| 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 |
10,123 |
7,422 |
$443K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,160 |
3,444 |
$133K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,306 |
1,183 |
$112K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,308 |
2,415 |
$109K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
1,425 |
1,072 |
$94K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,382 |
2,682 |
$46K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,896 |
4,305 |
$45K |
| A7037 |
Tubing used with positive airway pressure device |
2,373 |
1,832 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,436 |
5,699 |
$31K |
| A7035 |
Headgear used with positive airway pressure device |
1,786 |
1,454 |
$27K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
457 |
386 |
$15K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
338 |
309 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
236 |
217 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
330 |
303 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
49 |
37 |
$2K |
| E0570 |
Nebulizer, with compressor |
252 |
153 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
24 |
24 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$433.97 |