| 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 |
3,677 |
3,533 |
$321K |
| E0601 |
Continuous positive airway pressure (cpap) device |
861 |
837 |
$60K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,251 |
2,165 |
$36K |
| A7030 |
Full face mask used with positive airway pressure device, each |
300 |
287 |
$33K |
| E0570 |
Nebulizer, with compressor |
405 |
391 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
924 |
894 |
$18K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
214 |
200 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
622 |
599 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
525 |
503 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
783 |
746 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
126 |
117 |
$437.73 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
27 |
24 |
$276.23 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
20 |
15 |
$162.79 |