| 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 |
4,172 |
3,835 |
$129K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,380 |
2,197 |
$15K |
| E0570 |
Nebulizer, with compressor |
144 |
126 |
$13K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
96 |
78 |
$9K |
| E0601 |
Continuous positive airway pressure (cpap) device |
910 |
819 |
$7K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
15 |
12 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
77 |
76 |
$880.18 |
| A7037 |
Tubing used with positive airway pressure device |
302 |
249 |
$555.64 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
118 |
112 |
$373.00 |
| A7035 |
Headgear used with positive airway pressure device |
123 |
110 |
$338.27 |
| A7031 |
Face mask interface, replacement for full face mask, each |
48 |
40 |
$240.18 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
318 |
263 |
$157.01 |
| A7000 |
Canister, disposable, used with suction pump, each |
14 |
13 |
$105.79 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
75 |
63 |
$88.83 |
| A7030 |
Full face mask used with positive airway pressure device, each |
14 |
13 |
$0.00 |