| 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 |
5,852 |
5,473 |
$417K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
2,105 |
1,979 |
$173K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
2,506 |
2,102 |
$108K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
2,207 |
2,075 |
$62K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,454 |
2,316 |
$37K |
| E0601 |
Continuous positive airway pressure (cpap) device |
513 |
457 |
$29K |
| E1392 |
Portable oxygen concentrator, rental |
726 |
647 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
263 |
244 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
44 |
39 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
322 |
273 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
77 |
72 |
$910.86 |
| A7030 |
Full face mask used with positive airway pressure device, each |
15 |
14 |
$742.49 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
14 |
12 |
$175.92 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
31 |
29 |
$103.41 |