| 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 |
5,155 |
4,471 |
$260K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,584 |
3,914 |
$137K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,013 |
1,715 |
$111K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,980 |
2,571 |
$48K |
| A7037 |
Tubing used with positive airway pressure device |
3,087 |
2,632 |
$41K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,414 |
1,224 |
$39K |
| E0570 |
Nebulizer, with compressor |
4,222 |
3,477 |
$38K |
| A7035 |
Headgear used with positive airway pressure device |
2,256 |
1,877 |
$27K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
532 |
388 |
$22K |
| 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) |
297 |
241 |
$22K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
577 |
513 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,550 |
2,760 |
$17K |
| E1392 |
Portable oxygen concentrator, rental |
435 |
394 |
$11K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,326 |
1,160 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
194 |
168 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
61 |
54 |
$428.19 |
| A7015 |
Aerosol mask, used with dme nebulizer |
268 |
184 |
$201.44 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
108 |
74 |
$144.78 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
136 |
78 |
$40.15 |