| 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 |
4,197 |
3,970 |
$305K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,535 |
2,369 |
$111K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,330 |
1,255 |
$46K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,587 |
2,405 |
$32K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,317 |
1,266 |
$29K |
| A7031 |
Face mask interface, replacement for full face mask, each |
489 |
456 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
712 |
670 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,202 |
2,084 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
105 |
93 |
$8K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
25 |
24 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
55 |
52 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
51 |
12 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
175 |
161 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
12 |
$385.12 |