| 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 |
4,428 |
4,070 |
$354K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
679 |
659 |
$36K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,225 |
1,177 |
$19K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
438 |
399 |
$18K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
438 |
415 |
$13K |
| 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 |
420 |
399 |
$11K |
| E0601 |
Continuous positive airway pressure (cpap) device |
120 |
109 |
$8K |
| A7030 |
Full face mask used with positive airway pressure device, each |
20 |
16 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
34 |
33 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
179 |
164 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
34 |
33 |
$862.66 |
| A7031 |
Face mask interface, replacement for full face mask, each |
20 |
16 |
$651.92 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
23 |
18 |
$220.08 |