| 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 |
15,387 |
11,786 |
$488K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,837 |
1,380 |
$106K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,116 |
2,502 |
$99K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,732 |
2,068 |
$90K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,360 |
6,199 |
$55K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,778 |
2,137 |
$33K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
919 |
657 |
$31K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
778 |
593 |
$28K |
| A7037 |
Tubing used with positive airway pressure device |
2,833 |
2,043 |
$27K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,275 |
4,867 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,808 |
1,335 |
$21K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
364 |
262 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,167 |
866 |
$8K |
| E0570 |
Nebulizer, with compressor |
1,214 |
914 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
113 |
97 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
689 |
471 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
572 |
480 |
$395.68 |