| 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 |
3,025 |
2,560 |
$129K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,938 |
1,712 |
$83K |
| A7031 |
Face mask interface, replacement for full face mask, each |
905 |
786 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,508 |
2,144 |
$23K |
| A7037 |
Tubing used with positive airway pressure device |
1,861 |
1,677 |
$22K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,856 |
1,663 |
$21K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
491 |
442 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,598 |
2,291 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
501 |
439 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
656 |
569 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
47 |
37 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
57 |
54 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
87 |
78 |
$693.39 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |