| 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 |
4,674 |
4,239 |
$332K |
| 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 |
1,230 |
1,129 |
$33K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
796 |
747 |
$33K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
771 |
762 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
960 |
919 |
$13K |
| E0601 |
Continuous positive airway pressure (cpap) device |
210 |
200 |
$12K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
264 |
251 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
147 |
136 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
504 |
466 |
$2K |
| E0570 |
Nebulizer, with compressor |
24 |
24 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
50 |
46 |
$950.14 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
16 |
14 |
$482.02 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
12 |
$226.44 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
16 |
14 |
$178.32 |