| 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 |
2,163 |
2,086 |
$115K |
| E0601 |
Continuous positive airway pressure (cpap) device |
993 |
972 |
$43K |
| A7031 |
Face mask interface, replacement for full face mask, each |
972 |
947 |
$33K |
| A7030 |
Full face mask used with positive airway pressure device, each |
317 |
309 |
$25K |
| E0570 |
Nebulizer, with compressor |
408 |
395 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
586 |
574 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,904 |
1,820 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
497 |
488 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
215 |
211 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
94 |
92 |
$3K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
419 |
383 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12 |
12 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$861.31 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
28 |
28 |
$459.80 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
12 |
$344.26 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
50 |
49 |
$297.46 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
12 |
12 |
$20.24 |