| 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 |
8,487 |
7,930 |
$314K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,378 |
3,122 |
$37K |
| E0601 |
Continuous positive airway pressure (cpap) device |
768 |
748 |
$31K |
| E0570 |
Nebulizer, with compressor |
2,155 |
1,968 |
$27K |
| A7030 |
Full face mask used with positive airway pressure device, each |
77 |
73 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,297 |
1,237 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
220 |
209 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
128 |
124 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
52 |
45 |
$994.06 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12 |
12 |
$779.31 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
25 |
25 |
$742.08 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
25 |
25 |
$242.95 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
13 |
$193.64 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
45 |
39 |
$40.68 |