| 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 |
12,260 |
8,534 |
$306K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,260 |
5,963 |
$46K |
| A7031 |
Face mask interface, replacement for full face mask, each |
760 |
557 |
$14K |
| E0601 |
Continuous positive airway pressure (cpap) device |
653 |
477 |
$9K |
| E0570 |
Nebulizer, with compressor |
2,058 |
1,565 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
261 |
178 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,180 |
1,631 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
191 |
167 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
286 |
217 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
172 |
125 |
$865.82 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
54 |
41 |
$704.82 |
| E1392 |
Portable oxygen concentrator, rental |
238 |
150 |
$648.76 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
12 |
$439.30 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
69 |
63 |
$432.85 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$392.68 |