| 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 |
3,711 |
2,426 |
$127K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,106 |
622 |
$37K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,397 |
955 |
$36K |
| 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) |
596 |
361 |
$22K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,407 |
783 |
$16K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,101 |
599 |
$16K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
861 |
649 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,499 |
895 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
331 |
181 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
894 |
508 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,026 |
1,158 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
327 |
192 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
48 |
25 |
$1K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
47 |
26 |
$205.48 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
91 |
54 |
$172.77 |