| 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 |
14,527 |
13,731 |
$862K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,354 |
10,764 |
$145K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,307 |
1,995 |
$100K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,178 |
953 |
$57K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
590 |
580 |
$53K |
| A7030 |
Full face mask used with positive airway pressure device, each |
584 |
552 |
$38K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
717 |
645 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
814 |
763 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
267 |
240 |
$11K |
| A7031 |
Face mask interface, replacement for full face mask, each |
351 |
309 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,664 |
1,503 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
360 |
349 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
262 |
243 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
98 |
91 |
$707.47 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
27 |
25 |
$455.89 |