| 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 |
13,717 |
10,358 |
$499K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,461 |
5,734 |
$54K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,317 |
1,008 |
$51K |
| A7030 |
Full face mask used with positive airway pressure device, each |
733 |
551 |
$36K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,288 |
1,053 |
$32K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,084 |
797 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,538 |
3,084 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
1,270 |
998 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
824 |
666 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
115 |
93 |
$5K |
| E0570 |
Nebulizer, with compressor |
1,267 |
907 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
196 |
176 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
400 |
335 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
334 |
229 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
52 |
42 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
272 |
211 |
$376.61 |