| 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 |
13,439 |
9,501 |
$535K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,905 |
5,572 |
$52K |
| E0570 |
Nebulizer, with compressor |
3,467 |
1,938 |
$36K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,671 |
2,137 |
$13K |
| E0601 |
Continuous positive airway pressure (cpap) device |
271 |
187 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
980 |
613 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
459 |
337 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
111 |
75 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
149 |
115 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
324 |
216 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
71 |
51 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
34 |
27 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
155 |
117 |
$978.52 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
279 |
160 |
$713.17 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
18 |
12 |
$328.47 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
310 |
179 |
$293.68 |