| 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 |
23,533 |
12,560 |
$692K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,753 |
7,411 |
$67K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,822 |
1,571 |
$51K |
| A7030 |
Full face mask used with positive airway pressure device, each |
878 |
581 |
$31K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,006 |
709 |
$20K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,735 |
1,548 |
$17K |
| E0570 |
Nebulizer, with compressor |
3,548 |
2,235 |
$15K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
593 |
389 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
1,571 |
774 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
1,565 |
1,007 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,782 |
3,058 |
$12K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
742 |
550 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
491 |
282 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
170 |
114 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,105 |
1,460 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
111 |
85 |
$260.63 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
23 |
17 |
$49.53 |