| 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 |
6,848 |
6,831 |
$219K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,305 |
1,293 |
$34K |
| A7030 |
Full face mask used with positive airway pressure device, each |
837 |
832 |
$27K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,666 |
3,657 |
$26K |
| E0601 |
Continuous positive airway pressure (cpap) device |
381 |
381 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
524 |
522 |
$6K |
| E0570 |
Nebulizer, with compressor |
1,305 |
1,300 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
971 |
968 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,107 |
2,084 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
1,009 |
1,007 |
$3K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
32 |
28 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
539 |
535 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
218 |
217 |
$339.19 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
335 |
314 |
$335.06 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$166.23 |