| 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 |
11,272 |
10,282 |
$302K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,233 |
1,152 |
$50K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,218 |
2,076 |
$48K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,006 |
1,795 |
$32K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,141 |
4,723 |
$30K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,211 |
1,134 |
$27K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,666 |
1,546 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
1,100 |
1,015 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,917 |
3,663 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
1,180 |
1,080 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
436 |
399 |
$6K |
| E0570 |
Nebulizer, with compressor |
2,241 |
2,075 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
691 |
641 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
186 |
174 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
106 |
102 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
601 |
549 |
$388.95 |