| 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 |
7,412 |
6,044 |
$158K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,900 |
1,745 |
$55K |
| A7030 |
Full face mask used with positive airway pressure device, each |
585 |
520 |
$31K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,944 |
3,957 |
$21K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,086 |
1,495 |
$20K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,024 |
925 |
$19K |
| A7035 |
Headgear used with positive airway pressure device |
854 |
777 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,725 |
1,983 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
1,223 |
1,065 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
131 |
126 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,852 |
2,578 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
474 |
428 |
$4K |
| E0570 |
Nebulizer, with compressor |
775 |
598 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
15 |
14 |
$346.70 |