| 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 |
1,695 |
1,695 |
$148K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,389 |
2,378 |
$118K |
| A7030 |
Full face mask used with positive airway pressure device, each |
560 |
546 |
$36K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,410 |
1,398 |
$26K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,029 |
1,026 |
$19K |
| A7031 |
Face mask interface, replacement for full face mask, each |
484 |
465 |
$18K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
145 |
144 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
619 |
615 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
560 |
548 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,117 |
1,086 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
156 |
152 |
$5K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
26 |
26 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
363 |
355 |
$2K |
| E0570 |
Nebulizer, with compressor |
63 |
63 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
58 |
58 |
$440.00 |