| 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 |
6,783 |
5,939 |
$656K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,716 |
1,542 |
$138K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,892 |
2,674 |
$126K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,011 |
1,825 |
$83K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,767 |
4,209 |
$75K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,140 |
991 |
$58K |
| A7037 |
Tubing used with positive airway pressure device |
2,501 |
2,237 |
$45K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,132 |
5,628 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
1,933 |
1,751 |
$35K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,195 |
1,122 |
$30K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
856 |
746 |
$29K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
628 |
563 |
$26K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,718 |
1,562 |
$16K |
| E0570 |
Nebulizer, with compressor |
495 |
452 |
$14K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
200 |
178 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
435 |
352 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
18 |
13 |
$767.64 |