| 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 |
8,413 |
6,702 |
$360K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,547 |
2,758 |
$127K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,847 |
1,521 |
$65K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,176 |
994 |
$63K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,637 |
5,300 |
$56K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,524 |
1,320 |
$42K |
| A7035 |
Headgear used with positive airway pressure device |
2,356 |
1,966 |
$34K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,145 |
984 |
$29K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
61 |
51 |
$25K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,047 |
896 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,330 |
3,518 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
1,649 |
1,332 |
$17K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
876 |
710 |
$17K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,517 |
1,282 |
$11K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,499 |
1,249 |
$8K |
| E0570 |
Nebulizer, with compressor |
591 |
471 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
63 |
39 |
$751.03 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
24 |
13 |
$223.23 |