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
254 |
254 |
$575.26 |
| E1392 |
Portable oxygen concentrator, rental |
51 |
51 |
$372.90 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
12 |
$12.22 |