| 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 |
3,656 |
3,462 |
$312K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,790 |
1,728 |
$113K |
| E0570 |
Nebulizer, with compressor |
3,967 |
3,827 |
$48K |
| A7030 |
Full face mask used with positive airway pressure device, each |
381 |
374 |
$38K |
| A7031 |
Face mask interface, replacement for full face mask, each |
338 |
327 |
$23K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,377 |
1,296 |
$21K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
233 |
230 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
694 |
657 |
$15K |
| 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) |
88 |
88 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
974 |
917 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
155 |
154 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
509 |
495 |
$10K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
175 |
156 |
$669.27 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
57 |
51 |
$506.22 |
| E1392 |
Portable oxygen concentrator, rental |
38 |
36 |
$453.35 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
13 |
$123.07 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
126 |
114 |
$112.76 |