| 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 |
1,206 |
1,090 |
$94K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,028 |
1,847 |
$78K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,126 |
1,032 |
$68K |
| A7031 |
Face mask interface, replacement for full face mask, each |
986 |
896 |
$49K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
561 |
534 |
$26K |
| 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) |
416 |
361 |
$25K |
| A7035 |
Headgear used with positive airway pressure device |
1,363 |
1,281 |
$18K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
706 |
667 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,800 |
1,679 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
949 |
877 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
104 |
97 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
619 |
573 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
25 |
25 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
290 |
266 |
$2K |
| E0570 |
Nebulizer, with compressor |
120 |
116 |
$967.23 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14 |
12 |
$163.22 |