| 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 |
7,966 |
7,456 |
$416K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,067 |
4,725 |
$55K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,124 |
1,053 |
$38K |
| E0601 |
Continuous positive airway pressure (cpap) device |
824 |
755 |
$28K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
356 |
332 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,739 |
2,559 |
$12K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
811 |
741 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
895 |
824 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
123 |
116 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
189 |
173 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
217 |
203 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
360 |
336 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
306 |
291 |
$3K |
| E0570 |
Nebulizer, with compressor |
590 |
523 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
79 |
78 |
$709.38 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
14 |
$78.52 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
12 |
$16.92 |