| 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 |
7,202 |
6,812 |
$391K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,662 |
1,544 |
$107K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
1,910 |
1,835 |
$86K |
| A7030 |
Full face mask used with positive airway pressure device, each |
546 |
524 |
$51K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
873 |
832 |
$44K |
| 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 |
1,653 |
1,526 |
$42K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,404 |
2,315 |
$31K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
166 |
155 |
$29K |
| A7031 |
Face mask interface, replacement for full face mask, each |
569 |
542 |
$24K |
| A7037 |
Tubing used with positive airway pressure device |
871 |
845 |
$23K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
797 |
747 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
839 |
803 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,719 |
1,609 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
293 |
275 |
$6K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
266 |
254 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
380 |
367 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
44 |
37 |
$528.86 |