| 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 |
6,622 |
6,550 |
$309K |
| A7031 |
Face mask interface, replacement for full face mask, each |
924 |
911 |
$31K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,231 |
3,196 |
$31K |
| A7030 |
Full face mask used with positive airway pressure device, each |
416 |
412 |
$26K |
| E0601 |
Continuous positive airway pressure (cpap) device |
622 |
620 |
$21K |
| E1392 |
Portable oxygen concentrator, rental |
1,167 |
1,143 |
$14K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
855 |
855 |
$12K |
| E0570 |
Nebulizer, with compressor |
2,057 |
2,052 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,688 |
1,667 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
547 |
542 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
202 |
200 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
38 |
36 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
326 |
309 |
$552.16 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
51 |
50 |
$452.20 |