| 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 |
5,581 |
4,851 |
$158K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,645 |
1,531 |
$43K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
500 |
471 |
$31K |
| A7030 |
Full face mask used with positive airway pressure device, each |
563 |
446 |
$21K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
567 |
449 |
$14K |
| 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 |
730 |
693 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
1,148 |
932 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
1,304 |
1,046 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
701 |
606 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
347 |
259 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,086 |
1,617 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
1,010 |
927 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
455 |
376 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
43 |
37 |
$569.05 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$152.56 |