| 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 |
5,647 |
4,645 |
$214K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,325 |
1,297 |
$99K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,080 |
3,425 |
$67K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,839 |
1,463 |
$52K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,511 |
1,454 |
$46K |
| A7037 |
Tubing used with positive airway pressure device |
1,606 |
1,517 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
1,743 |
1,689 |
$31K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,943 |
1,532 |
$23K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,090 |
2,040 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,360 |
3,241 |
$16K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
92 |
86 |
$3K |
| E0570 |
Nebulizer, with compressor |
271 |
207 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
26 |
25 |
$555.81 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
15 |
13 |
$48.82 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
13 |
$24.90 |