| 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 |
2,166 |
1,868 |
$90K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,447 |
1,236 |
$13K |
| A7030 |
Full face mask used with positive airway pressure device, each |
413 |
326 |
$12K |
| E0601 |
Continuous positive airway pressure (cpap) device |
582 |
467 |
$10K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
545 |
406 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
488 |
350 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
488 |
384 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
331 |
248 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
482 |
377 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
229 |
214 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
382 |
295 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
96 |
79 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,007 |
755 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
401 |
308 |
$1K |
| E0570 |
Nebulizer, with compressor |
279 |
255 |
$993.80 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
84 |
66 |
$652.72 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
101 |
81 |
$227.96 |
| A7036 |
Chinstrap used with positive airway pressure device |
17 |
12 |
$56.75 |