| 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 |
14,231 |
7,630 |
$466K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,764 |
4,626 |
$54K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,651 |
915 |
$34K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,110 |
679 |
$26K |
| A7030 |
Full face mask used with positive airway pressure device, each |
563 |
319 |
$22K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,414 |
753 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,780 |
1,772 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
683 |
402 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
352 |
197 |
$3K |
| E0570 |
Nebulizer, with compressor |
481 |
273 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
56 |
24 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
38 |
27 |
$149.92 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
76 |
55 |
$113.19 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
40 |
24 |
$22.69 |