| 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 |
3,570 |
3,389 |
$363K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,339 |
1,286 |
$27K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
164 |
157 |
$21K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
168 |
166 |
$11K |
| 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 |
407 |
374 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
102 |
98 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
199 |
191 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
175 |
170 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
608 |
577 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
125 |
117 |
$2K |
| E0601 |
Continuous positive airway pressure (cpap) device |
15 |
14 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
70 |
67 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
14 |
14 |
$738.02 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
15 |
15 |
$196.54 |