| 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 |
3,134 |
2,373 |
$91K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,614 |
1,415 |
$50K |
| A7030 |
Full face mask used with positive airway pressure device, each |
546 |
411 |
$27K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
307 |
228 |
$19K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
223 |
202 |
$12K |
| A7031 |
Face mask interface, replacement for full face mask, each |
410 |
225 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
338 |
303 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
431 |
345 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
398 |
336 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,697 |
948 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
117 |
94 |
$733.36 |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
299 |
211 |
$505.81 |
| E1392 |
Portable oxygen concentrator, rental |
24 |
24 |
$111.28 |