| 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 |
3,335 |
2,235 |
$128K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,663 |
1,782 |
$41K |
| A7030 |
Full face mask used with positive airway pressure device, each |
851 |
464 |
$24K |
| 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) |
816 |
489 |
$22K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,260 |
698 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,675 |
1,172 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
491 |
273 |
$10K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,505 |
960 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
787 |
412 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
960 |
557 |
$6K |
| E0570 |
Nebulizer, with compressor |
472 |
294 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,087 |
1,198 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
271 |
148 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
43 |
26 |
$582.26 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
26 |
13 |
$504.50 |