| 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 |
7,384 |
6,673 |
$257K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,516 |
2,271 |
$87K |
| E0601 |
Continuous positive airway pressure (cpap) device |
726 |
659 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,533 |
1,391 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
384 |
356 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
58 |
55 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
95 |
93 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
100 |
89 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
129 |
122 |
$2K |
| E0570 |
Nebulizer, with compressor |
413 |
391 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
69 |
57 |
$423.50 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
43 |
40 |
$277.20 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
46 |
43 |
$80.99 |