| 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 |
20,262 |
18,598 |
$1.60M |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,624 |
1,505 |
$136K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,123 |
1,048 |
$111K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,463 |
5,847 |
$91K |
| A7037 |
Tubing used with positive airway pressure device |
3,351 |
3,122 |
$64K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,960 |
1,739 |
$64K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,150 |
1,015 |
$61K |
| 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 |
2,208 |
2,049 |
$48K |
| E0570 |
Nebulizer, with compressor |
1,307 |
1,136 |
$42K |
| A7035 |
Headgear used with positive airway pressure device |
1,992 |
1,849 |
$39K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,247 |
1,114 |
$26K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
406 |
381 |
$23K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
635 |
605 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,996 |
4,545 |
$18K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
316 |
297 |
$16K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
243 |
231 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
734 |
661 |
$7K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
607 |
530 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
363 |
338 |
$1K |