| 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 |
1,777 |
1,743 |
$29K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,194 |
6,107 |
$27K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,214 |
2,204 |
$24K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,765 |
2,748 |
$15K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,295 |
1,289 |
$14K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,789 |
2,762 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
3,342 |
3,324 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,615 |
1,608 |
$9K |
| 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) |
456 |
450 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,120 |
5,059 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
491 |
488 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,029 |
1,007 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
879 |
878 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
260 |
258 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
991 |
990 |
$2K |
| E0570 |
Nebulizer, with compressor |
88 |
88 |
$688.13 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
673 |
669 |
$628.01 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
51 |
49 |
$404.28 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
53 |
53 |
$58.91 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$0.00 |