| 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 |
6,366 |
5,988 |
$440K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,074 |
3,819 |
$48K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,389 |
1,319 |
$37K |
| E0601 |
Continuous positive airway pressure (cpap) device |
732 |
667 |
$29K |
| E0570 |
Nebulizer, with compressor |
1,977 |
1,894 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,185 |
2,069 |
$10K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
160 |
153 |
$6K |
| A7030 |
Full face mask used with positive airway pressure device, each |
30 |
25 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
63 |
57 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
13 |
12 |
$650.20 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
12 |
$635.94 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
44 |
41 |
$269.34 |
| E1392 |
Portable oxygen concentrator, rental |
14 |
13 |
$255.90 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
13 |
12 |
$0.00 |