| 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 |
8,275 |
8,116 |
$406K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,731 |
3,682 |
$36K |
| E0601 |
Continuous positive airway pressure (cpap) device |
873 |
862 |
$33K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
839 |
834 |
$6K |
| E0570 |
Nebulizer, with compressor |
1,770 |
1,726 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
707 |
688 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
646 |
638 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
85 |
83 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
64 |
63 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,134 |
1,060 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
89 |
88 |
$648.92 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
14 |
14 |
$349.80 |
| A7037 |
Tubing used with positive airway pressure device |
38 |
38 |
$252.91 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
30 |
27 |
$75.74 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
12 |
$19.19 |