| 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 |
8,416 |
5,496 |
$377K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,811 |
2,660 |
$121K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,244 |
1,569 |
$18K |
| A7030 |
Full face mask used with positive airway pressure device, each |
593 |
473 |
$14K |
| E0570 |
Nebulizer, with compressor |
1,519 |
1,068 |
$4K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
161 |
130 |
$4K |
| 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) |
78 |
40 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
739 |
545 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
1,238 |
906 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
58 |
38 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
535 |
392 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
286 |
217 |
$405.51 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
183 |
140 |
$304.44 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,545 |
1,107 |
$254.36 |
| E1392 |
Portable oxygen concentrator, rental |
17 |
14 |
$66.41 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
29 |
26 |
$21.51 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
75 |
65 |
$20.18 |