| 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 |
3,365 |
3,147 |
$219K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,259 |
3,135 |
$195K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,257 |
1,220 |
$122K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
769 |
759 |
$57K |
| A7031 |
Face mask interface, replacement for full face mask, each |
888 |
861 |
$54K |
| A7037 |
Tubing used with positive airway pressure device |
1,101 |
1,057 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,744 |
1,683 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
1,069 |
1,035 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,777 |
1,679 |
$18K |
| E0570 |
Nebulizer, with compressor |
897 |
862 |
$14K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
379 |
376 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
117 |
116 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
300 |
296 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
204 |
197 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$30.62 |