| 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 |
13,881 |
12,759 |
$1.10M |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
3,663 |
3,376 |
$167K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
3,104 |
2,967 |
$154K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
3,499 |
3,230 |
$114K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
989 |
907 |
$94K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,352 |
5,147 |
$77K |
| 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 |
1,338 |
1,298 |
$39K |
| E0601 |
Continuous positive airway pressure (cpap) device |
340 |
316 |
$19K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
359 |
342 |
$18K |
| A7030 |
Full face mask used with positive airway pressure device, each |
55 |
54 |
$5K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
433 |
330 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
125 |
120 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
57 |
55 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
440 |
421 |
$2K |
| E0570 |
Nebulizer, with compressor |
49 |
49 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
98 |
94 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
51 |
51 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
29 |
29 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
26 |
26 |
$545.66 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
15 |
15 |
$184.74 |