| 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 |
6,697 |
6,236 |
$262K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,936 |
1,890 |
$98K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,208 |
1,161 |
$98K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,247 |
2,192 |
$84K |
| 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) |
535 |
522 |
$53K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,612 |
1,549 |
$51K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,770 |
2,695 |
$38K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,593 |
4,247 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,624 |
3,498 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
967 |
929 |
$15K |
| E1392 |
Portable oxygen concentrator, rental |
637 |
617 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
252 |
240 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
242 |
236 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
666 |
645 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
54 |
54 |
$2K |
| E0570 |
Nebulizer, with compressor |
75 |
75 |
$198.70 |